Queensland Adult Specialist Immunisation Service (QASIS)
The Queensland Adult Specialist Immunisation Service (QASIS) provides vaccination advice for people over 16 years of age with complex medical conditions as well as those who have experienced or are at risk of an adverse event following immunisation. Our team consists of immunisation specialists includes senior medical officers, nursing and allied health staff.
Outpatient Clinical Consultations
Our team consult patients via the outpatient clinic. We offer phone/telehealth appointments in the first instance, and then determine a suitable location for vaccination. This might be here at QASIS or in a hospital hub or community clinic.
Our specialist Immunisation Service provides immunisation to individuals who:
- have previously had an adverse event following immunisation or are at risk of a significant adverse event
- have an underlying complex medical condition
- require post immunisation supervision in a hospital setting.
Individuals can be referred to QASIS by their treating doctor or General Practitioner
How to access this service
The Qld Adult Specialist Immunisation Service is available state-wide via referral. Telephone advice or telehealth consultation can be provided.
This service is available to adults living in Queensland.
Telehealth appointments are also available to patients living outside the catchment area when clinically appropriate.
Do I need a referral?
You will need a referral to access the specialist immunisation clinic.
Please speak with your general practitioner or treating specialist about being referred to this service.
What to bring
- Your appointment letter
- Any special items listed on your letter
- WorkCover claim number (if relevant)
- Snacks, a drink or money to buy refreshments
- Something to read or do while you wait
Dr James Mayne Building
Location: Level 4, Dr James Mayne Building
Open: 0730 – 1600, but appointment only
If you are having a reaction to your recent vaccination call: 13 HEALTH (13 43 25 84) 24 hours a day, 7 days a week
To confirm an appointment, email : RBWH-QASIS@health.qld.gov.au
Need help outside hours?
For non-urgent medical issues call 13 HEALTH (13 43 25 84) or visit your GP.
In an emergency call 000.
Refer a patient
Referrals can be sent to CPIU by:
- Smart Referrals (if available at your practice)
- Medical Objects – ID MQ40290004P
If unable to attached investigation or use secure messaging, fax to Central Patient Intake Unit (CPIU) on 1300 364 952
QASIS provides specialist reviews and immunisation services for all Queensland adults who have experienced an adverse event following immunisation (AEFI) with a COVID-19 vaccine. QASIS also accepts referrals for adults who are identified as at risk of experiencing an adverse event following
QASIS is a multidisciplinary team that provides individualised advice to adults who meet referral guidelines either face to face or via telehealth. QASIS operates out of a specialised facility at the Royal Brisbane and Women’s Hospital equipped to vaccinate individuals who require additional
Most individuals with an adverse event following immunisation (AEFI) and with complex medical histories can proceed safely to vaccination after appropriate consultation and counselling.
Who should be referred to QASIS?
The service is available to Queenslanders aged 16 years and up. Examples of patients for review in QASIS prior to vaccination may include:
- A history of anaphylaxis or generalised allergic reaction to any component of a COVID-19 vaccine to be administered (e.g., PEG or polysorbate 80)
- A history of confirmed mastocytosis with recurrent anaphylaxis that requires treatment.
- A history of a previous serious AEFI. An AEFI is considered serious if it is life-threatening, requires hospitalisation, results in persistent or significant disability/incapacity, or requires intervention to prevent permanent impairment or damage.
Adults that have experienced a significant adverse event following a previous dose of COVID-19 vaccine should have their AEFI reported to Queensland Health. Under the Public Health Act 2005,
AEFI are a notifiable condition. It is very important that all AEFI are reported, particularly if serious or unexpected, as this will enable vaccine safety issues to be identified and managed appropriately as soon as possible. Following this, they can be referred to QASIS for review and management of
future COVID-19 vaccination. Examples of significant AEFI include:
- Confirmed thrombosis with thrombocytopenia syndrome
- Experienced immediate (within 4 hours) and generalised symptoms of an allergic reaction following receipt of a COVID-19 vaccine
- Capillary leak syndrome
- Guillain-Barre syndrome. Please note: these patients should be reviewed by a relevant specialist (neurologist) prior to referral.
