Immunization Programs


  • Physician protocol  (or Public Health Department depending on state), if required
  • Emergency protocol established
  • VIS (Vaccine Information Statement) Screening
  • VAERS report form (Vaccine Adverse Event Reporting System)
  • VFC (Vaccines for Children) documents (if participating)
  • Appropriate documentation and monitoring charts and systems to ensure the integrity of the vaccine supply
  • Documentation provided to the patient / caregiver
  • Accuracy and currency of the educational materials, posters, etc. regarding immunizations provided to patients and consumers.


  • Target populations: Statement to describe how targeted populations / individuals will be identified. This will differ depending on the type of immunization – should specify for each vaccine to be given including age limits (typically per state regulation and vaccine appropriateness, as well as limitations of protocol) and specific parameters if for the VFC program.
  • Where: Performed at the pharmacy, at other sites (such as workplace flu vaccine, etc.)
  • Who will perform the immunization and qualifications such as: immunization training credential , current CPR, blood borne pathogen training, yearly refresher and update on vaccines and administration, subscription to immunization information update system (i.e.: list serve, e-community) etc.
  • Paperwork given to patient (VIS) (most current form) and consent signed (if required) – content of patient screening and counseling by pharmacist including under what circumstances the immunization may not be given (contraindications) – should be asking appropriate questions that may include, based on the vaccine and patient: specific allergies as related to specific vaccines (latex, eggs, etc.), previous reactions to vaccines, immunosuppressant use, disease states, etc.
  • How (steps) and materials needed (syringes, needle box, gloves, band aids, etc.)
  • Emergency protocol including supplies needed (Epipens, mask, etc.)
  • Adverse event documentation and reporting (VAERS)
  • Storage of vaccine (including how it’s transported if for an offsite vaccination clinic), temperature monitoring, and a disaster plan should the refrigerator or freezer fail or in the event of a prolonged electrical outage for storage, transport, and plan if there is a temperature excursion
  • Documentation provided to the patient / caregiver
  • Data:
    How and where are completed patient screening forms filed and for how long
    How is data recorded regarding the vaccine (date, time, route, lot, expiration date, etc.) and for how long is it kept
    How the data is communicated to the primary health provider to be incorporated into the patient’s medical chart
    If and how the data is reported to any other outside agency such as a vaccine registry (if allowed or required by state laws, regulations and/or procedures)