Weekly Vaccine Digest 1/05/24 Los Angeles County Department of Public Health

County of Los Angeles, California sent this bulletin at 01/05/2024 04:03 PM PST

Weekly Vaccine Digest 1/05/24

Los Angeles County Department of Public Health

Happy Holidays Colleagues and Partners!  

Below are the LACDPH weekly vaccine administration and order updates, upcoming webinars, and newsworthy events to close out the year. Attached you will find a pdf version of this document and the links from today’s CDPH Office Hours. To view the CDPH recordings, slides and other important information please visit https://eziz.org/.  We have received additional doses for the Bridge Access Program (BAP). Please submit your vaccine order by Monday at 5:00 pm to receive your vaccine order the following week. Orders submitted after Monday at 5:00 pm may take an additional week to deliver. Please order a 1–2-week supply of COVID-19 vaccine through myCAvax and re-order as necessary as you assess patient demand.

 

If you received this email and would like to be added to our listserv, please contact our COVID-19 Provider Vaccine Call Center at covidvaccinereq@ph.lacounty.gov

Table of Contents

  • Page 1-2: Pfizer (Comirnaty) 12 yrs+ COVID-19 Vaccine Storage & Handling, Order and Administration Reminders
  •  Page 3-4: VFC, VFC/VFA Recertification, RSV
  • Page 5-6: CAIR, MyTurn Release 47, LACDPH & CDPH Provider Office Hours Link

Pfizer (Comirnaty) 12 yrs+ COVID-19 Vaccine Storage & Handling

  • COVID-19 Vaccine Presentation Change
    • New Refrigerated Pfizer 12y+ COVID-19 Vaccine!
    • For orders placed on December 11th or earlier, this new product will NOT be used to fulfill those orders.
    • This new presentation comes as single-dose pre-filled syringe and MUST BE STORED BETWEEN 2°C - 8°C (36°F and 46°F).
    • The expiration date is printed on the carton or syringe labels.
    • Pfizer-BioNTech COVID-19 vaccines for children aged 6m-4y and 5-11y, that ship to providers in CDC’s programs directly from Pfizer on dry ice and can be stored at either at ultracold temperatures until expiry or up to 10 weeks at 2°C - 8°C.
    • Pfizer will continue to allow providers to privately order the original pre- filled syringes (PFS) for age 12+ so, providers may have BOTH presentations – PFS with a 10-week beyond-use-date (BUD) and PFS that can be used through the expiration date.
    • To avoid confusion, providers who have the previous presentation (Pfizer 12y+ Single-Dose Vials - 10 pack) on-hand should deplete their inventory before ordering the new presentation

