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Immunization Healthcare

IHD COVID-19 VACCINE RESOURCE CENTER FOR HEALTH CARE PERSONNEL


Note: To see the latest COVID-19 vaccine content for DOD health care personnel,
sorted by date, check "What's New" below.


COVID-19 VACCINE TRAINING MATERIALS AVAILABLE FROM THE CDC

Visit the 2021-2022 Seasonal Influenza Resource Center


Tool Kit

The Ninth Edition of the Immunization Tool Kit (ITK) is now available in print exclusively for health care personnel within the Department of Defense. The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. DOD health care personnel can:


A new injectable smallpox vaccine, JYNNEOS, received licensure
from the FDA in September 2019. Visit our JYNNEOS webpage for details.

Social-media rumors about anthrax vaccine and VA disability ratings are unfounded. Click here for important information regarding anthrax vaccine safety.

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) supports Department of Defense (DOD) immunization programs and provides clinical consultative services, educational support, and training resources for the entire DOD family. To learn more, visit our:

See our calendar of upcoming events

What's New

The following content has been updated within the last 30 days:

Document What's changed Date Posted 
Seasonal Influenza Resource Center 2021-22

Instructions have been added on how to access IHD's webinar on the 2021-2022 Northern Hemisphere Influenza Vaccination Program.

Sep. 9, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following translated prevaccination checklists have been added under "Forms":

Sep. 9, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

Sep. 1, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

Aug. 26, 2021
General Best Practice Guidelines for Immunization

This document has been updated with information on timing and spacing of immunobiologics, contraindications and precautions, and altered immunocompetence. See the published errata for a full description of the updates.

Aug. 25, 2021
Vaccine Information Statements (VIS)

Updated VISs have been posted for the following: DTaP, Hib, HPV, MMR, MMRV, meningococcal ACWY, meningococcal B, pneumococcal conjugate, polio, Tdap, Td and varicella vaccines. Stocks of the previous editions may be used until exhausted.

Aug. 25, 2021
Seasonal Influenza Resource Center 2021-22

The following documents have been updated for the 2021-22 influenza season:

Aug. 23, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

Aug. 13, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

Aug. 11, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel
The Standing Order for Administering Janssen (J&J) COVID-19 Vaccine has been updated. Aug. 3, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

July 29, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated: 

July 14, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

July 7, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The DHA Form 207, COVID-19 Vaccine Screening and Immunization Documentation, Version 11, has been updated with information on co-administration with other vaccines.

June 10, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following document has been updated under Vaccine Administration:

May 27, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated with new information on Pfizer-BioNTech COVID-19 vaccine:

May 25, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated with information on administering Pfizer-BioNTech COVID-19 vaccine to children and adolescents ages 12 to 15:

May 18, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated with information on administering Pfizer-BioNTech COVID-19 vaccine to children and adolescents ages 12 to 15:

May 14, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated under Vaccine Storage and Handling Resources:

April 30, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents have been updated:

April 29, 2021
IHD COVID-19 Vaccine Resource Center for Health Care Personnel
The following documents have been updated under Emergency Use Authorization (including Fact Sheets)
    April 9, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following documents have been updated under Emergency Use Authorization (including Fact Sheets)

    April 5, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been added under "Adverse Events":

    March 18, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been added under "Standing Orders":

    March 12, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following documents have been added for the Janssen (also known as Johnson & Johnson) COVID-19 vaccine under "Vaccine Storage and Handling Resources":

    March 5, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated under "Forms":

    Previous versions of this form are no longer valid and should not be used.

    March 4, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated throughout under "Competency Assessment Checklists":

    March 4, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The CDC's Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States has been updated with information on the following:

    • Clinical considerations for use of Janssen (also known as Johnson & Johnson) COVID-19 vaccine.
    • Recommendations for fully vaccinated people who subsequently develop COVID-19.
    • Recommendations related to COVID-19 vaccination timing for immunocompromised people.
    • Contraindications and precautions to mRNA COVID-19 vaccines.
    • Information on interpretation of SARS-CoV-2 antibody test results after vaccination.
    March 4, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following recommendations have been added for the Janssen (also known as Johnson & Johnson) COVID-19 vaccine:

    March 4, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated under Vaccine Administration:

    March 4, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following documents have been added under "Emergency Use Authorization" following authorization of the Janssen (also known as Johnson & Johnson) COVID-19 vaccine:

    March 1, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been added under Medical Logistics:

    Feb. 24, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been added under Competency Assessment Checklists:

    Feb. 19, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been added under Vaccine Administration:

    Feb. 19, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The CDC's Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States has been updated with information on the following:

    • New recommendations for preventing, reporting, and managing vaccine administration errors.
    • Clarification on contraindications and precautions.
    • Updated information on delayed, local injection-site reactions after the first vaccine dose.
    • Updated quarantine recommendations for vaccinated persons.
    • Additional information and updated recommendations for testing for TB infection.
    Feb. 16, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated:

    Previous versions of this form are no longer valid and should not be used.

