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Minnesota Department of Health
February 2, 2023
On Jan. 26, the FDA VRBPAC met to discuss the future vaccination regimens for COVID-19. The committee voted unanimously to recommend harmonizing the vaccine composition of primary series and booster doses in the U.S. to a single composition, most likely the current bivalent vaccine.
Evidence supports the use of the same vaccine strain composition for primary and booster COVID-19 vaccinations. The committee felt that this transition will simplify the COVID-19 vaccination regimen, contribute to easier vaccine deployment, and may improve vaccine coverage.
The need to continually reassess strain composition with consideration for possible fall 2023 COVID-19 vaccine was also discussed. The committee felt that additional data and strategies are needed, especially for younger children and immunocompromised people. VRBPAC will continue this discussion in the spring of 2023.
Before any changes can be implemented, both FDA authorization and a recommendation from CDC’s Advisory Committee on Immunization Practices (ACIP) need to be issued. Providers should continue following current COVID-19 vaccine recommendations.
For more details refer to: Vaccines and Related Biological Products Advisory Committee January 26, 2023, Meeting Announcement.
With multiple formulations of COVID-19 vaccine in use and the similarities of labels and cap colors, make sure you differentiate each formulation to prevent administration errors. Consider dot stickers, highlighters, colored rubber bands, separate color bins, etc. to distinguish between each vaccine.
Use the following for a quick view of the Pfizer and Moderna formulations:
All staff who administer vaccines need competency-based education and training prior to administering vaccine. To lessen the chance of an error, ensure that the seven rights of vaccine administration have been performed:
- Right patient
- Right time
- Right vaccine or diluent
- Right dosage
- Right route, needle length, and technique
- Right site
- Right documentation
If a vaccine error does occur refer to: CDC: Interim Clinical Considerations for Use of COVID-19 Vaccines: Appendix D. Vaccine administration errors and deviations.
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