The Specialist Immunisation Service (SIS) is the only state-wide outpatient referral service for infants, children and adolescents who have specific and complex issues regarding immunisations. The service is not intended for the routine provision of scheduled vaccines. The referral criteria, outlined below, need to be fulfilled or individual patients can be discussed directly with the Allergy and Immunology consultant (see below).
The purpose of the SIS is to provide for the health-provider, family and individuals a risk/benefit assessment which is evidence based regarding immunisation or re-immunisation for those who have experienced an Adverse Event Following Immunisation (AEFI). If indicated immunisations are provided in a medically supervised environment.
have a medical condition(s) that may increase their risk of an adverse reaction following a vaccine
or their family have significant concerns regarding the safety of vaccines that cannot be addressed by a General Practitioner, immunisation provider, general or specialist paediatrician, the SA Health Immunisation Section or any other health service or provider.
are individuals who may be eligible to seek exemption under the Australian Governments Immunisation Approved Exemptions criteria (see 184.108.40.206 CCS). This states that if there is an Unacceptable risk of harm
to the child or a person administering the vaccination then the child or adolescent can be assessed by a listed
medical practitioner who can then apply to the Chief Medical Officer of
Australia for an exemption. The consultants in SIS are the listed medical practitioners for South Australia.
Some specific conditions that would fulfil referral criteria
a convulsion with or without a fever in close proximity to immunisation
persistent and inconsolable screaming for greater than three hours
Hypotonic-hyporesponsive episode (HHE)
anaphylaxis or suspected anaphylaxis
generalised rash and/or angioedemaoccurring within 12 hours of immunisation
any other significant adverse event which is temporally related to immunisation and which is regarded as serious because it resulted in hospitalisation, disability or prevented the completion of the
recommended immunisation schedule
children who are considered to be at a high risk of experiencing an adverse reaction post immunisation because they have an underlying medical disorder including any immunodeficiency disorder.
Medical Practitioners can refer by directly contacting the SIS at the Women’s and Children’s Hospital. A referral letter addressed to one of the SIS consultants will be required or
By reporting an AEFI to SA Health. When SA Health is notified of any unwanted or unexpected event occurring post immunisation, the Immunisation Section assesses the report and if criteria are met, will refer your patient to the SIS.
For more information
For more information on referring patients to the SIS contact SA Health's Immunisation Section or to discuss individual referrals, please contact the Allergist on call at the Women’s and Children’s Hospital at 8161 7000 or 8161 8638 (the Department).
You can search through to find related information.
Vaccine reaction reporting: Adverse event following immunisation
Why it is important, how to report and what you need to report to SA Health regarding unwanted or unexpected reactions to vaccines
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