Wisconsin Department of Health Services Digital Updates

COVID-19 Vaccine Program: Weekly Updates

Wisconsin Department of Health Services sent this bulletin at 12/16/2022 08:00 AM CST

Wisconsin COVID-19 Vaccine Program

This email is being sent to local health officers, tribal health directors, COVID-19 vaccinators, COVID-19 vaccine stakeholders, HERC coordinators, and key DHS staff. 

DHS Supports FDA Authorization, CDC Recommendation for Bivalent COVID-19 Vaccine for Children Under 5 Years of Age

The Wisconsin Department of Health Services (DHS) supports the Centers for Disease Control and Prevention’s (CDC) recommendation that children 6 months through 4 years of age are now eligible to receive the bivalent Pfizer COVID-19 vaccine as the third dose as part of their Pfizer primary series and that children 6 months through 5 years of age are now eligible to receive the bivalent Moderna COVID-19 vaccine as a booster dose after completion of their two-dose Moderna primary series.

On December 8, 2022, the Food and Drug Administration (FDA) authorized the emergency use of the bivalent Pfizer COVID-19 vaccine for children 6 months through 4 years of age and the emergency use of the bivalent Moderna COVID-19 vaccine for children 6 months through 5 years of age.

Read the full bulletin sent on Tuesday, December 13 here.

Holiday Vaccine Ordering and Delivery Cadence

Pfizer

No COVID-19 vaccine will be delivered from Friday, December 23 through Monday, December 26. Normal deliveries will be carried out Tuesday, December 27 through Thursday, December 29.

Additionally, no COVID-19 vaccine deliveries will occur Friday, December 30 through Monday, January 2. Deliveries will resume Tuesday, January 3. Please submit your orders early in anticipation of the limited work hours during the holidays. The last day of the year for direct ship order placement will be December 21. The first direct ship order placement of 2023 will take place January 4.

Moderna/Novavax

No COVID-19 vaccine will be delivered from Thursday, December 22 through Monday, December 26. Normal deliveries will be carried out Tuesday, December 27 through Thursday, December 29.

Additionally, no COVID-19 vaccine deliveries will occur Friday, December 30 through Tuesday, January 3. Deliveries will resume Wednesday, January 4. Please submit your orders early in anticipation of the limited work hours during the holidays.

Change in Hub Ordering Cadence Effective January 3, 2023

Effective January 3, 2023, the hub ordering cadence will change. Here are the details:

Hub orders will be pulled weekly at noon on Tuesdays – this is the same as direct ship orders.
The COVID-19 Vaccine Ordering Survey will continue to be open daily.
Orders submitted after noon on Tuesday will be held until the next week.
- Regional managers will set up delivery for the following week, or
- You may pick up vaccine directly from the hub.
No redelivery will be arranged if a contact is not available to receive delivery.
Routes may deliver on particular days of the week, i.e., remote/rural routes may deliver alternate Tuesdays.
DHS is asking providers to order monthly to allow continuation of service to all providers in the state.
The Wisconsin COVID-19 Vaccine Exchange is still available for provider-to-provider transfer in between hub deliveries.  Please arrange to transport between providers.

If you need to change an order, please email: dhscovidvaccinator@dhs.wisconsin.gov. Please do not email the WIR help desk or VFC@WI.gov.

CDC COCA Call: COVID-19 Update: Clinical Guidance and Patient Education for Bivalent COVID-19 Vaccines

COVID-19 vaccination provides protection against serious illness and outcomes associated with COVID-19, including emergency department or urgent care visits, hospitalizations, and death. Bivalent COVID-19 vaccines, containing original and Omicron BA.4/5 spike protein components, help restore protection that has waned since previous vaccination. During this COCA Call, presenters discuss updates on bivalent vaccines including the most recent vaccine effectiveness data, the Centers for Disease Control and Prevention’s clinical guidance for bivalent vaccines, and strategies for communicating with patients about COVID-19 vaccination.

The recording for this COCA Call is available for viewing on the COCA Call webpage.

Free Continuing Education (CE) is offered for this COCA Call.

COVID-19 Vaccine Shelf-Life Extensions

Pfizer

Pfizer has received shelf-life extensions of all TRIS products (all mRNA COVID-19 vaccines, including both monovalent and bivalent vaccines). The expiration date is now 18 months from the date of manufacture (stored ULT frozen). 

Please use the Pfizer-BioNTech COVID-19 Vaccine Expiry tool to check expiration dates. 

