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To: Maine Immunization Program Providers
From: Maine Immunization Program
Subject: Monovalent mRNA Disposal and Reporting
Date: April 21, 2023
As of April 19, the U.S. CDC no longer recommends the use of monovalent mRNA COVID-19 vaccine. Any pending orders of monovalent vaccine will be canceled. Providers must dispose of all monovalent mRNA COVID-19 Vaccine immediately. CDC now recommends the use of bivalent vaccine for all recommended mRNA COVID-19 vaccine dose(s).
Disposal and Reporting
To minimize the risk of administration error, providers should:
- Remove all monovalent mRNA vaccine from storage units immediately, even if they are not expired. This includes both EUA and BLA products (Comirnaty and Spikevax).
- Once all inventory is fully accounted for, remove monovalent mRNA Covid-19 vaccine from the vaccine inventory in ImmPact.
- Dispose of all monovalent mRNA COVID-19 vaccine vials into medical waste.
- Report all disposed inventory as wastage.
Resources
Updates to the COVID-19 vaccine clinical education materials remain a high priority for CDC and they are working to get materials updated as soon as possible. Updated educational materials will be available at U.S. COVID-19 Vaccine Product Information | CDC and at Interim Clinical Considerations.
The following is a complete list of mRNA COVID-19 Vaccines that should be removed from inventory:
    Should you have any questions, please contact us at (207) 287-3746 or email: ImmunizeME.DHHS@maine.gov.
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