RFP Attachment II - DHS REPORT-ADVERSE REACTION EVENT TEMPLATE.xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- Vaccination Support Services Federal contract opportunity
- Solicitation number
- 70RDAD22R00000002
About this file
This document contains a template for reporting adverse vaccine reactions and related federal contract opportunity for vaccination support services. The template includes fields for vendor name, contract number, reporting period, vaccine administered, whether an adverse reaction was entered into the CDC's VAERS database, and comments. The federal contract opportunity is a request for proposal from the Department of Homeland Security's Office of Procurement Operations to establish multiple award indefinite delivery/indefinite quantity contracts for vaccine support services. The contracts would provide DHS access to vaccination solutions to assist in vaccinating multiple populations using appropriations for authorized purposes.
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Text version
April-June
| Attachment II | Vendor Name: | Contractor Name |
| Contract Number: | XXXXXXXXXXXXX | |
| Reporting Period: | Daily |
Order Date Order Number Ordering Agency Vaccine Administered Adverse Reaction CDC VAERS Entry Completed? Comments
| CBP | $0.00 |
| CISA | $0.00 |
| DHS/HQ | $0.00 |
| Federal Emergency Mgt Agency | $0.00 |
| Federal Law Enforcement Training Center | $0.00 |
| Immigration and Customs Enforcement | $0.00 |
| Transportation Security Administration | $0.00 |
| US Citizenship and Immigration Service | $0.00 |
| U.S. Coast Guard | $0.00 |
| U.S. Secret Service | $0.00 |
| Total Spend Amount | 0.00 |
File details come from the government source that posted it. Updated .