Vaccine Storage Guide
Outdated or improperly stored vaccines won't protect patients!
Updated 5/12
Vaccine Storage Guide: Two-page illustrated guide to vaccine storage temperatures and where and how to store vaccine in a refrigerator-only unit, freezer-only unit, and combination refrigerator/freezer unit. Includes tips for proper storage and management of vaccines.
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Follow these guidelines for proper vaccine management:
- Designate one fully trained staff member to be the primary vaccine coordinator and at least one person to be backup. Ensure ongoing training.
Manage vaccine inventory
- Review your vaccine inventory on a monthly basis and with each vaccine order to avoid over-ordering.
- Check vaccine expiration dates.
- Rotate your vaccine supply by placing vaccines with the earliest expiration dates in front of other vaccines and always use them first.
- Identify vaccine that will expire and determine if it should be transferred.
- Call the MnVFC program (651-201-5522 or 800-657-3970) if you have any MnVFC vaccine that will expire within 3 months that you cannot use.
- If you have stock of both private and MnVFC vaccine, mark them clearly.
Store vaccine correctly
- Place a thermometer in the center of the refrigerator or freezer near the vaccines.
- Use open trays, wire baskets, or other uncovered containers to help organize vaccines.
- Clearly label each container with the vaccine type. Avoid storing look-alike, sound-alike vaccine next to each other (e.g., Td and DT, HepA and HepB).
- Keep vaccines in their original packaging.
- Store vaccines on the middle shelves and 2 to 3 inches from the walls of the refrigerator/freezer, not in the door or bins.
- Keep water bottles, jugs, or cold packs in the refrigerator and frozen packs or other ice-filled containers in the freezer. Mark water bottles “DO NOT DRINK.”
- Make sure you have enough space to store vaccine for the back-to- school rush and flu season.
Monitor temperatures
- Use thermometers that come with a certificate stating they have been calibrated according to national standards. Without this certificate thermometers are not acceptable, because their accuracy cannot be guaranteed.
- Check and record refrigerator and freezer temperatures twice a day, first thing in the morning and last thing at the close of business.
- Record temperature readings on a temperature log and post it in a visible location on or near the refrigerator or freezer.
- Be sure to keep temperature logs for 3 years.
- Make sure the door is shut.
- Take immediate action on all out-of-range temperatures!
Take action on out-of-range temperatures
- Determine the cause.
- Adjust the thermostat, if necessary.
- Monitor the temperature. If the temperature doesn’t stabilize in the correct range within two hours:
- Contact the vaccine coordinator.
- Stop using the vaccine.
- Mark the vaccine “DO NOT USE."
- Move the vaccine to a refrigerator/freezer that’s maintaining the correct temperature.
- Call for guidance right away. For MnVFC vaccine call 651-201-5522 or 800-657-3970. For private purchase vaccine, check your purchase agreement for guidance.
- Document your actions.

