SUBJ: IMMUNIZATION DOCUMENTATION UPDATE
A. IMMUNIZATIONS AND CHEMOPROPHYLAXIS, COMDTINST M6230.4(SERIES)
B. MEDICAL MANUAL, COMDTINST M6000.1(SERIES)
1. PER REF A, AN ELECTRONIC IMMUNIZATION TRACKING SYSTEM (E.G. THE
MEDICAL READINESS REPORTING SYSTEM (MRRS)) IS THE REQUIRED METHOD
FOR RECORDING IMMUNIZATION DATA.
2. FOR ACTIVE DUTY AND SELECTED RESERVE MEMBERS, ALL IMMUNIZATION
DATA MUST BE ENTERED INTO MRRS. THE MRRS GENERATED DD-2766, ADULT
PREVENTIVE AND CHRONIC CARE FLOWSHEET, IS THE PROPER FORM TO RECORD
IMMUNIZATION DATA AND THE MOST CURRENT PAGES (3-7) OF THE DD-2766
MUST BE PLACED IN THE HEALTH RECORD (HR).
3. DOCUMENTATION OF THE TUBERCULIN SKIN TEST (TST) SHOULD ALSO BE
RECORDED ON THE MRRS GENERATED DD-2766. IN THE REMARKS SECTION OF
THE DD-2766, HEALTH SERVICES PERSONNEL SHOULD DOCUMENT INDURATION
SIZES THAT ARE 5 MM OR GREATER (WHETHER NO OR YES WAS SELECTED IN
MRRS FOR A TST REACTION). DOCUMENTATION OF INDURATION SIZE IS NOT
REQUIRED FOR ANY INDURATION LESS THAN 5 MM.
4. THE SF-601, IMMUNIZATION RECORD, SHOULD NO LONGER BE USED TO
RECORD IMMUNIZATIONS, HIV AND DNA TEST DATES, SENSITIVITY TESTS,
REACTIONS TO TRANSFUSIONS, DRUGS, SERA, FOOD AND ALLERGIES, AND
BLOOD TYPINGS.  EXISTING SF-601 ALREADY IN THE HR SHOULD BE
RETAINED IN THE HR. NO ADDITIONAL ENTRIES MAY BE RECORDED ON THE
EXISTING SF-601. CLOSE OUT ANY EXISTING SF-601 BY LINING THROUGH
BLANK AREAS WITH NFE (NO FURTHER ENTRIES). A BLANK SF-601 SHOULD
NOT BE INCLUDED WHEN CREATING A NEW HR.
5. HEALTH CARE PROVIDERS (OR THEIR DESIGNEE) CAN RECORD PERTINENT
VACCINE RELATED INFORMATION ON THE CDC-731, INTERNATIONAL
CERTIFICATE OF VACCINATION (FORMERLY THE PHS 731) IF REQUESTED BY A
COAST GUARD BENEFICIARY.
6. PROPER DOCUMENTATION FOR IMMUNIZATION ADMINISTRATION SHOULD ALSO
BE RECORDED IN PGUI CHCS.
7. THESE CHANGES WILL BE INCORPORATED INTO FUTURE CHANGES OF REF B.
8. POC FOR THIS MSG IS CDR ERICA SCHWARTZ AT (202) 475-5172,
ERICA.G.SCHWARTZ(AT)USCG.MIL OR LT TIMOTHY KULZER AT (757)628-4362,
TIMOTHY.J.KULZER(AT)USCG.MIL.
9. CAPT MICHAEL J. BOQUARD, CHIEF, OFFICE OF HEALTH SERVICES SENDS.
10. INTERNET RELEASE IS AUTHORIZED.