Moderna

Moderna has received shelf-life extensions of all wave 1 and wave 2 monovalent COVID-19 vaccines (complete list below). Moderna has verified the new expiration dates below and updated the Moderna Vial Expiration Checker. Given these extensions of Moderna expiry dates, please update these specific lots in WIR and mark the labels accordingly.

Count	Lot Number	Old Expiration Date	New Expiration Date
1	054A22A	11/1/2022	2/1/2023
2	055A22A	11/2/2022	2/2/2023
3	057A22A	11/6/2022	2/6/2023
4	056A22A	11/7/2022	2/7/2023
5	059A22A	11/9/2022	2/9/2023
6	058A22-2A	11/10/2022	2/10/2023
7	060A22A	11/10/2022	2/10/2023
8	014B22A	11/11/2022	2/11/2023
9	015B22A	11/12/2022	2/12/2023
10	016B22A	11/13/2022	2/13/2023
11	017B22A	11/14/2022	2/14/2023
12	011B22A	11/18/2022	2/18/2023
13	AR4504B	11/13/2022	2/13/2023
14	AR5186C	11/17/2022	2/17/2023
15	013B22A	11/22/2022	2/22/2023
16	052B22A	11/23/2022	2/23/2023
17	064A22A	11/24/2022	2/24/2023
18	AR6965B	11/25/2022	2/25/2023
19	AR7204B	11/25/2022	2/25/2023
20	AR7205B	11/25/2022	2/25/2023
21	060B22A	11/26/2022	2/26/2023
22	AR7479B	11/26/2022	2/26/2023
23	061B22A	11/27/2022	2/27/2023
24	083B22A	11/28/2022	2/28/2023
25	068A22A	11/28/2022	2/28/2023
26	063B22A	12/2/2022	3/2/2023
27	059B22A	12/3/2022	3/3/2023
28	063B22-2A	12/4/2022	3/4/2023
29	074B22A	12/11/2022	3/11/2023
30	071B22A	12/12/2022	3/12/2023
31	072B22A	12/13/2022	3/13/2023
32	047C22A	12/24/2022	3/24/2023
33	019B22A	12/28/2022	3/28/2023
34	042C22A	12/30/2022	3/30/2023
35	015C22A	12/30/2022	3/30/2023
36	AR8365B	12/30/2022	3/30/2023
37	016C22A	12/31/2022	3/31/2023
38	044C22A	1/1/2023	4/1/2023
39	017C22A	1/1/2023	4/1/2023
40	019C22A	1/3/2023	4/3/2023
41	018C22A	1/9/2023	4/9/2023

Reporting COVID-19 Vaccine Wastage Reminder

Report COVID-19 vaccine wastage with the COVID-19 wasted vaccine record form if the vaccine doses expired per the actual expiration date.  

Vaccinators can check posted manufacturer information for the most up to date expiration/extension information for Pfizer, Moderna, Novavax, and Johnson & Johnson. Manage your vaccine inventory and update the expiration dates accordingly in WIR.  
If the doses are expired per the expiration date, the COVID-19 wasted vaccine record form must be filled out and emailed to DHSCovidVaccinator@dhs.wisconsin.gov with EXPIRED in the subject line. These expired doses should not be reported in WIR.

Report COVID-19 vaccine wastage in WIR if doses have gone past the beyond use date (BUD), are unable to be drawn from a vial, are spoiled due to temperature excursions, or are not able to be used for any other reason.     

DHS continues to strongly recommend that vaccinators pursue a “no wasted opportunity” goal as part of their vaccination efforts rather than “no wasted doses”. Vaccinators should leverage every opportunity to vaccinate individuals against COVID-19, even if it means opening a vial to administer only a couple doses.  

Thank you for your attention to the processes surrounding COVID-19 vaccine wastage. Please email DHSCovidVaccinator@dhs.wisconsin.gov with any questions or concerns.  

COVID-19 Vaccine Program: Weekly Updates

Please note that there will be no COVID-19 Vaccine Program Weekly Update email bulletins for the next two weeks due to the holidays. This weekly communication will resume on Friday, January 6. If any breaking or important developments regarding vaccines occurs during the next two weeks, DHS will send an email bulletin.

