NAC439.893. Reporting of information concerning immunizations administered to adult; contents and form.

     1. A provider who administers an immunization to an adult on or after July 1, 2009, shall, unless the adult has declined inclusion of his or her information in the System pursuant to NAC 439.885, report the following information, if available, to the Department:

     (a) The name and address of the person who received the immunization;

     (b) The county in which the person resides;

     (c) The person’s date of birth;

     (d) The state and country in which the person was born;

     (e) The person’s gender;

     (f) The person’s race or ethnicity;

     (g) The name, manufacturer and lot number of the vaccine administered to the person;

     (h) The date on which the immunization was administered to the person; and

     (i) The information required pursuant to the Listing of Core Data Items prescribed by the Centers for Disease Control and Prevention of the United States Department of Health and Human Services. A copy of the Listing of Core Data Items may be obtained, free of charge, from:

          (1) The Centers for Disease Control and Prevention at the Internet address http://www.cdc.gov/vaccines/programs/iis/stds/coredata.htm; or

          (2) The Department by mail at 4126 Technology Way, Room 100, Carson City, Nevada 89706, or by telephone at [phone].

     2. The Division shall provide the form for reporting the information required by subsection 1. A provider shall report the information:

     (a) Directly to the System; or

     (b) If an undue hardship prevents the provider from reporting the information directly to the System, using the form provided by the Division.

     (Added to NAC by Bd. of Health by R041-08, eff. 9-18-2008; A by R094-09, 1-28-2010)