64. The following information on each vaccination is released to the operations manager of the vaccination registry for registration, under the conditions and in the manner prescribed by regulation of the Minister:(1) information on the person vaccinated:(a) the person’s name, date of birth and sex,
(b) health insurance number, if applicable,
(c) residential address, telephone number and email address, if applicable,
(d) if the person vaccinated is under the age of 14 or is incapable, the holder of parental authority or the tutor, curator or mandatary of the person as well as their residential address, telephone number and email address, if applicable,
(e) the name of the childcare centre or day care centre attended or of the home educational childcare provider, if applicable,
(f) the permanent student code assigned by the Ministère de l’Éducation, du Loisir et du Sport, if applicable, and
(g) the name of the educational institution attended, educational level, and, if applicable, the class number, the building and the name of the school service centre or the school board concerned;
(2) information on the vaccine administered:(a) the brand name, including the name of the manufacturer,
(b) the date and time of administration,
(c) the quantity administered and unit of measurement,
(d) the lot number and expiry date,
(e) the name of the immunizing agent,
(f) the dose number,
(g) the administration route,
(h) the injection site,
(i) an indicator of any cold chain failure associated with the vaccine,
(j) the name of the vaccinator and the vaccinator’s unique provider number assigned by the Régie de l’assurance maladie du Québec under the Act respecting the sharing of certain health information (chapter P-9.0001), or, if the vaccinator has no such number, the vaccinator’s title and the number of the vaccinator’s licence to practise, and (k) the name, address, telephone number and unique identification number, assigned by the operations manager of the register of bodies under the Act respecting the sharing of certain health information, of the location providing health services and social services to which the vaccinator is attached and, if applicable, the physical location where the vaccine was administered;
(3) the following additional information:(a) a history of any illness contracted that would have been preventable by vaccination,
(b) any temporary contraindication for vaccination,
(c) any permanent contraindication for vaccination,
(d) any precautions taken at the time of vaccination,
(e) clinical notes concerning the vaccination,
(f) the reason for the vaccination,
(g) in the case of a prescription, the name and the unique provider number, assigned by the Régie de l’assurance maladie du Québec under the Act respecting the sharing of certain health information, of the person who wrote the prescription or initiated a therapeutic measure under a prescription, or, if the person has no such number, the person’s title and the number of the person’s licence to practise,
(h) a note that the person refuses to receive a vaccine or a vaccination series, if applicable,
(i) a note that the person has requested that his or her information not be released for vaccination reminder, recall or promotion purposes, as applicable,
(j) any unusual post-immunization clinical manifestations,
(k) the vaccination profile of the person vaccinated, including the dose of the same vaccine to be administered at a later date, the expected date of administration, the date of clinical eligibility and the administration status of the vaccine,
(l) the source of the information and a note that the vaccination history has been validated by a health professional, if applicable, and
(m) a note that the information on the vaccination registry and how it works has been sent to the vaccinated person or the holder of parental authority or the tutor, curator or mandatary of the person, if applicable; and
(4) any other information prescribed by regulation of the Minister.