To help with surveillance of SARS-CoV-2 variants and the effectiveness of vaccines, all clinicians are encouraged to report to the UK Health Security Agency all cases where:

The patient had received a booster dose of COVID vaccine >7 days prior to the onset of symptoms (or to date of first positive swab, if asymptomatic) AND the first positive swab was <7 days ago

(Only follow these steps if the first swab was within the last 7 days)


If you encounter such a case, please follow the following steps:

1. Document vaccination status on EPIC

Go to the “Admissions” tab / Historical admins / Single Historical Admin / and then fill in the relevant details (Pfizer, Astrazeneca, Moderna etc)

2. Send a repeat nose / throat swab and serum sample (LAB8160 – Enhanced Surveillance of COVID-19 in Vaccinated Individuals).

3. Please report this to PHE (after consenting the patient for this) via:


4. Please document in EPIC that these steps have been completed

5. The patient will also require a second serum sample to be taken 28 days after the first – if they are likely to have been discharged by this time, please indicate this on the reporting form and PHE will arrange the second sample.

For any questions or further information, please contact or

Government guidance can be found here.