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MnVFC annual re-enrollment due November 30

Sites enrolled in the Minnesota Vaccines for Children (MnVFC) program must renew their enrollment every year by completing required reports and trainings by Nov. 30. If you do not submit the required forms by this deadline, ordering privileges may be suspended for your site. 

Visit MnVFC Required Reports and Trainings for detailed information and contact us at health.mnvfc@state.mn.us if you have questions.


JYNNEOS doses expiring

Most of the remaining HHS-supplied JYNNEOS doses will expire on Thursday, Oct. 31. Use up remaining doses, particularly for those who are uninsured. As you manage your inventory, ensure that any expired doses are properly disposed of and report any wasted doses to Monkeypox Vaccine Redistribution and Wastage.

The federal government is no longer supplying JYNNEOS vaccine for privately insured patients. To continue to immunize patients with insurance against mpox, you must purchase vaccine. For adults without insurance, a limited supply is available to providers enrolled in the Un-and Underinsured Adult Vaccine (UUAV) program. Additionally, JYNNEOS can be ordered through MnVFC program for eligible 18 year olds. The Advisory Committee on Immunization Practices (ACIP) recommends that all people at risk of mpox be vaccinated. JYNNEOS is a 2-dose series, with the second dose being given 4 weeks (28 days) after the first dose. If the second dose is not administered during the recommended interval, it should be administered as soon as possible. There is no need to restart or add doses to the series if there is an extended interval between doses.


Interpreting polio immunization records from outside the United States

Polio vaccination is required by Minnesota law for school and child care. However, only inactivated polio vaccine (IPV) or trivalent oral polio vaccine (tOPV- containing all 3 serotypes of polio) count toward meeting Minnesota requirements. 

As of April 1, 2016, all countries using OPV switched from trivalent to bivalent vaccine (bOPV- polio vaccine containing two serotypes). Bivalent polio vaccine does not count toward meeting the requirements for school or child care in Minnesota. When reviewing immunization records for doses administered outside of the United States:

  • Any oral polio vaccine given on or after April 1, 2016, must be tOPV to meet Minnesota law requirements.
  • If a dose of OPV was given before April 1, 2016, it can be counted as a valid dose if it was given as a routine immunization and not part of a mass immunization campaign.

All tOPV and IPV doses given should be aligned with the current U.S. IPV schedule CDC: Vaccines & Immunizations: Child and Adolescent Immunization Schedule by Age (Addendum updated June 27, 2024). These recommendations say if only tOPV was given, one dose of IPV should be given at 4 years of age or older. For more information, visit Vaccines for Infants, Children, and Adolescents.


Tdap vs Td vaccine clinical considerations

The U.S. uses two types of combination vaccines that provide protection from tetanus and diphtheria for adults, Td and Tdap. Tdap vaccine is the only vaccine that provides protection against pertussis for adults and adolescents. 

A CDC report released on January 24, 2020, CDC: MMWR: Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations of the Advisory Committee on Immunization Practices — United States, 2019 (PDF), states that either Tdap or Td vaccines can be used for adults in situations where only Td vaccine had been recommended previously. There is not a preferential recommendation according to the ACIP immunization schedule. 

Tdap can be used for:

  • Pregnant persons: Because infants cannot be immunized against pertussis until 2 months old, Tdap should be administered during every pregnancy. Tdap should be given early in the third trimester (27 to 36 weeks gestation) for optimal protection, but a patient can receive Tdap at any time during pregnancy during a community pertussis outbreak.
  • Adolescents: Preteens should get one dose of Tdap at or after 11 years. It is required for entry to seventh grade in Minnesota.
  • Adults:
    • If an adult has never received a Tdap vaccination, they can receive Tdap at any time regardless of when the last Td shot was given. Tdap is needed even if an adult was vaccinated with DTaP as a child or has a history of pertussis disease.
    • Tdap vaccination is especially important for those who are in close contact with babies.
    • Tdap can be given every 10 years as part of the routine immunization schedule, Recommended Adult Immunization Schedule for ages 19 years or older; 2024 U.S. (cdc.gov).
  • Wound management: Tdap can be used for wound management in adolescents and adults.

