Submit an Adverse Events Following Immunization (AEFI) reporting form

This AEFI Reporting Form should only be submitted by a healthcare provider. If you believe you have experienced, or are currently experiencing, unexpected symptoms after receiving your vaccine, please speak to your family doctor or other primary healthcare provider. If you have any questions, phone 613-580-6744 for more information.

If this is an emergency, please call 9-1-1.

To report an adverse event following immunization (AEFI), fill out the following form. ALL fields in the reporting form are required. If you have any questions, phone 613-580-6744 for more information.