Home - Site Map - Videos - Resources - Challenge Game - Contact
PDF iconPrintable PDF 
Introduction
NCIRD
Introduction
- Introduction
Cold Chain
- What Is the Cold Chain?
- Maintaining the Cold Chain
- References
Storage and Handling Plans
- General Recommendations
- Routine Plan
- Emergency Plan
Vaccine Personnel
- Vaccine Coordinators
- Other Staff
- Training
Storage Equipment
- General Requirements
- Backup Equipment
- Equipment Logbooks
- Refrigerators and Freezers
- Thermometers
- Cold Chain Monitors
- Vaccine Security
Storage Practices
- Appropriate Storage Conditions
- Locations and Positioning
- Labeling
- Storage Containers
- Non-Vaccine Products
Temperature Monitoring
- Recording Temperatures
- Reviewing Temperature Logs
- Noting Failures & Temperatures
- Maintaining Temperature Logs
- Using Alarm Systems
Storage Troubleshooting
- Inappropriate Storage Conditions
- Malfunctioning Storage Units
- Door Problems
- Thermometer Problems
- Power Outages
- Other Imminent Emergencies
Selected Biologicals

- DT, Td
- Diphtheria-, Tetanus- and    Pertussis- Containing Vaccines
- Hepatitis- Containing Vaccines
- Hib
- HPV
- IPV
- TIV
- LAIV
- Measles-, Mumps-, and Rubella-    Containing Vaccines
- MMRV
- MCV
- MPSV
- PCV
- PPV
- Rotavirus Vaccine
- Varicella (Chickenpox) Vaccine
- Zoster (Shingles) Vaccine

Inventory Management
- Vaccine Access
- Expiration Dates
- Stock Rotation
- Inventory Accounting
- Stock Calculations and Ordering
Vaccine Shipments
- Standard Operating Procedures
- Receiving & Unpacking Shipments
- Transporting to Off-Site Clinics
- Shipping Vaccine
Preparation and Disposal
- Preparation for Administration
- Disposal of Vaccine and Diluent

Vaccination efforts have been successful in preventing and eradicating vaccine-preventable diseases in part because of proper vaccine storage and handling practices. Failure to adhere to recommended specifications for storage and handling can reduce vaccine potency, resulting in inadequate immune responses in the recipients and inadequate protection against disease. Vaccine quality is the shared responsibility of all parties, from the time vaccine is manufactured until it is administered.

 

Storage and handling errors result in the loss of millions of dollars worth of vaccine each year in the United States. Vaccine failures caused by administration of reduced potency vaccine can affect a large number of patients, causing embarrassment, expense, and potential liability. Patient confidence in vaccines and in vaccine providers is diminished when repeat vaccinations are required to replace invalid doses administered with reduced-potency vaccines.

 

This toolkit does not replace state health department policies

but rather is meant to supplement them.

Vaccine storage and handling mistakes are easily avoidable. This toolkit will provide you with general guidelines for correct vaccine storage and handling. Specific recommendations for vaccine storage and handling procedures may vary among different state health department immunization programs. This toolkit does not replace these state health department policies but rather is meant to supplement them. Contact the state health department immunization program for details regarding recommended vaccine storage and handling procedures in your state.

 

Vaccine storage and handling recommendations included in the product package inserts should be followed carefully and will provide you with the most up-to-date information. If you have concerns about vaccine that may not have been stored or handled properly, follow your state health department immunization program policy and contact either the manufacturer’s quality control office or the immunization program for guidance.

 

 
Centers for Disease Control and Prevention
Disclaimer