COVID-19 Advisory for Healthcare Providers

Updated COVID-19 Breakthrough Case Reporting Requirements

Posted Sept. 10, 2021. Past health advisories and alerts are archived for historical purposes and are not maintained or updated.


The Washington State Department of Health was recently able to actively link positive COVID-19 lab results in the Washington Disease Reporting System (WDRS) with the Washington Immunization Information System (WAIIS). This means that most breakthrough cases are now being identified automatically. However, patients who were vaccinated by federal agencies (Indian Health Service, Veteran’s Administration, military), or were vaccinated out of state are likely not in the WAIIS system.

Healthcare facilities now only need to report breakthrough cases for patients whose immunization record is not in WAIIS. Please use this COVID-19 Case Report Form and attach a copy of patient's vaccination documentation. (This form may also be used for reporting non-breakthrough cases.)

Vaccination details including dates, manufacturer, lot number, and location are required when reporting breakthrough cases.


Positive Test - Fully Vaccinated Patient
Positive Test – Unvaccinated Patient
Vaccination documented in WAIISVaccination not in WAIISContinue reporting positive cases via usual methods (with all required patient demographics and lab test info).
DISCONTINUE sending old Breakthrough Case Report Forms. Continue reporting positive cases via usual methods (with all required patient demographics and lab test info).Please submit breakthrough report on this COVID-19 Case Report Form and attach copy of vaccination documentation (vaccination card, medical record, official immunization report) if possible


Please check with your administrative contact to ensure that immunization records for your patients are routinely entered in WAIIS before discontinuing reporting of individual breakthrough cases to SRHD.
We appreciate your hard work and dedication to our community – thank you!