New and Updated Resources

Updated Communication and Education Resources from DHS

COVID-19 Communication Card: This card will help us communicate

DHS December 13 Vaccinator Webinar: Recording and Links Shared

Recording: https://vimeo.com/showcase/8511959

Covering Wisconsin presentation

“What we do” map: www.coveringwi.org/what-we-do
Local Aging and Disability Resource Center: https://www.dhs.wisconsin.gov/adrc/consumer/index.htm
Medigap Helpline: 1-800-242-1060
Medicare How-to Sheet in English: https://drive.google.com/file/d/10l_eOeH0G2egAVcdBjVGyoyASbljbgnx/view
Medicaid members should keep their address, phone, and email address updated with the State, by logging in at www.ACCESS.wi.gov or calling their local agency https://www.dhs.wisconsin.gov/forwardhealth/imagency/index.htm
How to Find an Enrollment Assister: www.CoveringWI.org/enroll or Spanish www.CoveringWI.org/enrollspanish
Chat online at www.CoveringWI.org or Spanish www.CoveringWI.org/enrollspanish
“Unwinding” Partner Toolkit: https://www.dhs.wisconsin.gov/covid-19/unwindingtoolkit.htm
Outreach & Promotions Toolkit: www.CoveringWi.org/Toolkit
Digital Media Toolkit: www.WisCovered.com/media-toolkit
Covering Wisconsin @coveringwi on Facebook and Twitter
Wisconsin Office of the Commissioner of Insurance @Wisconsin.Comm.Insurance on Facebook and @wisconsinoci on Twitter
Wisconsin Department of Health Services @DHSWI on Facebook, Twitter, or dhs.wi on Instagram
HealthCare.gov @Healthcare.gov on Facebook and @HealthCareGov on Twitter
CuidadoDeSalud.gov @Cuidadodesaludgov on Facebook and @CuidadoDeSalud on Twitter

Remainder of webinar

State COVID-19 Resource Matching Survey: https://redcap.wisconsin.gov/surveys/?s=YRYFXRLAME
Community-based Vaccination Clinics: https://www.dhs.wisconsin.gov/covid-19/vaccine-registry.htm
30-minute refresher training video: https://vimeo.com/766636862
PDF copy of refresher training slide deck: https://www.dhs.wisconsin.gov/covid-19/covid-19-vaccinator-training-and-enrollment-refresher-2022-11.pdf
Full list of training requirements: https://www.dhs.wisconsin.gov/publications/p03269.pdf
State Supply Request Survey: https://redcap.wisconsin.gov/surveys/index.php?s=9FJ4CXHJHH34FD8J
Email with supply survey questions: DHSCOVIDREQUESTSSURVEY@DHS.WISCONSIN.GOV
CDC Interim Clinical Considerations: https://www.cdc.gov/vaccines/covid-19/clinical-considerations/interim-considerations-us.html
Special Situations for COVID-19 Vaccination of Children and Adolescents Age Transitions and Interchangeability https://www.cdc.gov/vaccines/covid-19/downloads/child-age-transition-508.pdf
EUA Moderna 6mo – 5Y Bivalent Booster: https://eua.modernatx.com/covid19vaccine-eua/6m-5y-facts-recipient.pdf
Fact sheet for recipients and caregivers Pfizer 6mo-4Y Bivalent Vaccine: https://www.fda.gov/media/159313/download
Moderna lot extensions: https://modernacovid19global.com/vial-lookup?#vialLookUpTool
Wisconsin COVID-19 Vaccine Exchange: https://app.smartsheet.com/b/publish?EQBCT=102895be169146c4b69c1a9115346878
Expiration dates look up tools: Pfizer-BioNTech: https://lotexpiry.cvdvaccine.com/
Moderna: https://modernacovid19global.com/vial-lookup; Novavax https://us.novavaxcovidvaccine.com/hcp; Johnson & Johnson https://vaxcheck.jnj/
Vaccine order changes: email DHSCovidVaccinator@wi.gov
U.S. Department of Health and Human Services (DHHS) Holidays toolkit for updated COVID vaccines: https://wecandothis.hhs.gov/resource/updated-covid-vaccines-a-holiday-toolkit
DHHS Going home for the holiday’s videos: https://wecandothis.hhs.gov/resource/going-home-for-the-holidays-15
DHHS toolkit for older adults: https://wecandothis.hhs.gov/resource/older-adults-toolkit
DHS also has a holiday-related post with more coming soon: https://www.facebook.com/photo.php?fbid=530419255795698&set=pb.100064828832938.-2207520000.&type=3
Pfizer Vaccine Formulation/Presentation Guide

In Case You Missed It  

Wisconsin COVID-19 Vaccine Program Webinar Schedule 

Wisconsin COVID-19 Vaccine Program webinars are held on the second Tuesday of every month from 11 a.m. – 12 p.m. The next webinar will be held on January 10.

