COVID- 19 VACCINATION PROGRAM PLANNING

ASSUMPTIONS FOR JURISDICTIONS

Many COVID - 19 vaccine candidates are in development, and clinical trials are
being conducted simultaneously with large -scale manufacturing . It is not
known which vaccines will be approved . COVID - 19 vaccination
program plans must be flexible and accommodate multiple scenarios

.
For the purpose of initial planning, consider the following assumptions .

COVID - 19 VACCINE
Limited COVID -19 vaccine doses may be available by early
November 2020, but COVID- 19 vaccine supply will increase
substantially in 2021.
Initially available COVID - 19 vaccines will either be approved as licensed vaccines or authorized for use
under an Emergency Use Authorization (EUA) issued by the U.S. Food and Drug Administration (FDA ).
Cold chain storage and handling requirements for each COVID - 19 vaccine product will vary from
refrigerated ( 2 C ) to frozen (-20°C ) to ultra-cold (-60° to -80°C ) temperatures , and ongoing stability
testing may impact these requirements. Note: These temperatures are based on information available as of
August 26, 2020. Updated information will be provided as it becomes available .
Jurisdictions should develop strategies to ensure the correct match of COVID - 19 vaccine products and
dosing intervals. For most vaccines , two doses of COVID - 19 vaccine , separated by either > 21 or > 28
days, will be needed for immunity and second- dose reminders for patients will be necessary. Both doses
,

will need to match each other ( i.e. , be the same vaccine product)
.
Some COVID - 19 vaccine products will likely require reconstitution with diluent or adjuvant at the point of
administration .

COVID - 19 VACCINE ALLOCATION

The federalgovernmentwill issue guidanceon groupsto prioritizefor initial COVID - 19 vaccination;
populationsof focus for initialCOVID - 19 vaccinationwill likelybe:
Criticalworkforcethat provideshealthcare andmaintainsessentialfunctionsof society( see
https://www.cisa.gov/identifying-critical-infrastructure-during-covid-19
Staff and residents in long-term care and assisted living facilities
Allocation of COVID - 19 vaccine to jurisdictions will be based on multiple factors, including:
Populations recommended by the Advisory Committee on Immunization Practices (with input
from the National Academy of Medicine)
Current local spread / prevalence of COVID - 19
COVID- 19 vaccine production and availability
Jurisdictions should anticipate that allocations may shift during the response based on supply , demand
,

and risk
Each jurisdiction should plan for high-demand and low demand scenarios .

COVID - 19 VACCINATION PROVIDER OUTREACH AND ENROLLMENT

To receive and administer COVID - 19 vaccine and ancillary supplies, vaccination providers must enroll in
the United States Government (USG) COVID - 19 vaccination program , coordinated through their
jurisdiction's immunization program, by signing and agreeing to conditions outlined in the COVID - 19
Vaccination Program Provider Agreement.
CDC will make this agreement available to each jurisdiction's immunization program for use in
conducting outreach and enrolling vaccination providers . Jurisdictions will be required to maintain these
agreements on file for a minimum of three years .
Jurisdictions will be required to collect and submit to CDC information on each enrolled vaccination
provider / site , including provider type and setting, patient population (i.e., number and type of patients
served ), refrigerated / frozen / ultra -cold temperature storage capacity , and logistical information for
receiving COVID - 19 vaccine shipments .
 Some multijurisdictional vaccination providers (e.g., select large drugstore chains , Indian Health Service
[ , and other federal providers ) will enroll directly with CDC to order and receive COVID- 19 vaccine .
These direct partners will be required to report vaccine supply and uptake information back to each
respective jurisdiction . CDC will share additional information when available on these procedures to
ensure jurisdictions have full visibility for planning and documentation purposes.
Jurisdictions may choose to partner with commercial entities to reach the initial populations of focus.
Routine immunization programs will continue .

To be determined :

Method of communicating provider enrollment and profile data betweenjurisdictions and CDC
Specific multijurisdictionalproviders to be served directly by CDC
Jurisdiction responsibility / involvement concerning multijurisdictionalprovider training

