Anthrax
Bacillus anthracis
stain of anthrax

Anthrax is an acute infectious disease of animals that can be secondarily transmitted to humans. It is caused by a bacterium ( Bacillus anthracis ) that primarily affects sheep, horses, hogs, cattle, and goats and is almost always fatal in animals. The bacillus produces toxins that kill cells and cause fluid to accumulate in the body's tissues. Anthrax spores, which can survive for decades, are found in the soil, and animals typically contract the disease while grazing. Transmission to humans normally occurs through contact with infected animals but can also occur through eating meat from an infected animal or breathing air laden with the spores of the bacilli. The disease is almost entirely occupational, i.e., restricted to individuals who handle hides of animals (e.g., farmers, butchers, and veterinarians) or sort wool.

Includes AVIP key messages, current policy, the threat, the disease and the vaccine, dosage schedule and route of administration, exemptions and adverse reactions.
Includes AVIP key messages, current policy, the threat, the disease and the vaccine, dosage schedule and route of administration, exemptions, adverse reactions, storage and handling of the vaccine, and documentation.
ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP) UPDATE
BUMED PDF 07 Jul 10
SUSPENSION OF REGISTRATION AND MONTHLY REPORTING REQUIREMENT FOR THE ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP)
ALARACT PDF 04 May 10
SUSPENSION OF THE ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP) REGISTRY AND MONTHLY REPORTING REQUIREMENTS
BUMED PDF 05 Nov 09
CLINICAL POLICY FOR THE ADMINISTRATION OF THE ANTHRAX VACCINE ADSORBED (AVA) UPDATE
ALMAJCOM/SG PDF 14 Jan 09
CHANGE IN ADMINISTRATION ROUTE AND DOSING SCHEDULE FOR THE ANTHRAX VACCINE ADSORBED (AVA)
ALCOAST PDF 05 Jan 09
ANTHRAX VACCINE - CHANGE IN ROUTE OF ADMINISTRATION AND IN DOSING SCHEDULE
BUMED PDF 23 Dec 08
ANTHRAX VACCINE CHANGE ROUTE OF ADMINISTRATION AND CHANGE IN DOSING SCHEDULE
27 Aug 09

