10.06.03.04

.04 Information Reported to ImmuNet.

A. The Department shall enter the following information from each birth certificate registered in Maryland:

(1) Childís:

(a) First, middle, and last name;

(b) Date of birth;

(c) Sex; and

(d) Current or last known address; and

(2) Childís motherís:

(a) First and middle names;

(b) Maiden Name if applicable; and

(c) Current last name.

B. Following the administration of a vaccine to an individual residing in Maryland, the health care provider who administered the vaccine may enter the following information to ImmuNet:

(1) Patientís:

(a) First, middle, and last name;

(b) Date of birth;

(c) Sex;

(d) Birth state and country;

(e) Current or last known address;

(f) If the patient is a minor, the name of the parent or guardian;

(g) Last four digits of Social Security number, if available; and

(h) Medicaid number, if available and applicable;

(2) Patientís motherís:

(a) First and middle names;

(b) Maiden name, if applicable; and

(c) Current last name;

(3) For each vaccine administered:

(a) Antigen type;

(b) Manufacturer;

(c) Expiration date;

(d) Lot number;

(e) Date VIS provided to patient;

(f) VIS date; and

(g) Date of administration;

(4) Contraindication, adverse event, and exemption information for the patient, including:

(a) A medical contraindication or adverse event to the administration of one or more vaccines;

(b) Whether the contraindication is permanent or temporary and, if temporary, the date after which the contraindication will no longer exist or needs to be reassessed; and

(c) An objection to immunization based on a bona fide religious belief and practice;

(5) Other medical information pertaining to vaccine-preventable diseases, including serologic test results;

(6) Other information designated by the U.S. Centers for Disease Control and Prevention as Immunization Information System Required Core Data Elements; and

(7) Other information designated by the Secretary.

C. Correction of Inaccurate Information. A patient or a parent or a guardian of a minor patient whose immunization information is entered into ImmuNet may contact the Department to:

(1) View the information; and

(2) Provide information to correct any inaccuracies.