___________________________________________________________________________________Order and Administration Reminders

  • REMINDER: January BAP Holiday Shipping Cadence can be found here.
  • REMINDER: January SGF Flu Holiday Shipping Cadence can be found here.
  • Vaccine delivered from the DPH warehouse will be delivered 3-7 business days after the order is place in myCAvax. Please present a photo ID (work badge, school ID, driver’s license, etc.) and sign for the delivery when received.
  • REMINDER: If a Shipment Incident results in a Temperature Excursion, providers should always report the Shipment Incident first. CDPH will determine if the vaccine should be reported as waste and then they will inform the provider
    • VFC providers should report temperature excursions and waste events in myVFCvaccines
    • BAP and SGF providers should report temperature excursions and waste events in myCAvax
    • Outbreak (mpox/Jynneos) providers should NOT report temperature excursions in myCAvax, but all waste events should be recorded in myCAvax in vials NOT doses.
    • Note: Expired or spoiled Jynneos vaccine does NOT need to be returned to LAC DPH or the manufacturer. Ignore the “Return Shipping Method” section when reporting a waste event and leave it as the default. That section is only for providers in counties besides LA County.
  • REMINDER: Pfizer, Moderna, and Novavax are all available for ordering through myCAvax for Bridge Access Program (BAP) providers and through myVFCvaccines for Vaccines for Children (VFC) providers VFC providers may only report through myVFCvaccines.
  • VFC providers that report in the wrong system (myCAvax) should contact the Provider Call Center at ProviderCallCenter@cdph.ca.gov or call (833) 502-1245 for guidance on removing or updating the incorrect report BAP providers may only report through myCAvax.
  • BAP providers that report in the wrong system (myVFCvaccines) should contact the VFC Call Center at myVFCvaccines@cdph.ca.gov or call (877) 243-8832 for guidance on removing or updating the incorrect report
  • REMINDER: Job aid for Vaccine and Clinic Eligibility by Funding Source can be found here
  • UPDATED: Bap Eligibility Resource can be found here
  • CA BAP Program Requirements can be found here.
  • Additional BAP Resources can be found  here.
  • NOTE: CAIR/RIDE Registry ID's - Under AB 1797, vaccine providers are required to enter immunization information into the California Immunization Registry (CAIR).
  • VFC Providers without an immunization registry ID will not be able to move forward with 2024 Recertification.
  • CAIR webinar slides and recordings regarding AB 1797 are available at http://publichealth.lacounty.gov/ip/trainingsconferences.htm
  • NOTE:V-safe for RSV Vaccines in Older Adults Now Available
  • V-safe now available for adults 60 years and older who received RSV vaccine
  • V-safe is also available for pregnant people who received RSV vaccine
  • V-safe is a safety monitoring system that lets you share with CDC how you, or your dependent, feel after getting an RSV vaccine.
  • Using V-safe after RSV vaccination requires a new registration.
  • Please encourage your patients to participate.
  • CDC V-safe
  • V-safe print materials
  • Covid-19 Vaccine Fact Sheets can be found here
  • Novavax COVID-19 Vaccine Resources:
  • Novavax at a Glance (CDC, 10/31/23)
  • Storage & BUD Tracking Labels (CDC, 10/18/23)
  • Standing Orders (CDC, 10/31/23)
  • Expiry Checker (Novavax)
  • Temperature Excursion Checker (Novavax)
  • CDC Resources by Product
  • CDPH Office of Communications Job Aid: Pregnancy and Immunizations. English and Spanish

__________________________________________________________________________________

VFC & VFA RECERTIFICATION

___________________________________________________________________________________

VFC

BeyfortusTM VFC Ordering Update

  • All VFC providers may order 50mg and 100 mg doses of nirsevimab (BeyfortusTM) in limited quantities.
    • Doses approved will be based on ordering history of index routine infant vaccines (hepatitis B vaccine birth doses for hospitals, first doses of pneumococcal conjugate vaccine for all other providers).
  • Providers who have previously requested and received nirsevimab may request additional doses. Nirsevimab re-orders will be approved based on usage and on-hand inventory of nirsevimab, as well as available supply.
    • If more doses are needed, please include information in the comments section of your order form
  • Current limits and eligibility are subject to change based on supply

2024-2025 VFC Flu Vaccine Pre-Book Coming Soon

  • Pre-book will be available mid-to-late January 2024
  • Prebooking is the first of three phases of the 2024-2025 VFC flu vaccine order process and will be your ONLY chance to let the VFC Program know which flu vaccine is your preferred product and the number of doses you need next season.
  • To prepare for pre-booking VFC Flu Vaccine:
  • Review your seasonal influenza data to determine your flu vaccine need for the entire season:
  • Run flu usage reports (registry/EHR); run patient population reports, by age and eligibility; determine how many patients will need more than one dose.
  • Discuss preferred products for the upcoming season with practice clinicians and your organization.
  • Consider up to two different products indicated for the same age range as vaccine products from different manufacturers are delivered at different times.
  • More information will be communicated in the coming weeks, including a flu pre-book worksheet.

