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Adverse Event Reporting
Patient Name
Vaccine Used
Select
BETD
Diphtheria and Tetanus Vaccine
Bett
Tetanus Vaccine
BEVAC
Hepatitis B Vaccine
COMBEFIVE
Pentavalent (DTwP - rHepB - Hib) Vaccine
CORBEVAX
SARS-CoV2 (Covid-19) Vaccine
HAPIBEV
Hepatitis A vaccine
HIBE
Haemophilus influenzae Type b Conjugate Vaccine
JEEV
Japanese Encephalitis Vaccine Inactivated
MRBEV
Measles & Rubella Vaccine
Pneubevax-14
Pneumococcal Polysaccharide Conjugate Vaccine
TRIPVAC
Diphtheria, Tetanus and Pertussis Vaccine
TYPHIBEV
Typhoid Conjugate Vaccine
Adverse Event
Reporter Name
Patient/Reporter Email ID
Patient/Reporter Phone No.
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