Vaccine allergy/adverse reaction Referral Access Criteria
Vaccine allergy/adverse reaction Referral Access Criteria
Referrers should use this page when referring patients to public adult immunology outpatient services for vaccine allergy/adverse reaction.
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Emergency referral |
If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region. |
- Current symptoms of anaphylaxis
- Airway compromising angioedema
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Immediate referral |
Immediately contact on-call registrar or service to arrange immediate immunology assessment (seen within 7 days):
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To contact the relevant service, please see Clinician Assist WA: Immunology assessment (external site).
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Clinical indications for outpatient referral |
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
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- Suspected adverse reaction following a vaccination
- Assessment of suitability for vaccination
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Mandatory information |
Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test in regional or remote areas or due to financial reason).
This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.
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History |
- Relevant history, onset, duration, severity, and nature of symptoms (e.g. angioedema, urticaria, myocarditis, pericarditis)
- Vaccination administered
- Previous vaccinations received
- Management received
- Any urgent need for further vaccine administration
- Current medication list
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Examination |
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Investigations |
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Highly desirable |
History |
- Vaccination administered dose number
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Examination |
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Investigations |
- Investigations and specialist letters regarding adverse reaction if relevant e.g. ECG, echocardiogram
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Indicative clinical urgency category |
Category 1
Appointment within 30 days
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- Suspected severe adverse reaction following a vaccination
- Suspected adverse reaction following vaccination and urgent need for clarification of suitability for further vaccination
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Category 2
Appointment within 90 days
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- Assessment of all other vaccination adverse reactions
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Category 3
Appointment within 365 days
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- No defined category 3 criteria
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Exclusions |
- Suspected long COVID-19 infection:
- With persistent pulmonary symptoms. Refer to respiratory.
- With non-pulmonary symptoms. Refer to the most relevant specialty based on assessment
- Ongoing management of adverse reactions/suspected adverse reactions to vaccinations that can be appropriately managed in primary care (not requiring immunology treatment/management) or can be referred to another relevant speciality.
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Feedback
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