List of Appendices

Manual for the Surveillance of Vaccine-Preventable Diseases

Below is a list of appendices for the Manual of Surveillance of Vaccine-Preventable Diseases.

If you wish to be notified by email when an appendix is added or updated, please enter your email address into the “Get Email Updates” box located on this page. Those of you that have already signed up for this service do not need to sign up again.

• Appendix 1: Please see Diphtheria section A. in Chapter 22 (Laboratory Support)
• Appendix 2: Guidelines for managing a suspected case of diphtheria and for managing close contacts [3 pages] (Ch. 1)
• Appendix 3: CDC Diphtheria Worksheet [2 pages] (Ch. 1)
• Appendix 4: Haemophilus influenzae Surveillance Worksheets (Ch. 2)
  • Hflu Worksheet Abbreviated Option (2010) [1 page] Nov 2010
  • Hflu Worksheet Abbreviated Option (2010) Annotated [1 page] Nov 2010
  • Hflu Worksheet Expanded Option (2010) [3 pages] Nov 2010
  • Hflu Worksheet Expanded Option (2010) Annotated [3 pages] Jun 2019
  • Hflu Worksheet – 2019 version [5 pages] Jun 2019
  • Hflu Worksheet – 2019 version annotated [5 pages] Feb 2019

• Appendix 5: Haemophilus influenzae type b Vaccine and Extended Information Worksheet (Ch. 2) removed – Haemophilus influenzae type b Worksheet is no longer in use.
• Appendix 6: Appendix 6: Hepatitis Data Collection Worksheet [7 pages] (Ch. 3 and 4) Nov 2020
• Appendix 7: Measles Virus Isolation Instructions [2 pages] (Ch. 7) Jan 2009
• Appendix 8: Measles Surveillance Worksheet (Ch. 7)
  • Instructions [2 pages] Jan 2009
  • Worksheet [2 pages] Jan 2009
  • Measles Worksheet – 2009 version annotated [2 pages] Feb 2009
  • Measles Worksheet – 2019 version [4 pages] Mar 2019
  • Measles Worksheet – 2019 version annotated [4 pages] Mar 2019
• Appendix 9: Meningococcal Disease Surveillance Worksheet (Ch. 8)
  • Enhanced Meningococcal Disease Surveillance Worksheet – 2019 version [2 pages] Feb 2020
  • Enhanced Meningococcal Disease Surveillance Worksheet – 2019 version annotated [2 pages] Feb 2020
  • Meningococcal Disease Surveillance Worksheet – 2019 version [5 pages] Feb 2019
  • Meningococcal Disease Surveillance Worksheet – 2019 version annotated [5 pages] Feb 2019
  • Meningococcal Disease Surveillance Worksheet – 2020 version [5 pages] Feb 2020
  • Meningococcal Disease Surveillance Worksheet – 2020 version annotated [5 pages] Feb 2020
• Appendix 10: Mumps Surveillance Worksheet (Ch. 9)
  • Instructions [2 pages] Jan 2009
  • Mumps Worksheet – 2009 version [2 pages] Jan 2009
  • Mumps Worksheet – 2009 version annotated [2 pages] Jan 2009
  • Mumps Worksheet – 2018 version [4 pages] Jul 2018
  • Mumps Worksheet – 2018 version annotated [4 pages] Jul 2018
• Appendix 11: Pertussis Surveillance Worksheet (Ch. 10)
  • Instructions [4 pages] May 2015
  • Pertussis Worksheet 2009 version [2 pages] Jan 2009
  • Pertussis Worksheet 2009 version annotated [2 pages] Jan 2020
  • Pertussis Worksheet 2020 version [5 pages] Aug 2020
  • Pertussis Worksheet 2020 version annotated [4 pages] Aug 2020
• Appendix 12: Pertussis Death Worksheet (Ch. 10)
  • Instructions (Aug 2018)
    PDF [11 pages] | Word [21 pages]
  • Work Sheet (Mar 2019)
    PDF [3 pages]| Word [7 pages]
• Appendix 13: Streptococcus pneumoniae Surveillance Worksheet (Ch. 11)
  • Streptococcus pneumoniae Worksheet 2010 version [2 pages] Aug 2017
  • Streptococcus pneumoniae Worksheet 2010 version annotated [2 pages] Aug 2017
  • Streptococcus pneumoniae Worksheet 2019 version [4 pages] Jul 2019
  • Streptococcus pneumoniae Worksheet 2019 version annotated [4 pages] Jul 2019
• Appendix 14: Suspected Polio Case Worksheet -Investigation of Suspected Case of Poliomyelitis (Ch. 12)
  • Worksheet [3 pages] May 2010
• Appendix 15: Collection of Specimens for Typing of Rubella Virus [2 pages] (Ch. 14) Jan 2009
• Appendix 16: Rubella Surveillance Worksheet (Ch. 14)
  • Instructions [2 pages] Apr 2018
  • Worksheet [2 pages] Feb 2009
  • Rubella Worksheet 2009 version annotated [2 pages] Feb 2009
  • Rubella Worksheet 2019 version [6 pages] Mar 2019
  • Rubella Worksheet 2019 version annotated [5 pages] Mar 2019
• Appendix 17: Congenital Rubella Syndrome Case Report [2 pages] (Ch. 15) Feb 2009
  • CRS Worksheet 2009 version annotated [2 pages] Feb 2009
  • CRS Worksheet 2019 version [6 pages] Mar 2019
  • CRS Worksheet 2019 version annotated [6 pages] Mar 2019
• Appendix 18: Tetanus Surveillance Worksheet (Ch. 16)
  • Instructions [2 pages] Feb 2009
  • Worksheet [2 pages] Feb 2009
• Appendix 19: Varicella Death Investigation Worksheet (Ch. 17)
  • Instructions [2 pages] Nov 2012
  • Worksheet [4 pages] Nov 2012
• Appendix 20: Varicella Outbreak Reporting & Surveillance Worksheets (Ch. 17)
  • Outbreak Reporting Worksheets –
    • Aggregate Varicella Outbreak Reporting Worksheet [1 page] Apr 2012
    • Reporting Line List for Varicella Outbreak Surveillance [3 pages] Apr 2017
    • Instructions for Completing the Varicella Outbreak Surveillance Reporting Worksheet[2 pages] Apr 2017
  • Surveillance Worksheets –
    • Varicella Worksheet – 2005 version [3 pages] May 2005
    • Varicella Worksheet – 2005 annotated version [3 pages] Aug 2018
    • Varicella Worksheet – 2018 version [4 pages] Oct 2018
    • Varicella Worksheet – 2018 annotated version [4 pages] Oct 2018
• Appendix 21: Updated Guidelines for Evaluating Public Health Surveillance Systems [1 page] (Ch. 18) Jan 2009
• Appendix 22: VAERS Form [1 page] (Ch. 21) Jan 2009
• Appendix 23: CDC Specimen Submission Form (50.34)(Ch. 22) Jan 2013
  Link to page describes updated form and protocols in effect Feb 4, 2013.
• Appendix 24: Interstate Shipment of Etiologic Agents / Packaging and Shipping of Biomedical Material [4 pages] (Ch. 22) Feb 2009