MINISTRY OF
HEALTH
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|
SOCIALIST REPUBLIC
OF VIETNAM
Independence – Freedom – Happiness
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No. 4355/QD-BYT
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Hanoi, September
10, 2021
|
DECISION
PROVISIONAL
GUIDELINES ON COVID-19 IMMUNIZATION SCREENING
MINISTER OF HEALTH
Pursuant to Decree No. 75/2017/ND-CP dated June
20, 2017 of Government on functions, tasks, powers, and organizational
structure of Ministry of Health;
At request of the Specialized Council for
development of guidelines for COVID-19 immunization screening established under
Decision No. 2933/QD-BYT dated June 15, 2021 of Minister of Health;
At request of Director General of Vietnam
Administration of Medical Services.
HEREBY DECIDES:
Article 1. The “Provisional guidelines on COVID-19 immunization
screening” are attached hereto.
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Article 3. This Decision comes into effect from the day of signing.
Annul Decision No. 3802/QD-BYT dated August 10, 2021 of Minister of Health on
Provisional guidelines on COVID-19 immunization screening.
Article 4. Director of Department of Medical Examination and Treatment,
Chief of the Ministry Office, Chief Ministry Inspector, directors of
departments and agencies affiliated to Ministry of Health; directors of medical
establishments affiliated to Ministry of Health; Directors of Departments of
Health of provinces and central-affiliated cities, heads of relevant entities;
heads of medical sector of ministries are responsible for implementation of
this Decision. /.
PP. MINISTER
DEPUTY MINISTER
Nguyen Truong Son
PROVISIONAL GUIDELINES
COVID-19
IMMUNIZATION SCREENING
(Attached to Decision No. 4355/QD-BYT dated September 10, 2021)
I. Purpose of screening
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II. Immunization beneficiary
classification
1. Individuals eligible for immunization
Individuals within the age for immunization as per
recommendation under use instruction of manufacturers and not too sensitive to
active ingredients or any excipients of the vaccine.
2. Individuals that require attention in
immunization
The following individuals must be screened
carefully and thoroughly:
- Individuals who previously had allergic reactions
to other allergens.
- Individuals who have underlying medical
conditions or chronic diseases.
- Individuals who have lost their senses or behavioral
capacity.
- Individuals who used to suffer from
thrombocytopenia and/or coagulation disorders.
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- Individuals having irregular vital signs:
+ Temperature < 35.5 oC or > 37.5 oC.
+ Pulse: < 60 times/minute or > 100 times/minute.
+ Minimum blood pressure < 60 mmHg or > 90
mmHg and/or maximum blood pressure < 90 mmHg or > 140 mmHg or 30 mmHg
more than daily blood pressure (for individuals with hypertension receiving
treatment and having medical records).
+ Breathing rate > 25 times/minute.
3. Individuals whose immunization must be
delayed
- Having history of COVID-19 infection in 6 months.
- Having chronic diseases.
- Pregnant women < 13 weeks.
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- Previously having allergic reactions with the
same COVID-19 vaccine.
- Having any contraindication as per publication of
manufacturers.
III. Immunization screening
1. Asking about medical history
1.1. Current health conditions
Examine health for fever, any chronic disease, and
any acute disease that are in progress, especially if the conditions suggest
COVID-19.
1.2. History of COVID-19 immunization
Request information about the type of COVID-19
vaccine and time of vaccination.
1.3. History of allergic reactions
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- Have history of severe allergic reactions,
including anaphylaxis.
- Have history of allergic reactions with vaccine
or any component of vaccine.
1.4. History of COVID-19 infection.
1.5. History of severe immunodeficiency, terminal
cancer, receiving chemotherapy or radiotherapy.
1.6. History of coagulation disorders/hemostasis
disorders or currently taking anticoagulant drugs.
1.7. Pregnant women (if any) or breastfeeding
women:
- Pregnant women: Inquire about age of pregnancy.
Explain risk/benefits, only consider COVID-19 immunization for pregnant women
with ≥ 13 weeks of pregnancy when potential benefits are greater than any
potential risks for mothers and children.
- Breastfeeding women: not recommended for Sputnik
V vaccine.
2. Clinical evaluation
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- Measure body temperature of everyone arrives for
immunization.
- Measure blood pressure of individuals having
history of hypertension/hypotension, individuals having underlying medical
conditions related to cardiovascular diseases, and individuals older than 65
years of age.
