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Department of Health and Human Services
Centers for Disease Control and Prevention

Vaccines & Immunizations

Statistics and Surveillance:

Surveillance-related Worksheets

Surveillance Worksheets

Note: Below is a list of appendices for the Manual of Surveillance of Vaccine-Preventable Diseases. As they are completed, a link will be provided to the appendix. Please check back often. If you wish to be notified by email when this web page is updated and hence when appendices are added, please use the Get Email Updates link located on the top of the Manual for Surveillance of VPD web page.

  • Diphtheria Worksheet
    (Appendix 3)
  • Measles:
    • Measles Surveillance Worksheet and instructions
      (Appendix 7)
    • Measles Virus Isolation
      (Appendix 6)
  • Mumps Surveillance Worksheet and instructions
    (Appendix 8)
  • National Bacterial Meningitis & Bacteria Case Rpt.
    (Appendix 4)
  • Pertussis:
    • Active Lab-based Surveillance Pertussis Wksht.
      (Appendix 10)
    • Pertussis Death Worksheet
      (Appendix 11)
    • Pertussis Surveillance Worksheet and instructions
      (Appendix 9)
  • Polio:
    • Investigation of suspected case of poliomyelitis
    • Suspected Polio Case Worksheet
      (Appendix 14)
  • Rubella:
    • Collection of Specimens for Typing of Rubella Virus
      (Appendix 15)
    • Congenital Rubella Surveillance Case Report
      (Appendix 17)
    • Rubella Surveillance Worksheet and instructions
      (Appendix 16)
  • Streptococcus pneumonia Surveillance Worksheet
    (Appendix 12)
  • Tetanus Surveillance Worksheet and instructions
    (Appendix 18)
  • Varicella:
    • Varicella Death Investigation Worksheet
      (Appendix 19, Chapter 17)
    • Varicella Sample Notification
    • Varicella Surveillance Worksheet
    • See also: Varicella Outbreaks manual NEW JuLy 2008
  • Viral Hepatitis Case Report
    (Appendix 6)

    See also: Varicella Active Surveillance Project (VASP)

Note: Text-only versions of the .pdf files on this web page can be found on the Surveillance manual page.

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Surveillance Manual (chapters)

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This page last modified on September 11, 2008
Content last reviewed on October 25, 2006
Content Source: National Center for Immunization and Respiratory Diseases

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