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Minnesota Department of Health
January 21, 2021
Good afternoon,
Here are the COVID-19 vaccine provider updates for 1/15-1/21.
Find recent changes as of Jan. 6, 2021. to CDC’s Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States. Many of the updates have been added to our Interim COVID-19 Vaccine Provider Guide (PDF).
COVID-19 Moderna Vaccine and Pfizer-BioNTech Vaccine protocols updated
The following vaccine protocol templates are updated on the Vaccine Protocols webpage and at COVID-19 Vaccine Providers.
- COVID-19 Moderna mRNA1273 Vaccine
- COVID-19 Pfizer-BioNtech BNT162b2 Vaccine
The screening and agreement template has been updated and will be available later tonight at COVID-19 Vaccine Providers.
Since there is no preservative in the Pfizer BioNTech and Moderna multi-dose vials, discard the vial when there is not enough vaccine to obtain a complete dose. Do not combine residual vaccine from multiple vials to obtain a dose (no pooling).
Once you have punctured the vial:
- All the doses need to be administered within 6 hours, or they must be discarded.
- Make a plan to administer all the doses in the vial.
- Consider having a waiting list.
- Be aware of people who may be able to come at short notice to get vaccinated.
- If you have doses left in the vial, and no one immediately available to give them to, try your best to give people in priority groups. But, above all else, do not waste vaccine.
- If you waste vaccine you will need to account for the doses by reporting them in MIIC. See reporting vaccine wastage in MIIC below. Sites that waste significant amounts of vaccine will need to submit a corrective action report on how they will prevent this in the future. More guidance on corrective action reports will be coming soon.
Registered COVID-19 providers can report vaccine wastage in MIIC. For now, please follow existing guidance on reporting nonviable MDH vaccine to MIIC that is available at Vaccine Ordering and Management in MIIC. An updated version specific to reporting COVID-19 vaccine will be available soon.
To report wasted vaccine to MIIC, you will need to be set up with a MIIC user role that has ordering privileges. Please contact health.mdhvaccine@state.mn.us with questions about getting setup to access this feature in MIIC.
Expired or spoiled COVID-19 vials are not being returned to the manufacturer or McKesson. Dispose vials per recommendations found in the COVID-19 vaccine provider guide.
Data entry into MIIC is required by the organization who administers vaccine and maintains a client’s medical records. We have seen several instances where a vaccinator has asked a long-term care facility to enter data for their clients vaccinated with COVID-19 vaccine. Data entry should always be done by the vaccinator.
Please make sure that correct client name, date of birth, and vaccination date are entered. When entering immunization information into the spreadsheet, please also include either the CPT or CVX code with the vaccination date.
For organizations using the spreadsheet upload option for reporting data, a new spreadsheet is available in MIIC.The guidance for using the spreadsheet can be found at General Immunization Upload Using the Spreadsheet Template (PDF). Please download the spreadsheet from MIIC each time you fill it out.
When an organization administers a vaccine dose, please make sure it is entered into MIIC as an “administered dose” and not a historical dose. Historical means that the dose was given by another organization. The MDH outreach team will continue to contact organizations who are not meeting reporting requirements.
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