After an ADR is reported to CDSCO, first they will analyze its nature (severity, seriousness, listedness etc.) at different levels.
As AEFI reporting has multiple steps involved the analysis/understanding of report starts at
district level which is later on moved to state level and finally reaches to central level discussion.
So based on assessment result, the action plan is decided. As we knew many of AEFI cases are classified as not-preventable reactions if it is vaccine related.
Hence, any immunization error related reactions the panel will develop the procedures in preventing the future AEFI. As it is a robust system it depends on the type of cases.