Interesting pdf about state immunization information. Appears tied to EHRs.This would mean they can monitor what all injections are doing.
https://health.mo.gov/living/wellness/immunizations/pdf/ClinicalUseandBenefitsofStateIIS.pdf
If immunizations are not HIPAA covered, what happens when this information is linked to EHRs?
The person who prepared this document for Missouri could be the person now working for an immunization registry organization.
That's not the point.
I have just provided publicly available information showing that each state can easily determine what all the injections are doing to people.