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- Page navigation anchor for Be mindful of keloids following deltoid immunization to dark-skinned patients.Be mindful of keloids following deltoid immunization to dark-skinned patients.
Ashley Bancsi...Thanks for your article. It might be useful to comment on the CDC and Pfizer guidelines indicating thigh IM injections are allowed. This might prevent more keloids at deltoid location side effects I've seen in dark skinned patients.
Martin Chen M.D.
Competing Interests: None declared. - Page navigation anchor for Adverse Events Following Immunization (AEFI) and the Role of Family PhysiciansAdverse Events Following Immunization (AEFI) and the Role of Family Physicians
In Canada adverse events following immunization (AEFI) are reported to maintain the safety of vaccines in Canada (1). The recent Praxis article on shoulder injury related to vaccine administration highlighted an example of a possible AEFI that family physicians should likely assess for report to public health ( 2).
An AEFI is any untoward medical occurrence which follows immunization and which does not necessarily have a causal relationship with the administration of the vaccine. It may be any unfavourable and/or unintended sign, abnormal laboratory finding, symptom, or disease (3).
Requirements of family physicians to report AEFI depend on the jurisdiction in which they practice, but AEFI are typically reported to local or regional public health for initial assessment when they have a temporal association with a vaccine and no other clear cause. 1In Ontario, for example, family physicians are required to report AEFI to their local Medical Officer of Health and shoulder injury related to vaccine, as described in the Praxis article, would likely be considered reportable (4).
For more information on AEFI and reporting requirements family physicians can contact public health in their jurisdiction. Family physicians play an important role in immunizing people living in Canada, and also have a role in keeping immunization safe: appropriate AEFI reporting is part of this.
1. Government of Canada. Reporting adverse events following immunizatio...
Show MoreCompeting Interests: None declared.