Apply for Surplus State Supplies

DHS is providing an opportunity for organizations, local and tribal health departments, nonprofits, government agencies, and stakeholders to fill out a survey to request free supplies. Items available can range from PPE items to office materials. This distribution will not impact our inventory as we continue to respond to the COVID-19 pandemic and DHS is aiming to distribute excess materials to partners who may have more urgent needs.  

The survey is available online. We kindly request one representative from each organization or site complete this survey, as multiple submissions will not be considered.  

DHS will review requests for supplies on a weekly basis. A member from the DHS COVID-19 Vaccination Program will contact you as soon as your request has been reviewed and approved to coordinate supply distribution. We cannot guarantee the supplies or quantity of items requested will be approved. 

If you have any questions, please email  dhscovidrequestssurvey@dhs.wisconsin.gov.

Vaccinator Training and Enrollment Refresher Requirement

Vaccinators should be aware that all COVID-19 vaccination sites that registered with DHS prior to January 1, 2022, must complete a training and enrollment refresher.    

The primary and backup coordinators listed on each location’s enrollment paperwork should have received an email with more information about the refresher. The email also includes a customized link to complete the attestation survey.    

Note that vaccination support staff who have recently completed the full list of COVID-19 training requirements within the last six months do not need to complete the refresher. Once all required staff have completed the training refresher, only one attestation survey must be submitted on behalf of the location. For more information, or to report concerns regarding the training and enrollment refresher program or the above referenced email, please contact DHSCOVIDVaccinator@wi.gov.

Pfizer COVID-19 Vaccine Medical Updates and Immunization Site Training Sessions

Pfizer Vaccines US Medical Affairs continues to lead Medical Updates and Immunization Site Training Sessions for all healthcare providers on the proper use of the Pfizer BioNTech COVID-19 vaccine.                      

New training on the Pfizer COVID-19 bivalent vaccine as a booster dose
Use of each vaccine presentation, including storage, handling, preparation, and administration
Question and answer session

To access dates and links for upcoming training sessions, please visit:                      

https://www.pfizermedicalinformation.com/en-us/medical-updates     

Moderna Office Hours

Moderna holds frequent office hours for questions about the recently authorized and recommended Moderna bivalent vaccine. Register for a session here: https://app.livestorm.co/moderna-na-medical/moderna-office-hours-omicron-bivalent-booster

Please do not reply directly to this email message. If you have a question, please email DHSCOVIDVaccinator@wi.gov.

Stay Connected with the Wisconsin Department of Health Services

Unsubscribe | Help

COVID-19 Vaccine Program: Weekly Updates

Wisconsin COVID-19 Vaccine Program

This email is being sent to local health officers, tribal health directors, COVID-19 vaccinators, COVID-19 vaccine stakeholders, HERC coordinators, and key DHS staff.

DHS Supports FDA Authorization, CDC Recommendation for Bivalent COVID-19 Vaccine for Children Under 5 Years of Age

Holiday Vaccine Ordering and Delivery Cadence

Pfizer

Moderna/Novavax

Change in Hub Ordering Cadence Effective January 3, 2023

CDC COCA Call: COVID-19 Update: Clinical Guidance and Patient Education for Bivalent COVID-19 Vaccines

COVID-19 Vaccine Shelf-Life Extensions

Pfizer

Moderna

Count

Lot Number

Old Expiration Date

New Expiration Date

1

054A22A

11/1/2022

2/1/2023

2

055A22A

11/2/2022

2/2/2023

3

057A22A

11/6/2022

2/6/2023

4

056A22A

11/7/2022

2/7/2023

5

059A22A

11/9/2022

2/9/2023

6

058A22-2A

11/10/2022

2/10/2023

7

060A22A

11/10/2022

2/10/2023

8

014B22A

11/11/2022

2/11/2023

9

015B22A

11/12/2022

2/12/2023

10

016B22A

11/13/2022

2/13/2023

11

017B22A

11/14/2022

2/14/2023

12

011B22A

11/18/2022

2/18/2023

13

AR4504B

11/13/2022

2/13/2023

14

AR5186C

11/17/2022

2/17/2023

15

013B22A

11/22/2022

2/22/2023

16

052B22A

11/23/2022

2/23/2023

This email is being sent to local health officers, tribal health directors, COVID-19 vaccinators, COVID-19 vaccine stakeholders, HERC coordinators, and key DHS staff. 