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Information for Queensland primary care providers

Note: You can also find a range COVID-19 resources and vaccination information in HealthPathways.

Vaccination referrals to Queensland Health vaccination locations

Each Hospital and Health Service (HHS) has developed a pathway for individuals who are referred by medical specialists, practitioners or public health units to the HHS for administration of vaccine or for closer monitoring following a vaccine.

Individuals may be referred for vaccination in a hospital environment due to clinical risk and/or requirement for extended observation. Individual preference for a specific vaccine or vaccine administration setting is not a sufficient reason. Referrals for this purpose can be redirected back to primary care services.

Referrals to Queensland Health site vaccination may include people who:

  • require priority access for medical reasons
  • have a history of immediate (within two hours) and generalised symptoms of a possible allergic reaction (e.g. urticaria/hives) to a previous dose of a COVID-19 vaccine
  • have a history of a generalised allergic reaction (without anaphylaxis) to any component of the COVID-19 vaccine to be administered (e.g. PEG in the Pfizer vaccine or polysorbate 80 in the AstraZeneca vaccine)
  • have a documented history of severe allergy and/or anaphylaxis to previous vaccines and/or multiple drugs (injectable and/or oral)
  • have a known systemic mast cell activation disorder with raised mast cell tryptase that requires treatment
  • history of capillary leak syndrome
  • A history of pericarditis or myocarditis following COVID-19 vaccination.

A statewide service (based at Metro North Hospital and Health Service) is available for those aged 16 years and over requiring consideration for hospital-based COVID-19 vaccination for those with significant allergies, anaphylaxis or side effects. For more information on allergic conditions that require a referral visit Queensland Ault Specialised Immunisation Service (QASIS).

Similarly children up to the age of 16 can be referred to the Queensland Specialist Immunisation Service.

Reporting a COVID-19 Adverse Event Following Immunisation (AEFI)

Vaccinations for COVID-19 commenced 21 February 2021.

Adverse Events of Special Interest (AESI), as well as serious, unexpected or uncommon Adverse Events Following Immunisation (AEFI), need to be reported to the COVID-19 Vaccination Program as they are notifiable conditions under the Public Health Regulation 2018 (Schedule 1).

In Queensland, health practitioners are required to report COVID-19 AEFI to Queensland Health, who will report them to the Therapeutic Goods Administration (TGA) Medicines Regulation Division.

Depending on the type of health provider, there are multiple ways AEFI for COVID-19 vaccinations can be reported to Queensland Health.

General Practitioners (GPs) using specified practice software

COVID 19 Adverse Event Following Immunisation Reporting Form (PDF 2410 kB)

General practitioners using the following practice software can complete an AEFI directly though their practice software and submit it to Queensland Health (via Medical Objects) and the TGA. Please click on the hyperlink to for instructions on how to install the relevant templates.

If the program you are currently using isn’t in the above list, please use the below instructions in the interim.

Other health providers (other GPs, Commonwealth providers, private providers or pharmacists etc.)

COVID 19 Adverse Event Following Immunisation Reporting Form (PDF 2410 kB)

All other COVID-19 vaccine providers in Queensland must report COVID-19 AEFIs using the COVID-19 AEFI PDF form. General practitioners, other healthcare workers and consumers can also report an AEFI using the PDF form.

To complete the COVID-19 AEFI form:

  • Enter information into the PDF document online
  • Once all of the information has been entered, click or tap the Email button. The Email button will automatically attach the PDF document to an email and populate the “To:” field with COVID_AEFI@health.qld.gov.au, making the email ready for sending.

Alternatively, the PDF can be printed or saved, completed, scanned and sent to COVID_AEFI@health.qld.gov.au.

Only one of the above approaches is required to submit an AEFI to Queensland Health. If one of these approaches are used, you do not need to complete a TGA AEFI form. Queensland Health will notify the TGA to enable national monitoring and reporting of AEFIs in Australia.

Vaccine details (batch number, serial number, dose, date of vaccine) can be found in the patient’s medical record, Australian Immunisation Register or on the vaccination card provided to the person when they received their vaccination.

Additional Resources

Case Reporting Forms (CRFs) have been developed to assist Queensland Health and the TGA:

If you have concerns regarding administering a second dose of a vaccine because your patient has previously experienced significant side effects, we recommend you contact your local Public Health Unit for advice or consider referring your patient to the statewide Queensland Specialist Immunisation Service (QASIS) located at the Royal Brisbane and Women’s Hospital.

Deaths reportable to the coroner

If a person dies as a direct result of having received the COVID-19 vaccine, for example, anaphylaxis, or an AEFI is considered to have significantly contributed to or hastened the person’s death, the death is reportable under the Coroners Act 2003 as a health care related death. The death is to be reported to the Coroners Court of Queensland by Form 1A Medical practitioner report of a death to a coroner in the first instance. If the person dies in hospital, the body is to remain in the hospital morgue pending further advice from the Coroners Court. If the person dies in the community, the body may be transferred to the family’s nominated funeral director pending further advice from the Coroners Court.

Queensland Health, in collaboration with general practitioners and the Coroner’s Office, has created a resource for health practitioners on determining vaccine relatedness in a death following COVID-19 vaccination: Attributing deaths to COVID-19 vaccines – a guide for medical practitioners (PDF 302 kB).

If it is unclear whether the COVID-19 vaccine has played a significant role in the person’s death, the death should be discussed with the coroner in the first instance on (07) 3738 7050 during business hours or (07) 3738 7166 after hours.

Doctors can also discuss their patient’s circumstances with a forensic physician from the Queensland Health Clinical Forensic Medicine Unit during business hours on (07) 3405 5755 or after hours on (07) 3722 1300.”

This does not replace the requirement for a death to be reported to Queensland Health using the AEFI reporting process under the Public Health Act 2005.

More information

Last updated: 6 December 2021