COVID-19 Vaccine Providers

Planning and guidance for providing COVID-19 vaccine.

On this page:
Supplemental guidance documents
Forms and templates
Vaccine fact sheets
Additional resources

• Pediatric COVID-19 Vaccination
  Adolescent vaccine administration tips, including ideas for reaching the most disadvantaged.
• Preparing to Vaccinate Young Children: COVID-19
  Tips to prepare for vaccinating children 5-11 years, particularly for sites that do not routinely provide vaccination services to younger populations.
• COVID-19 Vaccine Equity in Minnesota
  Equity metrics that support the goal of reaching communities hit hardest by COVID-19.
• COVID-19 Primary Series and Booster Vaccination Guidance
  Provider guidance about the importance of completion of recommended doses, booster doses and vaccination reminders.
• COVID-19 Vaccine Provider Updates
  Weekly COVID-19 vaccine provider bulletins.
• MIIC User Guidance and Training Resources
  How-to guides and training videos for the Minnesota Immunization Information Connection (MIIC).

Supplemental guidance documents

• Vaccination at Satellite, Temporary, or Off-site Locations (PDF)
  Previously posted as provider guide appendix D.
  Updated 12/22/21
• Checklist for Vaccination at Satellite, Temporary, or Off-site Locations (PDF)
  Checklist to use for planning and running a mobile vaccination site.
  3/15/22
• Transporting COVID-19 Vaccines (PDF)
  Guidelines and considerations for transporting, storing, and handling COVID-19 vaccines.
  Updated 10/28/22
• Preparing COVID-19 Vaccines for Administration (PDF)
  Considerations for preparing, withdrawing, and labeling COVID-19 vaccines.
  Updated 10/28/22
• COVID-19 Vaccine: Redistribution and Off-site Vaccination Guide (PDF)
  Many vaccine providers will need to redistribute COVID-19 vaccine after they receive it from the manufacturer/federal government. MDH has specific requirements for anyone redistributing COVID vaccine. Includes optional Vaccine Transfer Record form for your own documentation.
  Updated 1/30/23
• COVID-19 Vaccine Temperature Monitoring Devices (PDF)
  Recommended types and features of continuous temperature monitoring devices for storing COVID-19 vaccine.
  2/18/21
• COVID-19 Mass Vaccination Site Planning Guide (PDF)
  This guide can be used when planning large vaccination sites, especially when several organizations are involved.
  4/1/21
• Best Practices for Labeling Vaccine (PDF)
  Guidance on labeling individual syringes for mass vaccination.
  4/1/21
• MIIC Data Quality and Provider Outreach (PDF)
  Previously posted as provider guide appendix E.
  Updated 12/22/21
• Reporting Nonviable COVID-19 Vaccine to MIIC (PDF)
  Updated 10/29/21
  This guide describes how to use the Minnesota Immunization Information Connection (MIIC) to report nonviable (i.e., expired or spoiled) or lost COVID-19 vaccine. We strongly prefer you submit this information via MIIC. If your organization is not able to use the preferred method of reporting, you may use the Minnesota Department of Health COVID-19 Nonviable Vaccine Form (PDF) (Updated 4/22/21).

Forms and templates

• Vaccine Temperature Monitoring and Documentation Form (PDF)
  Temperature monitoring form to keep for your records.
  9/1/21
• Template: COVID-19 Screening and Agreement (Word)
  Screening and agreement template for clinics/sites to use before giving COVID-19 vaccine. May not be appropriate for all providers.
  Updated 03/21/23
  Translated templates: COVID-19 Screening and Agreement

