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Immunization Healthcare


Vaccinate on time

Tool Kit

The Ninth Edition of the Immunization Tool Kit (ITK) is now available in print exclusively for health care personnel within the Department of Defense. The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. DoD health care personnel can:

A new injectable smallpox vaccine, JYNNEOS, received licensure
from the FDA in September 2019. Visit our JYNNEOS webpage for details.

Visit the 2020-2021 Seasonal Influenza Resource Center

A recent social-media rumor about anthrax vaccine and VA disability ratings is unfounded. Click here for important information regarding anthrax vaccine safety.

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) supports Department of Defense (DoD) immunization programs and provides clinical consultative services, educational support, and training resources for the entire DoD family. To learn more, visit our:

What's New

The following documents have been updated within the past 30 days:

Important Announcement

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) announces two new, recurring in-person 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. They replace the former Standards for Quality Immunization Practices Course (SQIPC) and the Immunization Program Leaders Course (IPLC), which will no longer be offered. These new courses are recommended for any health care personnel working with immunizations.

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.

Document What's changed Date Posted 
Standing Orders The Standing Orders for Immunizations 2020-2021 booklet has been updated with lists of recent changes made to the pediatric and adult standing orders. These lists of changes can also be found on our Standing Orders page under "2020 Updates." August 5, 2020
DHA-IHD Information Papers The information paper Cholera Disease and Cholera Vaccine has been updated with new storage and handling guidance. August 5 ,2020
Vaccine Storage and Handling

The following documents have been updated with information on the 2020-21 influenza vaccines:

August 4, 2020
Immunization Lifelong Learners Short Course (ILLSC)
Two ILLSCs scheduled for August 25-26, 2020 at Great Lakes, IL, have been postponed. An announcement will be made here if and when they are rescheduled.
July 31, 2020
IHD Online Training

The Human Papillomavirus (HPV) and HPV Vaccine, JKO Course Number DHA-US077, is currently being updated. If you need to complete HPV vaccine training, options include the CDC’s You Call the Shots series. DHA-IHD does not have preference of one reputable site over another. Upon completion of non-DoD training, be sure to print out your certificate of completion to ensure proper documentation with your unit or organization. You may not be able to retake these training modules if you previously completed them.

July 30, 2020
Cholera Resource Center

The following documents have been updated with new storage and handling guidance: 

July 29, 2020
2020-2021 Seasonal Influenza Resource Center

Adds the Influenza Vaccine Product List and Age Groups 2020-21, a list of available influenza vaccines for the 2020-21 flu season, along with age indications and other product specifications.

July 28, 2020
Vaccine Information Statements (VIS)

The VIS for hepatitis A vaccine has been updated. Providers are encouraged to begin using this VIS immediately, but stocks of the previous edition may be used until exhausted.

July 28, 2020
Standing Orders for Immunizations 2020-21
A comprehensive booklet of standing orders for vaccine delivery, and other immunization resources. This booklet can also be found under Immunization Resources below and on our Standing Orders page.
July 17, 2020
Immunization Lifelong Learners Short Course (ILLSC) An ILLSC scheduled for August 6, 2020 at Naval Support Activity Hampton Roads, Norfolk, VA, has been cancelled. An announcement will be made here if and when it is rescheduled. July 17, 2020
2020-2021 Seasonal Influenza Resource Center

The following documents have been added:

July 16, 2020
Standing Orders The standing orders for administering Hepatitis A vaccine to pediatric and adult patients have been updated to reflect new recommendations from the Advisory Committee on Immunization Practices (ACIP). July 16, 2020
2020-2021 Seasonal Influenza Resource Center Adds the manufacturer package inserts for the influenza vaccines licensed for the 2020-2021 flu season. July 14, 2020


A premier, responsive, patient centered organization promoting excellence in immunization health care practice and policy for service members and beneficiaries.


Support Force Health Protection and Readiness, and the Military Health System (MHS) by developing and promoting programs and services that enhance immunization effectiveness, safety, and acceptability. Provide evidence based solutions that improve immunization health care through policy implementation guidance, strategic communication, education, training, and clinical services worldwide.

Immunization Resources

Joint Regulation Immunization  Standing Orders booklet  Tool Kit

S&H Guide  Best Practices  Pink Book  Yellow Book

You also may be interested in...

DHA IPM 20-002: Southern Hemisphere Influenza Vaccination Program


This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), establishes the Defense Health Agency’s (DHA) procedures to implement instructions, assign responsibilities, and prescribe procedures for the Southern Hemisphere Influenza Vaccination Program. All Active Duty, Selected Reserve, and National Guard members receive an annual influenza vaccination. Personnel who are traveling to, conducting a permanent change of station to, or are located in the Southern Hemisphere will receive the Southern Hemisphere influenza vaccine or obtain an exemption (e.g., medical or administrative) in accordance with guidance in paragraph 6.a. of Attachment 2. Military personnel residing in the Southern Hemisphere who have received the Southern Hemisphere influenza vaccine in accordance with Appendix 1, meet the annual influenza immunization requirement.

DHA IPM 19-006: 2019–2020 Seasonal Influenza Vaccination Program (IVP)


This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (o), implementing instructions, assigns responsibilities, and prescribes procedures for the seasonal influenza vaccination program. • This DHA-IPM cancels and reissues DHA-IPM 18-005. • This DHA-IPM is effective immediately and will expire 12 months from the date of issue.

DODI 6205.02 DOD Immunization Program


Establishes policy, assigns responsibilities, and provides procedures to establish a uniform DoD immunization program, in accordance with the authority in DoDD 6200.04 and DoD Instruction (DoDI) 1010.10.

Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases

  • Identification #: Army Regulation 40–562 BUMEDINST 6230.15B AFI 48–110_IP CG COMDTINST M6230.4G
  • Date: 10/7/2013
  • Type: Instructions
  • Topics: Immunization Healthcare

Guidance on Medications for Prophylaxis of Malaria 13-002


This document provides guidance and best practices for the chemoprophylaxis (use of medication to prevent malaria) of Service members serving in malaria endemic regions.

Clinical Policy for the Administration of the Anthrax Vaccine Adsorbed


Department of Defense Guidance Regarding Thimerosal Containing Vaccines


This memo provides guidance regarding the use of vaccines containing Thimerosal.

DoD Directive 6205.03: DoD Immunization Program for Biological Warfare Defense


Establishes policy, assigns responsibilities, and prescribes procedures for members of the DoD against validated biological warfare threats, and prioritization of research, development, testing, acquisition, and stockpiling of biological defense vaccines under reference.

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