<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.06.03.04" title_num="10" subtitle_num="06" chapter_num="03" heading="Information Reported to ImmuNet.">
  <paragraph num="A.">
    <text>The Department shall enter the following information from each birth certificate registered in Maryland:</text>
    <paragraph num="(1)">
      <text>Child’s:</text>
      <paragraph num="(a)">
        <text>First, middle, and last name;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Date of birth;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Sex; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Current or last known address; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Child’s mother’s:</text>
      <paragraph num="(a)">
        <text>First and middle names;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maiden Name if applicable; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Current last name.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Patient’s:</text>
      <paragraph num="(a)">
        <text>First, middle, and last name;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Date of birth;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Sex;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Birth state and country;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Current or last known address;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>If the patient is a minor, the name of the parent or guardian;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Last four digits of Social Security number, if available; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Medicaid number, if available and applicable;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Patient’s mother’s:</text>
      <paragraph num="(a)">
        <text>First and middle names;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maiden name, if applicable; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Current last name;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>For each vaccine administered:</text>
      <paragraph num="(a)">
        <text>Antigen type;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Manufacturer;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Expiration date;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Lot number;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Date VIS provided to patient;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>VIS date; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Date of administration;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Contraindication, adverse event, and exemption information for the patient, including:</text>
      <paragraph num="(a)">
        <text>A medical contraindication or adverse event to the administration of one or more vaccines;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>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</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An objection to immunization based on a bona fide religious belief and practice;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Other medical information pertaining to vaccine-preventable diseases, including serologic test results;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Other information designated by the U.S. Centers for Disease Control and Prevention as Immunization Information System Required Core Data Elements; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Other information designated by the Secretary.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>View the information; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide information to correct any inaccuracies.</text>
    </paragraph>
  </paragraph>
</regulation>