  • Template: COVID-19 Screening Agreement in Amharic (PDF)
  • Template: COVID-19 Screening Agreement in Arabic (Word)
  • Template: COVID-19 Screening Agreement in Chinese (Word)
  • Template: COVID-19 Screening Agreement in French (Word)
  • Template: COVID-19 Screening Agreement in Hmong (Word)
  • Template: COVID-19 Screening Agreement in Karen (PDF)
  • Template: COVID-19 Screening Agreement in Lao (Word)
  • Template: COVID-19 Screening Agreement in Oromo (Word)
  • Template: COVID-19 Screening Agreement in Russian (Word)
  • Template: COVID-19 Screening Agreement in Somali (Word)
  • Template: COVID-19 Screening Agreement in Spanish (Word)
  • Template: COVID-19 Screening Agreement in Vietnamese (Word)

Vaccine protocol templates:

• COVID-19 Pfizer-BioNTech Primary Series and Booster Vaccine for 6 months to 4 Years (Maroon Cap) (Word) Updated 3/20/23
• COVID-19 Pfizer-BioNTech Vaccine for 5 through 11 Years (Orange Cap) (Word) Updated 12/12/22
• COVID-19 Pfizer-BioNTech Vaccine Primary Series for 12 Years and Older DO NOT DILUTE (Gray Cap) (Word) Updated 9/6/22
• COVID-19 Pfizer-BioNTech Vaccine, Bivalent (Original and Omicron BA.4/BA.5) for 12 Years and Older DO NOT DILUTE (Gray Cap) (Word) Updated 9/6/22
• COVID-19 Pfizer-BioNTech Vaccine, Bivalent (Original and Omicron BA.4/BA.5) for 5 through 11 Years (Orange Cap) (Word) 10/13/22
• COVID-19 Moderna mRNA1273 Vaccine for 6 Months through 5 Years (Dark Blue Cap with Magenta Border) (Word) Updated 6/21/22
• COVID-19 Moderna mRNA1273 Vaccine for 6 through 11 Years (Dark Blue Cap with Purple Border) (Word) Updated 10/13/22
• COVID-19 Moderna mRNA1273 Vaccine Primary Series for 12 Years and Older (Word) Updated 9/6/22
• COVID-19 Moderna mRNA1273 Bivalent Booster (Original and Omicron) Vaccine (dark pink cap with yellow border on label) (Word) Updated 12/12/22
• COVID-19 Moderna Vaccine, Bivalent (Original and Omicron BA.4/BA.5) for Age 6 Years and Older (Word) Updated 10/13/22
• COVID-19 Novavax Vaccine, Adjuvanted for 12 Years and Older (Word) Updated 10/20/22
• COVID-19 Janssen Ad26.COV2.S Vaccine for 18 Years and Older (Word) Updated 5/12/22

Vaccine fact sheets

Vaccine recipients or their caregivers must receive information consistent with the “Fact Sheet for Recipients and Caregivers” for the appropriate vaccine type prior to the individual receiving each dose of COVID-19 vaccine.

• FDA: Pfizer-BioNTech COVID-19 Vaccine
  Fact sheets for recipients and caregivers are available in many languages on FDA: Translations of the Pfizer-BioNTech Fact Sheet for Recipients and Caregivers.
• FDA: Moderna COVID-19 Vaccine
  Fact sheets for recipients and caregivers are available in many languages on FDA: Translations of the Moderna Fact Sheet for Recipients and Caregivers.
• FDA: Novavax COVID-19 Vaccine, Adjuvanted
  Fact sheets for recipients and caregivers are available in many languages on FDA: Translations of the Novavax Fact Sheet for Recipients and Caregivers.
• FDA: Janssen COVID-19 Vaccine
  Fact sheet for recipients and caregivers are available in many languages on Translations of the Janssen Fact Sheet for Recipients and Caregivers.

Additional Resources

• COVID-19 Vaccination Clinical & Professional Resources
  U.S. vaccination plans, recommendations, and more from the Centers for Disease Control and Prevention (CDC).
• V-safe After Vaccination Health Checker
  CDC smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after you receive a COVID-19 vaccination:
  • V-safe Print Resources
    Information sheet and flyers in multiple languages.