COVID- 19 VACCINE ORDERINGAND DISTRIBUTION

COVID - 19 vaccine and ancillary supplies will be procured and distributed by the federal government at
no cost to enrolled COVID- 19 vaccination providers. CDC will share more information about
reimbursement claims for administration fees as it becomes available .
CDC will use its current centralized distribution contract to fulfill orders for most COVID - 19 vaccine
products as approved by jurisdiction immunization programs . Some vaccine products, such as those with
ultra -cold temperature requirements, will be shipped directly from the manufacturer.
Jurisdiction -enrolled vaccination providers will follow the jurisdiction's vaccine ordering procedures.
COVID - 19 vaccination providers will be required to report ongoing COVID - 19 vaccine inventory .
Vaccine orders will be approved and transmitted in CDC's Vaccine Tracking System ( VTrckS)
by jurisdiction immunization programs for vaccination providers they enroll.
Vaccine (and adjuvant, if required will be shipped to provider sites within 24 hours of order approval by
the immunization program , if supply is available. Ancillary supply kits and diluent (if required will ship
separately from the vaccine due to different cold chain requirements , but shipment will be timed to arrive
with or before the vaccine.
Ancillary supply kits will include needles, syringes, alcohol prep pads, COVID- 19 vaccination record
cards for each vaccine recipient, and a minimal supply of personal protective equipment (PPE) , including
surgical masks and face shields, for vaccinators .
Each kit will include supplies needed to administer 100 doses of vaccine .
Jurisdictions may need to plan for additional PPE, depending on vaccination site needs.
For COVID - 19 vaccines that require reconstitution with diluent or mixing adjuvant at the point of
administration , these ancillary supply kits will include additional necessary syringes needles,
and other supplies for thispurpose ,
Sharps containers , gloves , bandages, and other supplies will not be included.
Minimum order size for CDC centrally distributed vaccines will be 100 doses per order for most vaccines .
Minimum order size for direct - ship vaccines may be much larger. CDC will provide more detail as it
becomes available .
Vaccine will be sent directly to vaccination provider locations for administration or designated depots for
secondary distribution to administration sites (e.g. chain drugstores central distribution) .
,

Once vaccine products have been shipped to a provider site, the federal government will not redistribute
product
Jurisdictions will be allowed to redistribute vaccines while maintaining the cold chain. However, with the
challenge of meeting cold chain requirements for frozen or ultra -cold vaccines, jurisdictions should be
judicious in their use of redistribution and limit any redistribution to refrigerated vaccines only .
Jurisdictions are not advised to purchase ultra- cold storage equipment at this time ; ultra- cold vaccine
may be shipped from the manufacturer in coolers that are packed with dry ice, can store vaccine for an
extended period of time , and can be repacked for longer use . CDC will provide additional detail as it
becomes available .

To be determined
:

Frequency requirement for provider -level COVID - 19 vaccine inventory reporting

Vaccine disposal/ recovery procedures

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COVID- 19 VACCINE ADMINISTRATIONDATA REPORTING

Jurisdictions will be required to report CDC - defined data elements related to vaccine administration
daily (i.e., every 24 hours). CDC will provide information on these data elements to jurisdictions.
All vaccination providers may be required to report andmaintain their COVID - 19 vaccination information
on CDC's Vaccine Finder.
CDC's Vaccine Administration Management System (VAMS) will be available to jurisdictions /provider
sites that need assistance in patient registration and scheduling, clinic flow , supply management, patient
record management, and reporting.
CDC has prioritizedjurisdiction onboarding to the Immunization ( ) Gateway* to allow Immunization
Information Systems (IISs) to receive data directly from national providers, nontraditional vaccination
providers, and VAMS, as well as to report vaccine administration data to CDC .
Data Use Agreements (DUAs) will be required for data sharing via the IZ Gateway and other methods of
vaccine administration data sharing with CDC , and will be coordinated by each jurisdiction's
immunizationprogram .

To be determined :

Jurisdiction responsibility / involvement concerning reporting of data from multijurisdictionalproviders

Method and frequency for vaccination providers to report information to Vaccine Finder

COMMUNICATION

CDC will develop communication resources for jurisdictions to use with key audiences. These resources
will be available on a public -facing website currently under development , but jurisdictions will likely
need to tailor messaging and resources specific to special populations in their communities.
CDC will work with national organizations to disseminate key messages .
Communication and educational materials about COVID - 19 vaccination provider enrollment, COVID-19
vaccine ordering, COVID- 19 vaccine storage, handling, administration (i.e., reconstitution, adjuvant use ,
administration techniques ), etc. will be available in a variety of formats.
When vaccine supply is available for expanded groups among the general population, a national COVID
19 vaccine finder will be available on the public -facing Vaccine Finder.
A screening tool on the CDC website will help individuals determine their own eligibility for COVID - 19
vaccine and direct them to the Vaccine Finder.

COVID- 19 VACCINE SAFETY

Clinically important adverse events following any vaccination should be reportedto the Vaccine Adverse
Event Reporting System ( VAERS).
Adverse eventswill also be monitoredthrough electronic health record (EHR) and claims-based systems
(e.g., Vaccine Safety Datalink) .
Additional vaccine safety monitoring may be requiredunder the EUA.