- Pericarditis / myocarditis. Please note: these patients can also be reviewed by a cardiologist prior to referral. Evaluation of post-vaccination chest pain syndrome should follow ATAGI/CSANZ guidelines, and these investigations should be included in referral. COVID-19 vaccination – Guidance on Myocarditis and Pericarditis after mRNA COVID-19 vaccines (health.gov.au)
- Immune thrombocytopenia. Please note: these patients should be reviewed by a relevant specialist (haematologist) prior to referral
Out of scope
Children under the age of 16 years are recommended to be discussed with the Queensland Children’s Hospital service, Queensland Specialist Immunisation Service (QSIS). Queensland Specialist Immunisation Service (QSIS) – Information for health professionals
Referrals will be returned if the patient is not eligible for COVID-19 vaccine.
Referrals to QASIS specifically requesting the completion of a vaccine exemption will be rejected. Vaccine exemptions can be provided by an approved list of health care professionals to individuals who meet a limited set of criteria. QASIS clinicians will only provide medical exemptions where it is clinically indicated.
Referrals to QASIS specifically seeking assessment and opinion for a compensation claim will be rejected.
Patients who have experienced minor, common or expected side effects to a COVID-19 vaccine do not need to be referred to QASIS.
A list of expected side effects for each brand COVID-19 vaccine can be found at COVID-19 vaccination – Patient resources
QASIS does not provide vaccination requiring anaesthetic support i.e. procedural sedation.
Consideration of Sedation Vaccinations are through referral to your local Hospital and Health Service.
To find the closest local Hospital and Health Service (HHS)
- Go to https://www.qld.gov.au/health/contacts/service-finder
- Click on the Hospital tab and search your postcode on the populated map.
Vaccination after testing positive for COVID-19
For further details please refer to COVID-19 vaccine – Clinical considerations
Who can and how to refer to QASIS?
All referrals must be made by a medical practitioner (e.g. no self-referrals).
Referrals with incomplete information or not made by a medical practitioner will not be accepted.
It is the responsibility of the referring clinician to ensure that their referrals meet referral guidelines and follow-up patients that have their referrals rejected to ensure that they receive timely COVID-19 vaccination.
Inappropriate referrals can lead to unnecessary delays in vaccination leaving patients vulnerable to infection. If your patient does not meet referral guidelines and you require extra support, please contact your local Public Health Unit.
What must be included in your referrals to QASIS?
- History and supporting evidence of specific underlying medical condition
- Relevant medical conditions or GP concern and how it fits with QASIS referral guidelines
- Relevant detailed history that outlines the reaction to the COVID-19 vaccine (e.g. urticaria, angioedema, hypotension with vitals such as blood pressure, heart rate and oxygen saturation) AND time of onset after vaccination and observations
- Treatment provided to manage the outlined reaction
- Current medications and dosages and if any new medications were initiated at the time of the reaction
- Known or previous adverse drug reactions or other allergies, outlining the details of the reaction and when they occurred. It is not enough to just include a list of ADRs with no explanation.
- Vaccination history and if the patient tolerated the vaccine.
- Any investigations done and the relevant results
- Other relevant Medical History and any other information important in relation to COVID vaccination.
With specific conditions, it is important that all relevant information be included with the referral. These details were listed above in “Who should be referred to QASIS?”
Referrals will be returned if:
- patient is not eligible for COVID-19 vaccine
- incomplete referral
- does not meet referral criteria
Referrals that contain incomplete or inadequate information will be rejected.
For health professionals within the community, immunisation enquiries should be directed to your local Public Health Unit. For questions unable to be answered by Public Health, health professionals should refer to your local public hospital infectious diseases or immunology physician. Patients and families with immunisation and child health enquiries are encouraged to call Queensland Health 13 HEALTH (13 43 25 84) to speak to a health professional.
QASIS aims to continue to participate in international vaccine trials, clinically oriented research into allergy and anaphylaxis testing, public health, economic and social research. The dedicated research coordinator will coordinate the service research output and harness existing, funded research
assets in Metro-North. Our current service partners are: