the findings of a survey conducted by ECDC across EU/EEA countries that assessed the level of implementation of IIS and their functionalities, as well as the challenges encountered during the design and implementation. The aim of the survey was to share knowledge about IIS in the EU/EEA in order to build consensus on the characteristics of an optimal system and to describe differences in core functionalities and standards across countries.

1. Results of the ECDC survey report
on immunisation information
systems in the EU/EEA
European Centre for Disease Prevention and Control
European Immunisation Week, 24−30 April 2017

2. Introduction:
Immunisation information systems
• Strong information systems are an integral part of a
well-functioning vaccine programme. This is
recognised by the WHO EVAP and further endorsed by
the 2014 EU Council Conclusions on vaccination.
• ECDC conducted two surveys on EU/EEA immunisation
information systems (IIS):
– a comprehensive survey for countries with an established
IIS; and
– a shorter survey for countries in the early stages of
implementation.
• The results provide information on the status of IIS in
the EU/EEA countries and describe the functionalities
of these systems.
• This information is particularly important for those
countries that have no system, are in the beginning
stages of implementation, or are updating their
systems.

3. Immunisation information systems in Europe
10
4
5
2
6
Survey question:
Do you have an immunisation information
system (IIS) in your country?
Operational IIS, national level
IIS pilot project, national level
Operational IIS, subnational level*
IIS pilot project, subnational level
No IIS
No response/no information
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
Photo: © iStock
3
countries
* Belgium (Flanders), Portugal
(mainland), Spain (Andalusia),
UK (England)

4. Immunisation information systems in the
EU/EEA
Operational IIS, national level
Survey question:
Do you have an immunisation information
system (IIS) in your country?
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
No IIS
No response/no information
IIS pilot project, national level
Operational IIS, subnational level*
IIS pilot project, subnational level
* Belgium (Flanders), Portugal
(mainland), Spain (Andalusia),
UK (England)

5. Immunisation information systems in the EU
5 11
14
Survey question:
Can vaccine recipients in your country
receive automated reminders?
Yes, automated vaccination reminders can be sent
No, not available
No response/no information
countries
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
Photo: © iStock

6. Immunisation information systems in
Europe: automated reminders
Yes, automated vaccination
reminders can be sent
Survey question:
Can vaccine recipients in your country
receive automated reminders?
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
No, not available
No response/no information

7. Immunisation information systems in the EU
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
Photo: © iStock
8
4
4
14
Public and private vaccination data
Only public vaccination data
Neither public nor private vaccination data
No response/no information
Survey question:
What data are covered by the
immunisation information
system (IIS) in your country?

8. Immunisation information systems in the EU
10
6
14
Survey question:
Does your national systems cover
whole-of-life data on immunisation?
Yes, systems can record vaccinations at any age
No, countries only record vaccination <18 years
No response/no information
countries
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
Photo: © iStock

9. Immunisation information systems in
Europe: whole-of-life data
Yes, systems can record
vaccinations at any age
Survey question:
Does your national system cover
whole-of-life data on immunisation?
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
No, countries only record
vaccination <18 years
No response/no information

10. Immunisation information systems in the EU
5
10
15
Survey question:
Do vaccine recipients or their guardians have access to
their individual information in the IIS?
Yes, access to information for vaccine recipents/guardians
No, no access
No response/no information
countries
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
Photo: © iStock

11. Immunisation information systems in
Europe: access to information
Yes, access to information for
vaccine recipients or their
guardians
Survey question: Do vaccine recipients
or their guardians have access to their
individual information in the IIS?
Source: 2016 ECDC survey among 28 EU countries plus Norway and Iceland.
No, no access
No response/no information