Weekly Vaccine Digest 01/12/2024 Los Angeles County Department of Public Health

County of Los Angeles, California sent this bulletin at 01/12/2024 04:08 PM PST

Weekly Vaccine Digest 01/12/2024

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/.  

 

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, ABRYSVO and RSV

·      Page 5-6: CAIR, MyTurn Release 47, 2024-2025 VFC Flu Vaccine Pre-book

·      Pages 7: McKesson COVID-19 Vaccine Shipping Update, 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
  • IMPORTANT: There are no temperature monitoring devices with the Comirnaty refrigerated product. Shipments come packed to maintain temperatures for 84 hours. Please check the shipment’s date (on the outside shipment label) to ensure it is received within this timeframe.

 

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Order and Administration Reminders

  • 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. 
  • REMINDER: January BAP Holiday Shipping Cadence can be found here.
  • REMINDER: January SGF Flu Holiday Shipping Cadence can be found here.
  • REMINDER:The CDPH Provider Call Center will be closed on Monday, January 15, 2024 in observance of Martin Luther King Jr. Day. Additionally, no vaccine will be delivered on Monday, January 15, due to holiday closures.
  • 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 
  • 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).
  • NOTE:V-safe for RSV Vaccines in Older Adults Now Available
  • CDPH Office of Communications Job Aid: Pregnancy and Immunizations. English and Spanish.

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VFC & VFA RECERTIFICATION

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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

 

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ABRYSVO

Available for VFC Ordering this month:

  • RSV vaccine ABRYSVO (NDC: 00069-0344-01) is provided through the VFC Program in a 1-pack, 1-dose vial.
  • The minimum order quantity is 1 dose.

 

ABRYSVO™ is recommended for pregnant people during 32 through 36 weeks gestation, using seasonal administration (Sept – January), to prevent RSV lower respiratory tract infection in infants

  • Given the small size of the eligible population and the recommended window for vaccination, the amount of vaccine available within the VFC program is modest. As a result, CDC has allocated doses to each state.

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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 distributors

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California Immunization Registry (CAIR)

CAIR2:

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

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MyTurn Release 47 (January 9, 2024)

MyTurn Public:

  • Patients will be able to view: ü
  • Postponed until 1/16 - 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
  • Postponed until 1/16 - An updated copy for the question ‘Which appointment would you like to schedule for the mpox vaccine?’
  • Postponed until 1/16 - An updated copy on mpox tags on clinic cards on the ‘Walk-in’ pageMyTurn
  • Transfer and Order Related List Views Tied Together ,estimated Fix: February 2024
  • Some Sending Transfers Missing from Program Related List Views estimated Fix: February 2024

 

Clinic:

 

  • Clinic Managers and Vaccine Administrators will be able to:
  • CQE: Edit previously submitted records when the populated data is incorrect
  • CQE: View all new records uploaded by other users from the same provider location but can only edit the records they have created
  • CQE: View new dropdown options added to the ‘Vaccine,’ ‘Vaccine Family,’ ‘Manufacturers,’ and ‘Package Information’ fields on the CSV template
  • My Turn Clinic: View new help text added to the ‘Date of Birth,’ ‘Ethnicity,’ ‘Specify Race / Nationality,’ ‘Date Administered,’ and ‘Parent or Guardian’s First Name’ fields
  • My Turn Clinic: 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

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_2024-2025 VFC Flu Vaccine Pre-Book Coming Soon

 

  • Pre-book will be available mid-to-late January and will be due February 2, 2024
  • Prebooking is the first of three phases of the 2024-2025 VFC flu vaccine order process and will be the providers’ ONLY chance to provide Flu Product brand preference AND the number of doses needed next season.
  • More information will be communicated in the coming weeks, including a flu prebook worksheet.
  • 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. 

 

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McKesson COVID-19 Vaccine Shipping Update

 

  • Beginning this week, McKesson will temporarily be using one of two different warm temperature monitors for vaccine shipmen. Coolers may contain the familiar 3M monitor or may contain a new monitor, SpotSee.
  • This temporary change in temperature monitors will be in place until approximately Feb 1 when a new and improved temperature monitor will be used for refrigerated shipments. See Supplemental Resource on Temporary Loggers, Provided by McKesson for additional support.
  • Both the 3M monitor and SpotSee monitor are one-time use only and should be disposed of once the vaccine has been properly stored.
  • Please follow the same process for checking for any temperature excursions and follow the directions on the information card specific to the monitor received.

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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