If a patient/client experiences an adverse event after immunization, Waterloo Region health care providers are required to report an adverse event following an immunization.

• Report adverse events using the Adverse Event Following Immunization Form and fax it to Region of Waterloo Public Health at 519-883-2248 or submit online through the Ocean platform integrated with your EMR. The AEFI reporting form has been updated to include adverse events of special interest for COVID-19 vaccine.

Adverse Event Following Immunization Reporting For Health Care Providers In Ontario Fact Sheet (Public Health Ontario) 

• Cocooning Protects Babies from Pertussis
• Diphtheria, Tetanus, Acellular Pertussis, Polio and Haemophilus Influenzae Type B Vaccine
• Inactivated Polio Vaccine (IPV)
• Influenza Vaccine
• Invasive Pneumococcal Disease and Vaccine Recommendations
• Measles, Mumps and Rubella (MMR) Vaccine
• Measles, Mumps, Rubella and Varicella (MMRV) Vaccine
• Meningococcal C (Men C) Vaccine
• Pertussis (Whooping Cough) Vaccine
• Pneumococcal Conjugate Vaccine
• Rotavirus Vaccine
• Shingles Vaccine
• Tetanus, Diphtheria and Acellular Pertussis (Tdap) Vaccine
• Tetanus, Diphtheria, Acellular Pertussis and Polio (Tdap-IPV) Vaccine
• Varicella (Chickenpox) Vaccine

COVID-19 vaccine

Information on COVID-19 vaccines may be found on our COVID-19 resources for health professionals webpage.

Influenza vaccine 

The Ministry of Health’s Universal Influenza Immunization Program (UIIP) offers free, annual influenza to everyone six months and older who live, work or go to school in Ontario. For questions or concerns regarding UIIP, email the Ministry at UIIP.MOH@ontario.ca

• The flu (Ontario)
• Request a copy of the Influenza Immunization Decision Making Tool 

Respiratory syncytial virus (RSV)

Information on RSV vaccine eligibility and types of vaccine products available can be found at the Ministry of Health's RSV prevention programs page.

To sign up as a new site or add a new fridge, request and complete a Holding Point Application. You can access the application, the forms listed below, and other vaccine-related forms through our  Request a form tool. 

• Biological Returns Form
• Child Care Centres Pre-Employment Health Form
• Contingency Plan for Planned or Unexpected Electricity Disruption
• Holding Point Application
• Immunization Assessment Plan
• Influenza Immunization Decision Making Tool
• Request for Immunization Schedule Assessment and Plan
• Vaccine Storage and Handling Form
• Varicella Immunity Confirmation Form 

Health care providers (HCP) must now pick up vaccines at a Public Health office (Waterloo or Cambridge) OR arrange for a courier, at your cost, for vaccine delivery.

Vaccines must be picked up at the Public Health office or delivered via medical courier according to the Zone delivery schedule:

• Zone 1: Order by noon on Wednesday – Delivery/Pick-up on Monday
• Zone 2: Order by noon on Thursday – Delivery/Pick-up on Tuesday
• Zone 3: Order by noon on Friday – Delivery/Pick-up on Wednesday
• Zone 4: Order by noon on Monday – Delivery/Pick-up on Thursday (Cambridge offices will pick-up on Friday)
• Zone 5: Order by noon on Tuesday – Delivery/Pick-up on Friday

If you are unsure of which Zone your facility is in, please call (519) 575-4400 ext. 5930 or email phpidsvaccineinventorynurses@regionofwaterloo.ca. 

Vaccine Pick-up at a Public Health office (Waterloo or Cambridge)

• HCPs choosing to pick up orders will do so on their designated zone day. Orders received after the deadline will be processed the following week.
• Pick-ups at 99 Regina Street South, 2^nd Floor, Waterloo are between 8:30 a.m. and 4:30 p.m., Monday to Thursday.
• Pick-ups at 150 Main Street, Cambridge are between 8:30 a.m. and 4:30 p.m. on Fridays (for Cambridge offices in Zones 4 and 5).
• Requirement: A cooler, frozen ice packs, refrigerated ice blankets, and a min/max thermometer conditioned between 2°C and 8°C upon vaccine pick-up

Vaccine delivery at your own cost

• Ensure your selected courier meets the Vaccine Storage and Handling Guidelines
• There is currently one courier in the region that provides vaccine delivery. The cost per delivery is approximately $15-20.
  • Contact: Medical Courier Services (519) 745-9601 or info@medicalcourierservices.com

Vaccine Storage and Handling

• Holding Point Application (Form request tool)
• Min/Max Thermometer Order Form (Form request tool)
• Vaccine Storage and Handling Basics
• Vaccine Storage and Handling during Transport
• Vaccine Storage and Handling Guidelines
• Vaccine Temperature Log Book (Ministry of Health)

Cold Chain Incident Follow-up and Contingency Planning

• Health Care Provider Cold Chain Incident Reporting Process
• Vaccine Cold Chain Incident/Exposure Wastage Report (Form request tool)
• Biological Returns Form (Form request tool)
• Cold Chain Contingency Plan Information for Health Care Providers
• Cold Chain Contingency Plan Template for Health Care Providers (Form request tool)