Vaccine Blurbs Issue 196: COVID Vaccine Integration Is Underway!

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Washington State Department of Health | September 14, 2023


COVID Vaccine Integration Into CVP

COVID-19 vaccine commercialization is underway and changes are happening fast! This means very soon COVID-19 vaccines will be available to enrolled providers in the Childhood Vaccine Program and provided for all children under the age of 19 at no cost to patients.

We anticipate that COVID-19 vaccine will be available in the IIS to order tomorrow September 15th. We will communicate more information as it becomes available and when the order sets are in the IIS and open for providers.

Once the COVID-19 vaccine is available to order through the Childhood Vaccine Program, you may notice some differences from the pandemic COVID-19 Vaccine Program:

  1. Only order what you can use and consider your storage capacity, order quantities can be small with a minimum order size of ten.
  2. Orders can be placed anytime throughout the month, similar to flu vaccine orders for children.
  3. All CVP accountability requirements apply to COVID-19 vaccines so ensure your temperature logs and inventory reports are up to date prior to placing your COVID-19 vaccine order.
  4. Depots of COVID-19 vaccine are no longer allowed. Every provider should place their own COVID-19 vaccine order for shipment directly to their clinic for only the number of doses your clinic can use.
  5. Keep waste to a minimum, order appropriately and submit your vaccine returns when appropriate. Do not discard vaccine.
  6. Ancillary kits will no longer be provided. Please ensure you have adequate supply of syringes, needles, and other ancillary supplies to administer COVID-19 vaccines.
  7. COVID-19 vaccines will no longer ship within 48 hours but will now align with routine vaccine shipping timeframes.

Stay tuned to this newsletter as more important details develop!


COVID-19 Vaccine Products for CVP

There will be six different COVID-19 products available to order through the Childhood Vaccine Program:

COVID vaccines available thru CVP

Please note that some presentations require ultra-cold storage capability, and some have specific age indications. Please order only what your clinic is able to store and administer according to these requirements. If you have an additional storage unit to add to your CVP provider agreement to store COVID-19 vaccines, please request your agreement be returned to you for edits.

More detailed product guides coming soon!


Bivalent mRNA COVID-19 Vaccines Are No Longer Authorized

As part of FDA’s actions, the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized for use in the United States. To minimize the risk of vaccine administration errors, providers should: 

  • Remove all bivalent mRNA COVID-19 vaccines from storage units immediately, even if they are not expired.
  • Dispose of all bivalent mRNA COVID-19 vaccine vials in accordance with local, state, and federal regulations. 
  • Report all disposed inventory as wastage.  

Remove Bivalent mRNA COVID-19 Vaccines from Your Inventory

The table below provides a listing of COVID-19 bivalent vaccines that should be removed from your inventory. For additional information, see IIS COVID-19 Vaccine Related Code | CDC

Bivalent COVID vaccines no longer in use

Training Series: COVID Vaccine Storage & Handling

Please make sure you join the very timely and important  training session on Thursday, September 21st. The topic will include all the information you need to know for COVID-19 vaccine storage and handling requirements. Please make time to join this training session and bring all your questions! 

Date: September 21, 2023

Time: 12:00 pm (noon)

Topic: Storage and Handling Requirements for COVID-19 Vaccine

Intended Audience: CVP and AVP Providers and Vaccine Coordinators

As always, this training session will be recorded and posted to our training webpage.


COVID-19 Vaccine Codes

Any COVID-19 vaccine obtained after commercialization, shall use the code/funding structure below: ​

  • Bridge Vaccine – Dose Eligibility V23 and Funding Source VXC50​
  • Pharmacy Program – Dose Eligibility V01 and Funding Source VXC50 or VXC52​
  • Patient eligibility and funding codes shall align with the state eligibility guide for all other COVID-19 vaccines.
  • Public Supplied VFC vaccine (state supplied VFC vaccine) – Dose Eligibility V02, V03, V04, and V05; Funding Source VXC51.​
  • Public Supplied Non-VFC vaccine (state supplied vaccines provided to CHIP and/or privately insured children) – Dose Eligibility V22 or V25; Funding Source VXC52.
  • Public Supplied AVP vaccine – Dose Eligibility V23; Funding Source VXC52.​
  • Private Purchase vaccine (vaccine purchased outside of these programs) – Dose Eligibility V01 and V24; Funding Source PHC70. 

We recommend vaccine clinic staff reach out to their EHR and IT support teams to be sure any system updates needed to support these changes are identified.​​


Clinical Corner

NEW COVID-19 Vaccine Recommendations

Hot of the press!  ACIP met yesterday afternoon to vote on recommendations for the 2023-24 COVID-19 vaccines. They voted in favor of recommending these new monovalent COVID-19 vaccines including the XBB.1.5 component.:

  • Everyone 5 years and older without immunocompromise is recommended to receive 1 dose of 2023-2024 COVID-19 vaccine regardless of prior vaccination history.
  • Children ages 6 months-4 years should complete a multi-dose initial series (2 doses of Moderna or 3 doses of Pfizer-BioNTech mRNA COVID-19 vaccine) with at least one dose of 2023-2024 COVID-19 vaccine.
  • People who are moderately or severely immunocompromised should complete a 3-dose initial series with at least one dose of the 2023-2024 COVId-19 vaccine and may receive 1 or more additional 2023-2024 COVID-19 vaccine doses.
  • Bivalent mRNA COVID-19 vaccines are no longer recommended (or authorized for use) in the United States.

Vaccines are being sent out through distribution and should be available soon. More detailed guidance will be available on the Interim Clinical Considerations For Use of COVID-19 in the US webpage in the next few days. You can find a copy of the materials presented at the ACIP meeting at the following link:

ACIP September 12, 2023 Presentation Slides | Immunization Practices | CDC


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.


Helpful Hints

COVID Integration Resources

If you're a newly enrolled provider in the Childhood Vaccine Program, here is a guide for clinics moving from the COVID-19 Program to the Childhood Vaccine Program that will give you all the information you need to have a smooth transition.

Stay tuned to the Vaccine Blurbs for more information as it develops.