For Health Care Providers Serving Adults - Minnesota Dept. of Health

Checklist for Immunization Program Components

Resources to help your immunization program prepare for administering vaccines.

To use as a checklist download PDF version formatted for print: Checklist for Immunization Program Components (PDF)

On this page:
1. Legal Considerations
2. Storage and Handling
3. Screening and Assessing
4. Vaccine Administration
5. Documentation

Program Oversight

  • Qualified staff person assigned to compile and update policies and procedures on components below
  • Staff Training
  • Management of vaccine


  • In accordance with practice boards, signed by a licensed prescriber
  • Staff are appropriately credentialed to execute protocols

Separate Stock Sites: Policies and Procedures Manual
This Minnesota Vaccines for Children Program (MnVFC) manual provides the core policies necessary for a vaccination program.

Vaccine Protocols
Information and templates for developing condition-specific vaccine protocols that meet practice criteria described in MN statute.

Minnesota Vaccines for Children Program (MnVFC)
The MnVFC program ensures all children have affordable vaccines.

EZIZ Training
The California Department of Health’s EZIZ website provides free, interactive online immunization trainings for providers. Attention: Non-MDH link

Minnesota Board of Nursing
Minnesota Board of Nursing provides nurse practice oversight as defined in MN statute. Find resources here that can be used for conducting immunization activities. Attention: Non-MDH link

Minnesota Board of Pharmacy
Minnesota Board of Pharmacy provides pharmacist practice oversight as defined in MN statute. Find resources here regarding immunization and pharmacist practice. Attention: Non-MDH link

Minnesota Board of Medical Practice
Minnesota Board of Medical Practice provides medical and allied health professionals with practice oversight as defined in MN statute. Attention: Non-MDH link

2. Storage and Handling

Vaccine Management Plan

  • Ordering vaccine
  • Receiving vaccine
  • Rotating stock and documenting inventory

Vaccine Storage

    • Correct equipment
      • Storage units
      • Calibrated temperature monitoring device
    • Monitoring temperatures twice daily
    Planning for Vaccine Emergencies

Vaccine Storage and Handling Toolkit
CDC's guide provides the most current standards and requirements for vaccine management. Attention: Non-MDH link

Order Printed Immunization Materials
To order free pads of temperature monitoring logs, use the Immunization Materials For Professionals order form.

Clinic Resources: Storage & Handling
Ensure you're doing everything you should to safeguard your vaccine supply with the Checklist for Safe Storage and Handling found at this link. Attention: Non-MDH link

2015 Oregon VFC Refrigerator & Freezer Guide (PDF)
Guidance on buying refrigerator and freezer units that meet CDC standards for storing vaccines. Attention: Non-MDH link

MnVFC Guide to Temperature Monitoring Devices (PDF)
Information on temperature monitoring devices for vaccine storage that meet current federal standards.

Worksheet for Developing an Emergency Plan for Managing Vaccine (PDF)
Checklist and worksheet to help your practice prepare for an emergency.

3. Screening and Assessing

Determining Immunization Needs

  • Obtaining immunization history
  • Using MIIC for assessment
  • Routine, catch-up, and risk-based assessment
  • Plan future needs/follow-up appointments

Screening for Contraindications and Precautions

Providing Risk/Benefit Education

  • Required: Vaccine Information Statements (VIS)

Screening for MnVFC Eligibility

Got Your Shots? A Providers Guide - Screening and Assessing
Information on critical steps to take before you immunize.

Immunization Schedules for Health Care Providers
Provider charts showing when you should give immunizations.

Interpreting a MIIC Vaccination Record (PDF)
User guidance to help providers interpret a patient’s Minnesota Immunization Information Connection (MIIC) vaccination record. MIIC is one of several information sources providers can use to assess the vaccination history of a patient and identify vaccine needs.

Guide to Contraindications and Precautions to Commonly Used Vaccines
Guide designed to help immunization providers determine what common symptoms and conditions should contraindicate vaccination and which should not.

It's Federal Law! You must give your patients current Vaccine Information Statements (VISs) (PDF)
It is federal law to document information from the VIS that was given to the patient. The VIS contains important information for the patient regarding follow-up care. Follow the link in the factsheet to find current VISs in several languages. Attention: Non-MDH link

Vaccine Information Statements
Giving patients the Vaccine Information Statement (VIS) prior to vaccination is required by federal law. The VIS provides risk-benefit education about specific vaccines. Current VIS hand-outs in several languages are provided. Attention: Non-MDH link

4. Vaccine Administration

Preparing Vaccine

  • Proper reconstitution technique, diluent, handling
  • Needle size and safety, route

Patient Safety

  • Patient positioning/proper holds
  • Observation after vaccination
  • Place to sit/lay down if needed

Post-Vaccination Care/Observation

  • Anaphylaxis protocol signed by licensed prescriber
  • Equipment for managing a reaction or emergency
  • Post-vaccination instructions

Got Your Shots? A Providers Guide - Vaccine Administration
Guidelines for administering vaccine and managing vaccine reactions.

Clinic Resources: Administering Vaccines
Resources for administering vaccines. Attention: Non-MDH link

Vaccine Product Summary (PDF)
Summary of licensed vaccines and their uses.

Immunization Site Map for Infants and Toddlers (PDF)
Immunization Site Map for Teens and Adults (PDF)
Suggested anatomic sites for immunizations. Attention: Non-MDH links

Medical Management of Vaccine Reactions in Children and Teens (PDF)
Medical Management of Vaccine Reactions in Adult Patients (PDF)
The Immunization Action Coalition outlines procedures for managing vaccine reactions with factsheets for adults and children. Please note that these resources are not a substitute for a condition-specific protocol as required in MN statute. Attention: Non-MDH links

5. Documentation

  • Federally required components
  • Clinic-specific requirements
  • MIIC
  • Vaccine Adverse Event Reporting System (VAERS)

Got Your Shots? A Providers Guide - Documenting Shots
Tips and tools to make documenting shots easy and accurate.

Submitting and Exchanging Data with MIIC
Resources for the electronic documentation of vaccinations in the Minnesota Immunization Information Connection (MIIC).

VAERS: Vaccine Adverse Event Reporting System
Federal law requires that any adverse event following vaccination be reported to the Vaccine Adverse Event Reporting System (VAERS). VAERS is a national vaccine safety surveillance program. Attention: Non-MDH link

Updated Monday, April 18, 2016 at 01:48PM