Equipment
Q. I am in need of Trifold brochures. Where can these be found?
Q. What should I do when my AX27L stops working?
Procedural
Q. I forgot my password to order vaccine. What should I do?
Q. Who is my Immunization Healthcare Specialist (IHS)?
Q. I have not been contacted in regards to vaccine I requested, who should I contact?
Q. I have received my vaccine. What steps do I take?
Q. I have just ordered vaccine. What are the responsibilities of the POC and alternate POC for my site?
Q. Who is my case manager?
Q. What do I do if I suspect that I’ve had a compromise in my vaccine?
Vaccine
Q. What are clean up procedures if I drop my vaccine?
Q. What do I do if I put my diluent in the refrigerator?
Q. How long is my Smallpox good for after reconstitution?
Q. I have vaccine that I am not going to use prior to expiration. What do I do?
Q. What do I do if I suspect that I have inoculated personnel with expired vaccine?
Q. How do I dispose of vaccine that is expired or compromised and deemed unusable?
Equipment
Q. I am in need of Trifold brochures. Where can these be found?
A. After ordering Anthrax and/or Smallpox vaccine, DOC case managers will ask if your site is in need of trifolds while conducting
pre-alert procedures. If requested, these will be mailed to the same address receiving your vaccine shipment. If you prefer to print
your own trifolds, pdf downloads can be found for each vaccine here.
These links are also provided in Pre-Alert emails sent out by case managers the day before delivery.
Q. What should I do when my AX27L stops working?
A. Contact USAMMA DOC and await determination on whether AX27L is serviceable and/or under a current contract. If so, USAMMA DOC will provide
instructions for returning the AX27L for repairs. If not, USAMMA DOC will provide manufacture contact information so that your command may
contact the manufacturer directly.
Procedural
Q. I forgot my password to order vaccine. What should I do?
A. If you have lost your password go directly to the USAMMA DOC restricted website via the link you previously received in email.
Click on “Forgotten your password?” to have your password sent to you.
Q. Who is my Immunization Healthcare Specialist (IHS)?
A. Your Immunization Healthcare Specialist is regionally assigned to provide expertise in all areas of vaccine program
implementation. A map detailing contact information and areas of responsibility for each IHS can be found on the DHA Immunization Healthcare Branch website
here .
Q. I have not been contacted in regards to vaccine I requested, who should I contact?
A. If you have received a confirmation email with an order ID number, contact USAMMA DOC.
If you did not, then contact your service representative.
Q. I have received my vaccine. What steps do I take?
A. Upon receipt of your package, contact the DOC IMMEDIATELY after inspecting the outside of the package for damage. Please
call your designated case manager, the person who contacted you verbally and by email with tracking information. All numbers
can be found here. Your case manager will then walk you through the
verbal release process for your vaccine.
Q. I have just ordered vaccine. What are the responsibilities of the POC and alternate POC for my site?
A. POCs and other designated personnel must be familiar with the handling of TSMPs. At least two designated personnel will be
on site the day of requested delivery. USAMMA DOC will contact designated personnel prior to shipment to verify all contact
information and availability.
Q. Who is my case manager?
A. Case managers are assigned to oversee a vaccine shipment and to work with you directly to ensure your vaccine is
received, processed and stored properly to minimize the chance of a vaccine loss. Your case manager's contact information
can be found on the Pre-Alert email sent to you on the day of vaccine shipment.
Q. What do I do if I suspect that I’ve had a compromise in my vaccine?
A. Immediately quarantine vaccine in a proper storage facility. Contact your IHS immediately. Go to Potentially
Compromised Vaccine Worksheet and fill out as completely as possible. Further directions can be found
here.
Vaccine
Q. What are clean up procedures if I drop my vaccine?
A. Smallpox vaccine contains a poxvirus called “vaccinia.” Reconstituted or not, vaccinia is potentially
infectious and should be treated using Biosafety Level 2 (BSL2) precautions. The techniques used for Universal Precautions suffice as protection
for clean-up. Spilled smallpox vaccine should be cleaned with a solution containing 10% household bleach and 90% water. The
solution should be prepared immediately prior to use, as it is less effective if it is more than one day old. For optimal
disinfection, use household bleach which has been opened for less than 3 months. Absorb the spill with paper towels and then
slowly pour the bleach from the edge of the spill towards the center. Allow absorbed spill to sit for 20 minutes; then clean
it up. Wipe the area with towels soaked in bleach solution, followed by clean water. The area is now disinfected. In clinical
settings, the waste should be disposed of as bio hazardous or regulated medical waste.
Q. What do I do if I put my diluent in the refrigerator?
A. Immediately remove to a room temperature environment. Label "DO NOT USE" and contact USAMMA DOC
for disposition.
Q. How long is my Smallpox good for after reconstitution?
A. "30 days."
Q. I have vaccine that I am not going to use prior to expiration. What do I do?
A. Contact USAMMA DOC and/or your service representative.
Q. What do I do if I suspect that I have inoculated personnel with expired vaccine?
A. Immediately cease inoculations and contact your local IHS representative.
Q. How do I dispose of vaccine that is expired or compromised and deemed unusable?
A. Acceptable methods for disposal are a "Product Return Program", Sharps container, or an established
destruction facility and/or company, all based on your location's set procedures. Find Destruction of Vaccine SOP
here .