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.

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Appendix 1: Collection of Specimens for Isolation of C. diphtheriae pdf icon[2 pages] (Ch. 1)
Appendix 2: Guidelines for managing a suspected case of diphtheria and for managing close contacts pdf icon[3 pages] (Ch. 1)
Appendix 3: CDC Diphtheria Worksheet pdf icon[3 pages] (Ch. 1)
Appendix 4: Haemophilus influenzae Surveillance Worksheet (Ch. 2)
- Abbreviated Worksheet Option pdf icon[1 page] Nov 2010
- Abbreviated Worksheet Option Annotated pdf icon[1 page] Nov 2010
- Expanded Worksheet Option pdf icon[3 pages] Nov 2010
- Expanded Worksheet Option Annotated pdf icon[3 pages] Nov 2010
- Hflu Worksheet Hl7-MMG Format pdf icon[5 pages] Jun 2019
- Hflu Worksheet HL7-MMG Format Annotated pdf icon[5 pages] Jun 2019
- Abbreviated Worksheet Option (2010) annotated pdf icon[1 page] Feb 2019
- Expanded Worksheet Option (2010) annotated pdf icon[3 pages] Feb 2019
- Hflu Worksheet(2018) pdf icon[4 pages] Feb 2019
- Hflu Worksheet(2018) annotated pdf icon[4 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: Hepatitis Data Collection Worksheet pdf icon[6 pages] (Ch. 3 and 4) Feb 2009
Appendix 7: Measles Virus Isolation Instructions pdf icon[2 pages] (Ch. 7) Jan 2009
Appendix 8: Measles Surveillance Worksheet (Ch. 7)
- Instructions pdf icon[2 pages] Jan 2009
- Worksheet pdf icon[2 pages] Jan 2009
- Measles Worksheet – 2009 version annotated pdf icon[2 pages] Feb 2009
- Measles Worksheet – 2019 version pdf icon[4 pages] Mar 2019
- Measles Worksheet – 2019 version annotated pdf icon[4 pages] Mar 2019
Appendix 9: Meningococcal Disease Surveillance Worksheet (Ch. 8)
- Version 1 (formerly NETSS) pdf icon[1 page] Apr 2017
- Abbreviated Worksheet Option – 2017 version annotated pdf icon[1 page] May 2019
- Version 2 (formerly NEDSS) pdf icon[1 page] Apr 2017
- Expanded Worksheet Option – 2017 version annotated pdf icon[3 pages] May 2019
- Meningococcal Disease Worksheet – 2019 version pdf icon[5 pages] May 2019
- Meningococcal Disease Worksheet – 2019 version annotated pdf icon[5 pages] May 2019
Appendix 10: Mumps Surveillance Worksheet (Ch. 9)
- Instructions pdf icon[2 pages] Jan 2009
- Mumps Worksheet – 2009 version pdf icon[2 pages] Jan 2009
- Mumps Worksheet – 2009 version annotated pdf icon[2 pages] Jan 2009
- Mumps Worksheet – 2018 version pdf icon[4 pages] Jul 2018
- Mumps Worksheet – 2018 version annotated pdf icon[4 pages] Jul 2018
Appendix 11: Pertussis Surveillance Worksheet (Ch. 10)
- Instructions pdf icon[4 pages] May 2015
- Pertussis Worksheet pdf icon[2 pages] Jan 2009
- Pertussis Worksheet – 2009 version annotated pdf icon[2 pages] Jan 2009
- Pertussis Worksheet – 2018 version pdf icon[5 pages] Sep 2018
- Pertussis Worksheet – 2018 version annotated pdf icon[4 pages] Sep 2018
Appendix 12: Pertussis Death Worksheet (Ch. 10)
- Instructions (Aug 2018)
  PDF pdf icon[11 pages] | Word word icon[21 pages]
- Work Sheet (Mar 2019)
  PDF pdf icon[3 pages]| Word word icon[7 pages]
Appendix 13: Streptococcus pneumoniae Surveillance Worksheet (Ch. 11)
- Streptococcus pneumoniae Worksheet 2010 version pdf icon[2 pages] Aug 2017
Appendix 14: Suspected Polio Case Worksheet -Investigation of Suspected Case of Poliomyelitis (Ch. 12)
- Worksheet pdf icon[3 pages] May 2010
Appendix 15: Collection of Specimens for Typing of Rubella Virus pdf icon[2 pages] (Ch. 14) Jan 2009
Appendix 16: Rubella Surveillance Worksheet (Ch. 14)
- Instructions pdf icon[2 pages] Apr 2018
- Worksheet pdf icon[2 pages] Feb 2009
- Rubella Worksheet 2009 version annotated pdf icon[2 pages] Feb 2009
- Rubella Worksheet 2019 version pdf icon[6 pages] Mar 2019
- Rubella Worksheet 2019 version annotated pdf icon[5 pages] Mar 2019
Appendix 17: Congenital Rubella Syndrome Case Report pdf icon[2 pages] (Ch. 15) Feb 2009
- CRS Worksheet 2009 version annotated pdf icon[2 pages] Feb 2009
- CRS Worksheet 2019 version pdf icon[6 pages] Mar 2019
- CRS Worksheet 2019 version annotated pdf icon[6 pages] Mar 2019
Appendix 18: Tetanus Surveillance Worksheet (Ch. 16)
- Instructions pdf icon[2 pages] Feb 2009
- Worksheet pdf icon[2 pages] Feb 2009
Appendix 19: Varicella Death Investigation Worksheet (Ch. 17)
- Instructions pdf icon[2 pages] Nov 2012
- Worksheet pdf icon[4 pages] Nov 2012
Appendix 20: Varicella Outbreak Reporting & Surveillance Worksheets (Ch. 17)
- Outbreak Reporting Worksheets –
- Surveillance Worksheets –
  - Varicella Worksheet – 2005 version pdf icon[3 pages] May 2005
  - Varicella Worksheet – 2005 annotated version pdf icon[3 pages] Aug 2018
  - Varicella Worksheet – 2018 version pdf icon[4 pages] Oct 2018
  - Varicella Worksheet – 2018 annotated version pdf icon[4 pages] Oct 2018
Appendix 21: Updated Guidelines for Evaluating Public Health Surveillance Systems pdf icon[1 page] (Ch. 18) Jan 2009
Appendix 22: VAERS Form pdf icon[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 pdf icon[4 pages] (Ch. 22) Feb 2009

Page last reviewed: April 7, 2016

Content source: National Center for Immunization and Respiratory Diseases