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The National Vaccine Advisory Committee (NVAC)

National Vaccine Advisory Committee (NVAC) Vaccine Safety Working Group
April 2008

Presentation by Bruce Gellin, M.D., M.P.H.

The Vaccine Safety System

There are many components to the vaccine safety system. There are overlapping goals and activities as well as great breadth covered. The National Vaccine Program Office (NVPO) coordinates all of the partners and is advised by the National Vaccine Advisory Committee (NVAC). The primary federal partners include the Center for Disease Control and Prevention (CDC), which is advised by the Advisory Committee on Immunization Practices (ACIP), the Food and Drug Administration (FDA), which is advised by the Vaccines and Related Biological Products Advisory Committee (VRBPAC), the Health Resources Service Administration (HRSA), which is advised by the Advisory Commission on Childhood Vaccines (ACCV), and the National Institutes of Health (NIH). Other federal partners include the Agency for Healthcare Research and Quality (AHRQ), the Centers for Medicare and Medicaid Services (CMS), the Department of Defense (DoD), and the Veteran’s Affairs (VA). Non-federal partners include the public, academia, the healthcare system and providers, industry, and public health.

Other federal contributors: AHRQ, CMS, DoD, VA



HHS Vaccine Safety Activities


  • CDC
    • Makes vaccine recommendation, conducts post-licensure surveillance for adverse events, explores individual variation in vaccine associated adverse events, and conducts risk communication activities to a broad range of groups.
  • FDA
    • Regulatory authority over vaccine licensure, manufacturing and usage and post licensure surveillance
  • HRSA
    • Operates the Vaccine Injury Compensation Program (VICP) with the Department of Justice and the US Court of Federal Claims
  • CMS
    • Vaccine safety studies in >65 year olds
  • AHRQ
    • Background rates of medical conditions
  • NIH
    • Conducts and supports basic research and clinical trials in areas important for vaccine safety
  • National Vaccine Program Office (NVPO)
    • Coordinates federal vaccine safety activities, reporting to the Assistant Secretary for Health, and bridges federal vaccine safety activities with non-federal partners


Vaccine Safety Activities Outside of HHS


  • DoD
  • VA
  • Public health departments
  • Academic researchers
  • Vaccine manufacturers
  • Healthcare providers
  • Parent groups and advocacy organizations
  • Professional organizations
  • Institute of Medicine
  • Philanthropic organizations
  • WHO

Last revised: May 23, 2008

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