Sample Q&A: The Anthrax Vaccine

Can the anthrax vaccine be taken by military members who are pregnant?
It is DoD policy not to give anthrax vaccine to women who are pregnant or who think they may be pregnant. This is consistent with the general practice of withholding most medications from women who are pregnant. Most vaccinations are routinely deferred until after pregnancy, unless immunity is needed during pregnancy. Tetanus, meningococcal, hepatitis B, and influenza vaccines, for example, are specifically recommended for susceptible women during their pregnancy. As with other vaccines in the U.S., studies on possible reproductive side effects by intentionally giving anthrax vaccine to pregnant women have not been performed. However, there has been no confirmed evidence of infertility, miscarriages, or other reproductive problems with the use of inactivated vaccines. Because the anthrax vaccine is a sterile, cell-free (filtered) bacterial vaccine, it is non-infectious and is not expected to cause any harm to the fetus. If a pregnant woman is known to have been exposed to anthrax, she could be offered the vaccine as a potential life-saving measure. Women who believe that they may be pregnant should inform their health-care provider before vaccination. Once pregnancy is confirmed, anthrax vaccinations will be deferred until the woman is no longer pregnant. Once a woman is no longer pregnant, deferred anthrax vaccination will resume. A woman can safely become pregnant any time after vaccination that she wishes. Preliminary data from the Naval Health Research Center raised a tentative signal that there may be an association with an increased rate of birth defects. This signal is being investigated thoroughly, to determine which of several explanations for the signal is most likely.
Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009
Did You Receive the Anthrax Vaccine While Pregnant?
Safety Review PDF 01 Jan 12
Detailed Safety Review of Anthrax Vaccine Adsorbed
For specialized immunization consultation and care.
Author: Vaccine Healthcare Centers Network
What You Need to Know About Anthrax Vaccine
Did You Receive the Anthrax Vaccine While Pregnant?
Recommendations of the Defense Health Board (DHB)
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Supplemental Form for Anthrax Vaccine in Pregnancy Registry
VAERS 09 Jan 06
Vaccine Adverse Event Reporting System
Anthrax Vaccine
MEDCOM form #700-R has been rescinded and is no longer to be used for recording anthrax vaccinations.
Please continue to record all vaccinations in the following places:
- Health Record Immunization Record - SF 601
- International Certification of Vaccination - PHS Form 731
- Adult Preventive and Chronic Care Flow-sheet - DD Form 2766 & DD Form 2766C
- Service automated immunization tracking system - MEDPROS/AFCITA/SAMS
FAV111 PDF 17 Mar 05
FAV114 PDF 17 Mar 05
FAV113 PDF 22 Feb 05
FAV112 PDF 15 Feb 05
FAV109 PDF 30 Dec 04
FAV110 PDF 30 Dec 04
FAV107 PDF 27 Dec 04
Package Insert - Vaccine
Department of Health and Human Services
Anthrax Vaccine Information
BioThrax
For specialized immunization consultation and care.
Anthrax eTool - Protecting the Worksite against Anthrax
MMQC-12-1518 27 Aug 12
RECEIPT OF THE NEW ANTHRAX TRIFOLDS
MMQC-12-1379 18 Jun 12
ANTHRAX VACCINE EXPIRATION NOTIFICATION FOR FAV304
MMQC-12-1376 15 Jun 12
ANTHRAX VACCINE EXPIRATION NOTIFICATION FOR FAV297
MMQC-12-1345 04 Jun 12
ANTHRAX VACCINE TWO WEEK NOTIFICATION FOR LOT FAV304
MMQC-12-1341 01 Jun 12
ANTHRAX VACCINE TWO WEEK NOTIFICATION FOR LOT FAV297
MMQC-12-1311 18 May 12
ANTHRAX VACCINE EXPIRATION 30-DAY NOTICE LOT FAV304
MMQC-12-1308 16 May 12
ANTHRAX VACCINE EXPIRATION 30-DAY NOTICE LOT FAV297
What You Need to Know About Anthrax Vaccine
Safety Review PDF 01 Jan 12
Detailed Safety Review of Anthrax Vaccine Adsorbed
Vaccine Information Statement
Includes AVIP key messages, current policy, the threat, the disease and the vaccine, dosage schedule and route of administration, exemptions, adverse reactions, storage and handling of the vaccine, and documentation.
Includes AVIP key messages, current policy, the threat, the disease and the vaccine, dosage schedule and route of administration, exemptions and adverse reactions.
AVIP responds with the facts about the Anthrax Vaccine
Anthrax Vaccine Immunization Program Information
Safety Review PDF 01 Jan 12
Detailed Safety Review of Anthrax Vaccine Adsorbed
Vaccine Information Statement
AVIP responds with the facts about the Anthrax Vaccine
Anthrax Vaccine Immunization Program Information
Information About the Anthrax Vaccine and the Anthrax Vaccine Immunization Program (AVIP)
Questions and Answers About Anthrax
Anthrax Vaccine Package Insert Change
FAV183 PDF 04 Apr 07
FAV188 PDF 13 Mar 07
FAV186 PDF 01 Mar 07
FAV181 PDF 22 Feb 07
FAV182 PDF 22 Feb 07
FAV184 PDF 07 Feb 07
VIS
Vaccine Information Statement
Washington Post 23 Aug 12
The Front Line Of Anthrax Response
Author(s): ACIP
Publication: MMWR, vol. 59, no. RR-6
Subject: Vaccine-General
Disease: Anthrax
Author(s): Hupert N, Wattson D, Cuomo J, Hollingsworth E, Neukermans K, Xiong W
Publication: Medical Decision Making 2009; 29; 424
Subject: Disease
Disease: Anthrax
Author(s): United States Court of Appeals United States Court of Appeals For The District Of Columbia Circuit
Publication: Case No. 08-5117
Subject: Vaccine-Safety
Disease: Anthrax
Author(s): Phillips CJ, Matyas GR, Hansen CJ, Alving CR, Smith TC, Ryan MAK
Publication: Vaccine 27 (2009) 3921–3926
Subject: Vaccine-Safety
Disease: Anthrax