Immunization Healthcare

The following document has been added under Medical Logistics:

DHA-PI 6205.01: Medical Logistics Guidance for the DoD Coronavirus Disease 2019 (COVID-19) Vaccination Program

The following documents have been updated with expanded age indications for cholera vaccine:

• Cholera Vaccine Competency Assessment
• Screening Checklist for Cholera Vaccine

The following pages in the ITK have been updated to reflect the expanded age indication for VAXCHORA cholera vaccine:

• Pages 2-12 to 2-13: Cholera Vaccine

The following document has been added under Competency Assessment Checklists:

• Competency Assessment Checklist: Uniformed Support of COVID-19 Vaccinations

The following document has been added under Vaccine Administration:

• Product Information Guide for COVID-19 Vaccines and Associated Products

The CDC's Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States has been updated with information on the following:

• New recommendations for preventing, reporting, and managing vaccine administration errors.
• Clarification on contraindications and precautions.
• Updated information on delayed, local injection-site reactions after the first vaccine dose.
• Updated quarantine recommendations for vaccinated persons.
• Additional information and updated recommendations for testing for TB infection.

The following document has been updated:

• DHA Form 207, COVID-19 Vaccine Screening and Immunization Documentation, Version 8

Previous versions of this form are no longer valid and should not be used.

The CDC has updated its 2021 routine immunization schedules for children, preteens and teens, and adults. The schedules can be viewed here.

The following documents have been added to summarize the CDC's 2021 routine immunization schedule recommendations and the updates made from 2020:

• Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2021
• Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2021

The following content has been added under Advisory Committee on Immunization Practices (ACIP) Recommendations:

• Allergic Reactions Including Anaphylaxis After Receipt of the First Dose of Pfizer-BioNTech COVID-19 Vaccine
• Allergic Reactions Including Anaphylaxis After Receipt of the First Dose of Moderna COVID-19 Vaccine

The following document has been updated to add a link to a storage and handling video:

• Pfizer -80 Vaccine Storage and Handling Competency Assessment

The CDC's Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States has updated its recommendations on the following:

• Intervals between the first and second dose
• Interchangeability of vaccine products
• Vaccination of persons with a history of SARS-CoV-2 infection
• Vaccination of persons with a history of dermal fillers
• Additional resources on vaccine excipients

The following document has been updated:

• DHA Form 207, COVID-19 Vaccine Screening and Immunization Documentation, Version 7

The following pages in the ITK have been updated to reflect the discontinuation of the Zostavax shingles vaccine:

• Pages 4-11 to 4-13: Vaccine Storage and Handling Requirements

The following document has been updated:

• DHA Form 207, COVID-19 Vaccine Screening and Immunization Documentation, Version 6

The following documents have been updated:

• DHA Form 207, COVID-19 Vaccine Screening and Immunization Documentation
• DHA-IPM 20-004: Department of Defense (DoD) Coronavirus Disease 2019 (COVID-19) Vaccination Program Implementation

The following documents have been updated to clarify the number of doses of vaccine per vial after dilution and the instructions for reporting vaccine adverse events:

• Pfizer-BioNTech COVID-19 Vaccine EUA Fact Sheet for Recipients and Caregivers
• Pfizer-BioNTech COVID-19 Vaccine EUA Fact Sheet for Health Care Personnel

Information on COVID-19 vaccine has been added in the following categories:

• Vaccine Storage and Handling Resources
• Advisory Committee on Immunization Practices (ACIP) Recommendations

The following documents have been updated to add information on COVID-19 vaccines:

• Vaccines with Diluents: How to use them
• Vaccine Bin Label Examples

Information on the Moderna COVID-19 vaccine has been added in the following categories:

• Standing Orders
• Advisory Committee on Immunization Practices (ACIP) Recommendations

Information on the Moderna COVID-19 vaccine has been added in the following categories:

• Emergency Use Authorization (including Fact Sheets)
• Vaccine Administration
• Vaccine Storage and Handling Resources

MMQC-20-1258: Pneumovax 23

COVID-19 vaccine content has been added in the following categories:

• Forms
• Standing Orders
• Emergency Use Authorization (including Fact Sheets)
• Vaccine Administration
• Vaccine Storage and Handling Resources
• Vaccine Ancillary Supply Kit information
• Vaccine Safety
• Advisory Committee on Immunization Practices (ACIP) Recommendations
• Patient Education Resources

The following content from the CDC has been added under "Vaccine Safety":

• v-safe After Vaccination Health Checker Information Sheet
• v-safe After Vaccination Health Checker Poster

IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following policy documents have been posted:

• Executive Order on Ensuring Access to United States Government COVID-19 Vaccines
• Coronavirus Disease 2019 Vaccine Guidance (Deputy Secretary of Defense memorandum)

The DHA Education and Training Directorate (J7) is offering Continuing Education/Continuing Medical Education to those who complete the CDC's COVID-19 Vaccine Training. Registration is required. 

The CDC Vaccine Storage and Handling Toolkit has been updated to include information on best practices for storing and handling COVID-19 vaccines.

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) offers two recurring in-person and virtual training opportunities: the two-day Immunization Lifelong Learners Course (ILLC) and the one-day Immunization Lifelong Learners Short Course (ILLSC). Individual courses will be announced here when they are opened for registration. These courses are designed to ensure health care personnel are trained in vaccine policy, vaccine safety, and effectiveness based on national and DoD guidelines.

Continuing education will be available for these activities. See our Immunization Lifelong Learners Course or Short Course pages for more details and for listings of each course.