COVID-19 - Get vaccinated and find public health advice for residents and businesses.

Online Vaccination Reporting for Children 0 - 17 Years

At this time, we ask that you do not report any COVID-19 vaccination details through the online vaccination portal. Keep the client record given to you after vaccination with your immunization records and let your health care professional know you were immunized.

Parents are Responsible for Providing up-to-date Vaccination Information.

Submit this form each time your child receives a vaccination. All information collected by this secure form is confidential and will not be shared. Public Health maintains the immunization records for children in all schools and licensed child care centres within the Niagara region.

These records are used to protect your child if an outbreak of a vaccine-preventable disease occurs.

Keep your Yellow Immunization Card Current

It's important to keep your child's immunization record (yellow card) up to date. Keep your yellow card in a safe place with other valuable documents such as birth certificates, health cards and passports.

If you have any question or concerns, contact the Vaccine Preventable Disease program at 905-688-8248 or 1-888-505-6074, ext. 7425.

Enter Your Child's Vaccination Data

* = Required

Child Information

Gender

* Date of birth

Parent / Guardian Information

Vaccination Record Type

What type of vaccination record are you reporting?

Outside Ontario Vaccination Information

Submit photo(s) of your vaccination record sheets below:

  • Only .jpg and .png files will be accepted
  • Up to 5 MB each, no more than 10 MB total

Vaccination information

Specific vaccination details can be entered below. A complete vaccination record should include the following:

  • Vaccination date
  • One or more vaccination checkboxes must be checked or the Other field must be completed
Date
Vaccine brand name (if known)
Diphtheria
Tetanus
Pertussis
Polio
Hib
Pneumococcal
Rotavirus
Measles
Mumps
Rubella
Varicella
Men-C (at 1 year)
Men-Conjugate-ACYW (in grade 7)
Hepatitis B
HPV (Human Papillomavirus)
Hepatitis A
Men B
Other diseases

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Freedom of Information

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email foi@niagararegion.ca or call 905-980-6000 ext. 3779.

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