In addition, due to a concern for a limited supply of Td vaccine in 2024, the CDC recommends that clinics transition to use of Tdap vaccine in lieu of Td vaccine whenever possible. For more information, visit TdVax Discontinued and Td Vaccine Supply Limited; COVID Lots Expiring (PDF) and Pertussis (Whooping Cough).

Learn more about the immunization improvement program, RespSafe

Are you interested in improving health care personnel (HCP) vaccination coverage? Would you like to have your long-term care facility (LTCF) or hospital recognized for the high flu and COVID vaccination coverage of staff and the work you’re doing to get there? Then check out the RespSafe program’s introductory webinar on our RespSafe webpage and consider participating this season. With the respiratory season well under way, now is the time to protect patients from illness and increase vaccination rates among staff. We encourage hospitals and LTCFs to participate in RespSafe and prioritize HCP vaccination to protect their patients and residents from respiratory viruses that can cause severe disease and death. Sign up for email updates on the bottom of the RespSafe webpage to be notified when registration becomes available and for other relevant program information. For any questions, email us at health.respsafe.mdh@state.mn.us


Promote vaccine safety and the vaccine adverse event reporting systems

Educate your patients on the importance of vaccine safety monitoring and encourage them to participate in V-safe. V-safe is an electronic system that allows patients to confidentially share how they feel after vaccination. Their participation is voluntary and helps CDC monitor the safety of certain vaccines. It is available for the following persons:

  • 6 months of age and older who recently received an updated COVID-19 vaccine (or parents and caregivers on behalf of someone who did).
  • 16 to 49 years who are pregnant and recently received an RSV vaccine between 32 and 36 weeks of pregnancy.
  • 60 years of age and older who recently received an RSV vaccine.

V-safe will now prompt people who report needing medical attention after vaccination to complete a Vaccine Adverse Event Reporting System (VAERS) report. The two systems are integrated and certain fields of the VAERS report will be pre-populated with information received from V-safe.

For more information on these vaccine safety systems, including patient information sheets and posters, visit CDC: Vaccine Safety Systems.


Updated vaccine information statements

On October 17, CDC updated the vaccine information statements (VIS) for COVID-19, RSV, and cholera vaccines. Providers should begin using the new editions found at CDC: Current VISs. Translated versions will be available at Immunize.org: Vaccine Immunization Statements main page in the coming weeks.


COVID-19 and flu immunizations page

After pausing for the summer, COVID-19 immunization coverage data for Minnesota is now available on a new respiratory vaccine data webpage, Vaccine Data: Influenza and COVID-19. It has up-to-date coverage data for influenza and COVID-19 vaccine with statewide data and data by select demographics. The webpage will be updated monthly, at 11 a.m. on the third Thursday of the month, for the rest of the current respiratory season.


Stay vigilant for acute flaccid myelitis this fall

Acute flaccid myelitis (AFM) is an uncommon condition that affects the spinal cord. It can cause sudden weakness in the arms or legs, loss of muscle tone, and loss of reflexes. The condition mainly affects young children. Most children have a mild respiratory illness or fever caused by a viral infection about one to four weeks before developing symptoms of AFM.

Since national surveillance for AFM began in 2014, outbreaks in the United States have occurred in the fall of 2016 and 2018. Cases tend to occur between August and December, when there is an increase in respiratory viruses, such as enterovirus. Nationally, there have been 759 cases confirmed since 2014, with 17 cases occurring in Minnesota residents. 

AFM is a reportable condition in Minnesota. If you suspect AFM in a patient, call MDH at 651-201-5414. For more information, visit Acute Flaccid Myelitis (AFM).

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