Lot Numbers: Box vs. Vial?

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Washington State Department of Health | June 11, 2019


Lot Number on Box or Vial?

You may notice that sometimes the lot number on the vial is different from the lot number on the box. Best practice is to use the lot number on the box for all Childhood Vaccine Program inventory. When you receive your vaccine in the Immunization Information System (IIS) through the Inbound Order screen, the lot number that pre-populates is the lot number on the box. The lot number on the box is used because manufacturers have indicated the lot number on the vial (and in some cases, multiple vials/components of a vaccine) is linked back to the lot number on the box at the time of manufacturing and packaging. In cases with multiple components, there may be several different lot numbers. Therefore, the best way to capture the product that was given is to use the lot number on the box.

For more information on inventory best practices, check out these resources:

The IIS for Vaccine Coordinators training

Managing Inventory with an Interface guide

How to Search, Add, Reconcile & Report Inventory guide


Where to Submit Accountability Reports

There are three accountability reports that are due every month:

  • Temperature logs: Submitted by fax or email
  • Doses administered report: Submitted through the IIS
  • Inventory report: Submitted through the IIS

Temperature logs can be scanned and emailed to WAChildhoodVaccines@DOH.WA.GOV or faxed to (360)236-3811. The doses administered report and inventory report must be submitted in the IIS. You do not need to fax or email them to us.

Reporting image

2017 Washington Adult Vaccination Coverage Rates: Pneumococcal and Shingles

The Centers for Disease Control and Prevention’s (CDC) AdultVaxView has been updated with national, regional, state, and selected local area data on adult vaccination coverage estimates from the 2017 Behavioral Risk Factor Surveillance System (BRFSS) and the 2016-2017 National Health Interview Survey (NHIS).

Key Highlights:

  • Washington is better than the national average for pneumococcal vaccination coverage rates, but has not met the Healthy People 2020 goal.
  • Washington is better than the national average for shingles vaccination coverage rates, and has met and exceeded the Healthy People 2020 goal.
  • In 2016, Washington was better than the national average for Tdap and tetanus vaccination coverage rates.
Adult Vaccine Coverage

These data can help guide your prevention efforts and identify strategies to improve vaccination coverage among adults in your community. Use the national Standards for Adult Immunization Practice to increase vaccination coverage rates among adult patients in your clinic. The CDC recommends using evidence-based strategies to further improve vaccination coverage:

  • Use standing orders and provider reminders alone or in combination with health systems interventions
  • Assess vaccination status at adult patient visits
  • Issue strong recommendations for indicated vaccines
  • Offer vaccines or refer patients to other providers for vaccination
  • Record vaccinations given in the state Immunization Information System

AAP's website offers guidance: Preparing for the 2019–20 influenza season

Summer is a great time to start planning for when flu vaccines are delivered and when your office can start administering vaccine. The American Academy of Pediatrics (AAP) offers the Influenz​a Implementation Guidance 2018–2019: For Pediatricians, Physicians, Nurse Practitioners, Physician Assistants, Nurses, Medical Assistants, and Office Managers. Please note, although this page is dated 2018–2019, most of the guidance should still be relevant. AAP will update the page, if needed, when ACIP publishes its influenza recommendations for the 2019–20 season.


Clinical Corner

Immunization Catch-Up Schedule and School and Child Care Requirements Updates Webinar 

The Department of Health Immunization Nurse Consultants, Trang Kuss, RN, MN, MPH, and Katherine Graff, RN, BSN, will discuss the immunization catch-up schedule, immunization rules and exceptions, and updates to school and child care immunization requirements. For more information about the webinar and continuing education visit this webpage

  • Tuesday, June 18
  • 12 -1 PM (PDT)
  • Register HERE

Recorded CDC Measles Webinar

CDC recently hosted a measles webinar for healthcare providers to discuss what makes 2019 a historic year for measles and what providers can do to help identify cases and stop measles transmission. The recording is now available and slides can be downloaded by clicking on the Call Materials tab.

Weekly Pink Book Webinars

CDC is offering a weekly series of webinars that provide an overview of vaccination principles, general recommendations, immunization strategies, and specific information about vaccine-preventable diseases and the vaccines that prevent them. Each webinar covers a chapter from the 13th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases (the “Pink Book”) and also includes updated information from recent Advisory Committee on Immunization Practices (ACIP) meetings and votes.

Webinars will be held Wednesdays from June 5-September 25th. Please visit the Pink Book webinar webpage for the schedule and additional information. Continuing Education will be available for each event.

Pink Book

For questions about the immunization schedule, the Immunization Information System forecast, or any other immunization clinical questions, please send an email to ImmuneNurses@doh.wa.gov.

Check out the Immunization Training web page for more resources and training opportunities.