    Feb. 12, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following content has been added under Advisory Committee on Immunization Practices (ACIP) Recommendations:

    Feb. 11, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated to add a link to a storage and handling video:

    Feb. 9, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The CDC's Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States has updated its recommendations on the following:

    • Intervals between the first and second dose
    • Interchangeability of vaccine products
    • Vaccination of persons with a history of SARS-CoV-2 infection
    • Vaccination of persons with a history of dermal fillers
    • Additional resources on vaccine excipients
    Jan. 22, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated:

    Jan. 15, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following document has been updated:

    Jan. 12, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following documents have been updated:

    Jan. 5, 2021
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following documents have been updated to clarify the number of doses of vaccine per vial after dilution and the instructions for reporting vaccine adverse events:

    Dec. 28, 2020
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    Information on COVID-19 vaccine has been added in the following categories:

    Dec. 23, 2020
    Vaccine Storage and Handling

    The following documents have been updated to add information on COVID-19 vaccines:

    Dec. 23, 2020
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    Information on the Moderna COVID-19 vaccine has been added in the following categories:

    Dec. 22, 2020
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    Information on the Moderna COVID-19 vaccine has been added in the following categories:

    Dec. 21, 2020
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    COVID-19 vaccine content has been added in the following categories:

    Dec. 14, 2020
    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following content from the CDC has been added under "Vaccine Safety":

    Dec. 10, 2020

    IHD COVID-19 Vaccine Resource Center for Health Care Personnel

    The following policy document has been posted:

    Dec. 9, 2020
    CDC COVID-19 Vaccine Training Center

    The DHA Education and Training Directorate (J7) is offering Continuing Education/Continuing Medical Education to those who complete the CDC's COVID-19 Vaccine Training. Registration is required. 

    The CDC Vaccine Storage and Handling Toolkit has been updated to include information on best practices for storing and handling COVID-19 vaccines.

    Dec. 1, 2020
    Important Announcement

    The Defense Health Agency Immunization Healthcare Division (DHA-IHD) offers two recurring in-person and virtual training opportunities: the two-day Immunization Lifelong Learners Course (ILLC) and the one-day Immunization Lifelong Learners Short Course (ILLSC). Individual courses will be announced here when they are opened for registration. These courses are designed to ensure health care personnel are trained in vaccine policy, vaccine safety, and effectiveness based on national and DOD guidelines.

    Continuing education will be available for these activities. See our Immunization Lifelong Learners Course or Short Course pages for more details and for listings of each course.

    Vision

    A premier, responsive, patient centered organization promoting excellence in immunization health care practice and policy for service members and beneficiaries.

    Mission

    Support Force Health Protection and Readiness, and the Military Health System (MHS) by developing and promoting programs and services that enhance immunization effectiveness, safety, and acceptability. Provide evidence based solutions that improve immunization health care through policy implementation guidance, strategic communication, education, training, and clinical services worldwide.

    Immunization Resources

    Joint Regulation Immunization  Standing Orders booklet  Tool Kit

    S&H Guide  Best Practices  Pink Book  Yellow Book

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    Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2019

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    2/8/2019

    The 2019 child and adolescent immunization schedule summarizes the recommendations of the Advisory Committee on Immunization Practices (ACIP), including several changes from the 2018 immunization schedule.

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    Updated Framework for Development of Evidence-Based Recommendations by the Advisory Committee on Immunization Practices

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    11/16/2018

    In 2010, the Advisory Committee on Immunization Practices (ACIP) implemented the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach for developing evidence-based recommendations. Since its February 2018 meeting, ACIP has incorporated the use of Evidence to Decision or Evidence to Recommendation (EtR) frameworks into GRADE methodology.

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    Global Routine Vaccination Coverage — 2017

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    Global coverage with vaccines to prevent diphtheria, tetanus, pertussis, polio, and measles has remained at 84%–85% since 2010. Prioritizing countries with the highest number of unvaccinated children to implement context-specific strategies has the potential to increase immunization coverage globally.

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    Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017

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    The Advisory Committee on Immunization Practices recommends routine vaccination by age 24 months against 14 potentially serious illnesses. In 2017, coverage with most recommended vaccines among children aged 19–35 months remained stable and high but was lower in more rural areas and among uninsured or Medicaid-insured children.

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    Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year

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    Immunization programs conduct annual kindergarten vaccination assessments to monitor school-entry vaccination coverage for all state-required vaccines. Median vaccination coverage was 94.3% for 2 doses of measles, mumps, and rubella vaccine; 95.1% for the state-required number of doses of diphtheria and tetanus toxoids and acellular pertussis vaccine; and 93.8% for 2 doses of varicella vaccine.

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    Students who enroll in Department of Defense Education Activity (DoDEA) schools are required to meet specific immunization requirements.

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    Guidance on Medications for Prophylaxis of Malaria 13-002

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