- Measure pulse, count breaths of individuals
having history of heart failure or having any irregularity such as chest pain,
dyspnea, etc.
2.2. Observe general appearance
- Assess level of senses by asking questions about
the individuals arriving for immunization. Pay attention to individuals having
severe underlying medical conditions that cause them to be bed ridden, lose
senses, or lose behavioral capacity.
- Record any visual irregular symptoms in
individuals arriving for vaccination in order to inquire about health record.
IV. Screening conclusion
- Recommend immunization for cases eligible for
immunization.
- Delay immunization for cases where at least one
factor demanding delay of immunization is present.
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- Pregnant women with ≥ 13 weeks of pregnancy after
receiving explanation regarding risks/benefits and agreeing to be vaccinated
should be transported for immunization in medical facilities capable of
providing medical care in obstetrics.
- Do not recommend immunization for individuals who
have contraindications for immunization.
V. Implementation
1. Screening personnel
Screening personnel must receive training regarding
COVID-19 immunization screening and dealing with allergic shock as per Circular
No. 51/2017/TT-BYT of Ministry of Health.
2. Equipment
- Thermometer, stethoscope, blood pressure meter.
- COVID-19 immunization screening schedule
(attached under Annex).
- Medicine box for allergic shock and essential
medical equipment for responding to allergic shock according to Annex V of
Circular no. 51/2017/TT-BYT of Minister of Health.
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3. Recording of screening and documents
- Immunization beneficiaries shall receive physical
examination, be advised, and sign immunization commitment.
- Record and store immunization data of
beneficiaries, including cases of contraindications on software for managing
population health record on http//hssk.kcb.vn as per applicable
laws.
- Immunization screening form and immunization
commitment shall be stored in immunization entities. Storage period shall be 15
days.
Other contents require compliance with immunization
guidelines of Ministry of Health./.
ANNEX
(Attached to
Decision No. 4355/QD-BYT dated September 10, 2021 of Minister of Health)
…………………….
IMMUNIZATION FACILITY
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COVID-19 IMMUNIZATION SCREENING FORM
Full name: ……………………………………… Date of birth …………… Male
□ Female □.
Citizen Identity Card: …………………………………… Phone number:
……………………
Occupation: ………………………………………………………………………………
Employer: …………………………………………………………………………………….
Address: ……………………………………………………………..…… ……………………
Received 1 shot of COVID-19 vaccine:
□ Not receive yet
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I. Screening
1. History of previous instances of allergic
shock with COVID-19 vaccine or components of COVID-19 vaccine.
No □
Yes □
2. Having history of COVID-19 infection in the
past 6 months
No □
Yes □
3. Having chronic diseases
No □
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4. Pregnant woman *
Yes □
4a. Pregnant woman with < 13 weeks of
pregnancy
No □
Yes □
4b. Pregnant woman with ≥ 13 weeks of pregnancy
No □
Yes □
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No □
Yes □
6. History of severe immunodeficiency, terminal
cancer, receiving chemotherapy or radiotherapy
No □
Yes □
7. Previous allergic reactions to any allergen
No □
Yes □
8. History of coagulation disorder/hemostasis
disorder
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Yes □
9. Perception disorder, behavior disorder
No □
Yes □
10. Irregular vital signs (if any, clarify
…………………………………)
• Temperature: oC • Pulse***:
times/minute
• Blood pressure**: mmHg • Breathing
rate***:
times/minute;
No □
Yes □
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- Eligible for immediate immunization: NO
irregularity
□
- Contraindication against the same vaccine: In
case of ANY irregularity in section 1
□
- Delayed immunization: In case of ANY
irregularity under sections 2, 3, and 4a
□
- Immunization provided by medical facilities
eligible for providing medical care for allergic shock: In case of ANY
irregularity under section 5.
□
- Caution in vaccination: In case of ANY
irregularity under sections 4b#, 6, 7, 8, 9, and 10.
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* Breastfeeding women: not recommended for
Sputnik V vaccine.
# For pregnant women with ≥ 13 weeks of
pregnancy: Explain risk/benefits, require COVID-19 immunization commitment, and
transfer to medical facilities providing obstetric care for vaccination.
** Measure blood pressure of individuals having
history of hypertension/hypotension, individuals having underlying medical
conditions related to cardiovascular diseases, and individuals older than 65
years of age.
*** Measure pulse, count breaths of individuals
having history of heart failure or having any irregularity such as chest pain,
dyspnea, etc.
(Time and date)
Screening personnel
(signature and full name)