Form

Meningococcal Serogroup C disease: follow up form for confirmed cases

Report individual meningococcal vaccination status using this form.

From:
Public Health England
Published
2 March 2011

This publication was withdrawn on

From 1 September 2015, the meningococcal disease enhanced surveillance forms supersede this form.

Documents

Vaccination status-confirmed meningococcal serogroup c disease

PDF, 488 KB, 2 pages

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

This form allows practitioners to report the vaccination status of individuals’ primary immunisation history, excluding MenC-containing vaccines. It also includes a table for all of the specified doses and vaccines that were received in the first 2 years of life.

Published 2 March 2011

Related content