West Virginia Code of State Rules
Title 15 - Pharmacy
15-12 - Immunizations Administered by Pharmacists and Pharmacy Interns
§15-12-7 - Record-keeping and reporting.

§15-12-7. Record-keeping and reporting.

7.1. An immunization questionnaire and consent form shall be completed for each person receiving an immunization. When the immunization is for influenza or HPV for a minor age eleven through eighteen years of age, the questionnaire and consent form shall include written informed parental consent for the minor. A record of the immunization administration shall be forwarded to the primary care physician or other licensed health care provider as identified by the person receiving the immunization, within not more than 30 days of the date of the administration. In the event that the patient affirmatively indicates in writing that he or she does not have a primary care physician or other health care provider to whom to forward the report, the pharmacist or pharmacy intern shall document such in the immunization record, and provide a record of the immunization administration to the patient. The record shall contain the name of the pharmacist, and, where applicable, the name of the pharmacy intern administering the immunization.

7.2. The pharmacist shall report the administration of the patient immunization to the West Virginia Statewide Immunization Information (WVSII) database in the format and containing such information as may be required by the WVSII within not more than 30 days of the date of the administration.

7.3. The immunization questionnaire and consent form and record of the immunization administration shall be filed in the pharmacy in a manner that will allow timely retrieval, and shall be kept on file for a time period not less than five years from the date of the immunization. All such records shall be maintained in the pharmacy where the immunization is administered. In the event it is administered off-site, then the records shall be maintained in the pharmacy where the pharmacist or pharmacy intern who administered the immunization is employed or otherwise practicing at the time the immunization is given.

7.4. A pharmacist shall report all adverse events to the Vaccine Adverse Events Reporting System (VAERS), and promptly provide a copy of all reports to the Board; the West Virginia Department of Health and Human Resources Bureau for Public Health, Office of Epidemiology and Prevention Services, Division of Immunization Services; and the patient’s primary care physician or other licensed health care provider as identified by the person receiving the immunization in accordance with subsection 7.1. VAERS is a national vaccine safety surveillance program co-sponsored by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), and is available at http://vaers.hhs.gov/index.

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