Dear Immunization Partners,

Vaccination Record Cards for many recipients of COVID-19 vaccines are now full. This is especially true for those over 50 years of age or immunocompromised individuals seeking additional boosters. In these instances, providers and jurisdictions are raising questions about the proper procedure for issuing new Vaccination Record Cards.

As a reminder, the ancillary kits that accompany every COVID-19 vaccine order include Vaccination Record Cards for every dose. If a vaccination card is full, the Centers for Disease Control and Prevention (CDC) recommends that a second card be completed, and the two cards stapled together. Encourage the patient to photograph both cards in case the two become separated, if possible. Both cards should be presented when vaccination history is required for travel, employment, or any other purpose requiring official, universally recognized documentation. Patients should bring both cards to future vaccination appointments for verification of vaccination history. 

Some providers have the option to provide the immunization record from the Michigan Care Improvement Registry (MCIR) that would list the patient’s received doses. However, for travel, employment, or any other purpose that requires official, universally recognized documentation, the MICR record may not be acceptable.

When a Vaccination Record Card is Full:

1. Complete a new card for the patient
2. Staple both cards together
3. Encourage the patient to photograph both cards in case they become separated
4. Bring both cards to future vaccination appointments

Questions may be directed to your Local Health Department (LHD) or checcimms@michigan.gov.

Thank you for your continued efforts in helping to protect Michiganders from COVID-19!

Oakland County Health Division, Immunization Action Plan