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=== Monitoring === CDC Immunization Safety Office initiatives<ref name="cdc">{{Cite web|url=https://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/index.html|title=Vaccine Safety Monitoring Monitoring Ensuring Safety Vaccine Safety CDC|date=12 December 2018|website=U.S. [[Centers for Disease Control and Prevention]] (CDC)|access-date=24 March 2019|archive-date=30 March 2019|archive-url=https://web.archive.org/web/20190330112053/https://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/index.html|url-status=live}}</ref> Vaccine Adverse Event Reporting System ([[Vaccine Adverse Event Reporting System|VAERS]])<ref>{{Cite web|url=https://vaers.hhs.gov/|title=Vaccine Adverse Event Reporting System (VAERS)|website=vaers.hhs.gov|access-date=24 March 2019|archive-date=17 March 2019|archive-url=https://web.archive.org/web/20190317025059/https://vaers.hhs.gov/|url-status=live}}</ref> |Food and Drug Administration ([[Food and Drug Administration|FDA]]) Center for Biologics Evaluation and Research ([[Center for Biologics Evaluation and Research|CBER]])<ref>{{Cite web|url=https://www.fda.gov/aboutfda/centersoffices/officeofmedicalproductsandtobacco/cber/|title=About the Center for Biologics Evaluation and Research (CBER)|website=www.fda.gov|access-date=24 March 2019|date=7 February 2019|archive-date=9 May 2017|archive-url=https://web.archive.org/web/20170509063921/https://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CBER/|url-status=live}}</ref> |Immunization Action Coalition (IAC)<ref>{{Cite web|url=http://www.immunize.org/|title=Immunization Action Coalition (IAC): Vaccine Information for Health Care Professionals|website=www.immunize.org|access-date=24 March 2019|archive-date=14 December 2017|archive-url=https://web.archive.org/web/20171214105220/http://www.immunize.org/catg.d/p4209.pdf|url-status=live}}</ref> Vaccine Safety Datalink ([[Vaccine Safety Datalink|VSD]])<ref>{{Cite web|url=https://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/vsd/index.html|title=Vaccine Safety Datalink (VSD) VSD Monitoring Ensuring Safety Vaccine Safety CDC|date=10 January 2019|website=U.S. [[Centers for Disease Control and Prevention]] (CDC)|access-date=24 March 2019|archive-date=30 March 2019|archive-url=https://web.archive.org/web/20190330105907/https://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/vsd/index.html|url-status=live}}</ref> |Health Resources and Service Administration ([[Health Resources and Services Administration|HRSA]])<ref>{{Cite web|url=https://www.hrsa.gov/|title=Official web site of the U.S. Health Resources & Services Administration|website=www.hrsa.gov|access-date=24 March 2019|archive-date=23 March 2019|archive-url=https://web.archive.org/web/20190323220751/https://www.hrsa.gov/|url-status=live}}</ref> |Institute for Safe Medication Practices (ISMP)<ref>{{Cite web|url=https://www.ismp.org/home|title=Home|website=Institute For Safe Medication Practices|access-date=24 March 2019|archive-date=20 March 2022|archive-url=https://web.archive.org/web/20220320141815/https://www.ismp.org/|url-status=live}}</ref> Clinical Immunization Safety Assessment (CISA) Project National Institutes of Health ([[National Institutes of Health|NIH]])<ref>{{Cite web|url=https://www.nih.gov/|title=National Institutes of Health (NIH)|website=National Institutes of Health (NIH)|access-date=24 March 2019|archive-date=2 October 2019|archive-url=https://web.archive.org/web/20191002092840/https://www.nih.gov/|url-status=live}}</ref> National Vaccine Program Office ([[National Vaccine Program Office|NVPO]])<ref>{{Cite web|url=https://www.hhs.gov/nvpo/index.html|title=National Vaccine Program Office (NVPO)|date=30 March 2016|website=HHS.gov|access-date=24 March 2019|archive-date=24 March 2019|archive-url=https://web.archive.org/web/20190324210714/https://www.hhs.gov/nvpo/index.html|url-status=live}}</ref> The administration protocols, efficacy, and adverse events of vaccines are monitored by organizations of the US federal government, including the [[Centers for Disease Control and Prevention]] and the [[Food and Drug Administration]].<ref name=cdc/> Independent agencies are constantly re-evaluating vaccine practices.<ref name=cdc/><ref name="canada">{{Cite web|url=https://www.canada.ca/en/public-health/services/immunization/vaccine-safety.html|title=Vaccine safety, surveillance and reporting|publisher=Government of Canada|date=22 April 2014|access-date=14 April 2020|archive-date=13 April 2020|archive-url=https://web.archive.org/web/20200413031419/https://www.canada.ca/en/public-health/services/immunization/vaccine-safety.html|url-status=live}}</ref> As with all medications, vaccine use is determined by [[public health]] research, surveillance, and reporting to governments and the public.<ref name=cdc/><ref name=canada/>
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