_________________________________________________________________________________

RSV

  • CDPH Respiratory Virus Dashboard is now Live
    • Interactive display allows the viewer to track influenza and COVID-19 side by side
    • Scroll down for more detailed views
    • ICU bed availability is also tracked
    • All views statewide for now
  • Urgent Need: Increase Respiratory Virus Immunization Coverage
    • Vaccine coverage is low for all recommended respiratory vaccines
    • Recommend and administer immunizations to prevent severe illness.
    • Everyone 6 months and older to stay up to date on COVID-19 vaccinesand get a seasonal flu vaccine. 
    • RSV immunizations are now available for infants and young children, pregnant people and adults 60 years and older. 
  • Fall and Winter 2023-2024 Immunizations guide can be found here.
  • RSV Summary
    • Influenza, COVID-19, and RSV hospitalizations are increasing
    • Infants and older adults are at high risk of severe disease from respiratory viruses
    • Urgent need to continue immunization efforts to prevent severe illness this season. Your strong recommendation is critical!
    • Remember to treat COVID-19 and influenza, especially for high-risk individuals
    • Recent data supports effectiveness of immunizations to prevent severe illness
  • Limited Opportunities Remain to Prevent Severe RSV - Order, Use, Reorder Remaining Supplies of Nirsevimab ASAP!
    • Ordering or reordering: VFC Program:
      • 50 mg and 100 mg doses of nirsevimab available now!
      • For private market check with distributor

________________________________________________________________________________

California Immunization Registry (CAIR)

CAIR2

  • Sprint 6 release (2.8.9) released to production 1/3/2024 o Data quality improvements o Fixed duplicate race code bug o Various data structure updates to improve performance
  • Vaccine Schedules o Continuing work on RSV and COVID vaccine schedules o Will be released to production as .x releases once updates pass testing Digital Vaccine Record
  • Next production release 1/9/2024
    • Updates to FAQ page regarding invalid doses
    • Implementing enhanced security

__________________________________________________________________________________

_MyTurn Release 47 (January 9, 2024)

MyTurn Public:

  • Patients will be able to view:
    • The ‘Single dose’ and ‘Both doses’ options for the question ‘Which appointment would you like to schedule for the mpox vaccine?’ on the ‘Walk-in’ page
    • An updated copy for the question ‘Which appointment would you like to schedule for the mpox vaccine?’
    • An updated copy on mpox tags on clinic cards on the ‘Walk-in’ page
    • An updated age filter functionality if both COVID-19 and flu vaccines are selected. The age filter initially displays an option for ‘6 months and older’. After selecting an insurance option, additional age options for the chosen vaccine will display

MyTurn Clinic:

  • Clinic Managers and Vaccine Administrators will be able to:
    • Edit previously submitted records when the populated data is incorrect
    • View all new records uploaded from the same provider location by other users but can only edit the records they have created
    • View new dropdown options added to the ‘Vaccine,’ ‘Vaccine Family,’ ‘Manufacturers,’ and ‘Package Information’ fields on the CSV template
    • View new help text added to the ‘Date of Birth,’ ‘Ethnicity,’ ‘Specify Race / Nationality,’ ‘Date Administered,’ and ‘Parent or Guardian’s First Name’ fields
    • Update and resubmit the appointment with the new products if the product selected during the appointment is an old flu product and was created on or after July 1, 2023

 

___________________________________________________________________________________LACDPH & CDPH Provider Office Hours Link

LA County Department of Public Health Provider Immunization Office Hours Information

  • Every other Wednesday from 9am-10am - Next meeting: 1/17/2024
    • NOTE: Effective 2/01/23 the Office Hours will be held on a biweekly basis
  • This has been meeting amended to discuss COVID, Mpox, Flu and RSV vaccines. The meeting link will remain the same.
  • MS Teams meeting link below; please create a recurring calendar invite with this link.
  • To request meeting slides, please email covidvaccinereq@ph.lacounty.gov

Microsoft Teams meeting

Join on your computer or mobile app

Click here to join the meeting

Or call in (audio only)

+1 323-776-6996,,350547595#   United States, Los Angeles

Phone Conference ID: 350 547 595#

 

California Department of Public Health Provider Office Hours Registration Link

  • Every Friday from 9am-10:30am.
  • Complete one-time registration here.
  • Meeting recordings and slides can be found here.

 

Providers should add staff names to the Provider Listserv to receive weekly emails and updates. To be added, please email blanca.corona@cdph.ca.gov