The IZ Gateway is a portfolio of project components which share a common IT infrastructure . The IZ Gateway aims to
rapidly onboard IISs to support readiness for COVID - 19 vaccine response data nge, both among IIS and
between IIS and federal providers , mass vaccination reporting and consumer access tools . The IZ Gateway aims to increase
the availability and volume of complete and accurate immunization data stored within IIS and available to providers and
consumers regardless of their jurisdictional boundaries .

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 COVID - 19 VACCINATION SCENARIOS FOR

JURISDICTIONAL PLANNING PHASE 1 , Q4 2020

The planning scenarios described below should be used by state and local jurisdictions to develop operation plans for
early COVID -19 vaccination when vaccine supply may be constrained . The scenarios describe potential COVID - 19 vaccine
requirements , early supply estimates after vaccine product approvals , and populations that may be recommended for
vaccination during this early period. These scenarios are designed to support jurisdictional , federal , and partner
planning , but they are still considered hypothetical . The COVID - 19 vaccine landscape is evolving and uncertain , and
these scenarios may evolve as more information is available .

Planners should assume that by January 2021 significantly more COVID-19 vaccine will be available for distribution and
plans will need to evolve to address additional vaccine availability . Please refer to COVID - 19 vaccine planning
assumptions and additional guidance from CDC.

Scenario 1: Vaccine A demonstrates sufficient efficacy / safety for EUA in 2020

Availability Assumptions
Vaccineavailabilityby
Candidate End of Oct 2020 End of Nov 2020 End of Dec 2020 Notes
Vaccine A doses 10–20Mdoses doses Ultra-cold (-70 ° C), for large sites only

Distribution, Storage, Handling and AdministrationAssumptions

Vaccine A
SHIPMENT ON-SITE VACCINESTORAGE
3 separatelyacquiredcomponents(mixedon site) Frozen( -70 ° C °C)
1. Vaccine Must be used/ rechargedwithin 10 days
Directto site from manufacturer(on dry ice) Storage in shipping container OK ( replenish dry ice as
Multidose vials (5 doses/ vial ) needed)
2. Diluent Thawed but NOT reconstituted ( 2–8 °C)
Direct to site from USG ( at room temperature ) Must use within 24-48 hours
3. Ancillary supply kits Reconstituted ( room temperature)
Direct to site from USG ( at room temperature) Mustuse within6 hours
ORDERS ADMINISTRATION
Largequantities
, to largeadministrationsitesonly 2 -doseseries 21 days betweendoses)
Minimumorder: 1000doses On-site mixing required; reconstitutewith diluentjust prior
Maximumorder: 5,000 doses to administration
Administer by intramuscular (IM ) injection
PRIORITIZED POPULATIONS AND ANTICIPATED VACCINE ADMINISTRATION SITES
Health care professionals ( incl. LTCF staff) public health closed temporary mass vaccination clinics + potential for mobile
clinics
Essential workers (specifics TBA – public health closed temporary mass vaccination clinics + potential for mobile clinics
National Security populations public health closed temporary mass vaccination clinics + sites
LTCF residents & staff potential for mobile clinics to facilities

Additional Considerations for Early Vaccination Planning

August 26, 2020

 COVID- 19 VACCINATION SCENARIOS FOR
JURISDICTIONAL PLANNING PHASE 1 , Q4 2020

Jurisdictions should plan for real-time shipment of doses.

Administrationsites ( during Phase 1) will not be required to store vaccine products beyondthe period of time Vaccine
A can be stored in the ultra- cold shipment box.
Vaccine will be free of cost, but administrationfees may not be reimbursablewhile a vaccine product is administered
under an EUA
Given the challenging storage, handling, and administrationrequirements, early vaccination should focus on
administrationsites that can reach prioritized populationswith as much throughputas possible.
Stability testing is ongoingfor Vaccine A ; the storage and handling requirementspresented here may shift. The
requirementsin these scenarios are likely the strictest set of requirementsfor which planningis needed.
Jurisdictions should consider partneringwith the private sector and with local hospital systems to providevaccine in
closest proximityto the prioritized populations as possible, given the limitationswith the product. For example:
Vaccine A may be administeredthrough mobile clinics if multiple mobileclinics are plannedover a short periodof time
to ensure high enough throughput.

August 26, 2020

 COVID- 19 VACCINATIONSCENARIOS FOR
JURISDICTIONAL PLANNING PHASE , Q4 2020

Scenario 2 : Vaccine B demonstrates sufficient efficacy / safety for EUA in 2020

Availability Assumptions
Vaccineavailabilityby
Candidate End of Oct 2020 End of Nov 2020 End of Dec 2020 Notes

Vaccine B 1M doses 10M doses 15M doses Central distro capacity required ( -20 °C)

Distribution, Storage, Handling and AdministrationAssumptions

VaccineB
SHIPMENT ON-SITE VACCINE STORAGE
2 separately shipped components Frozen (-20 ° C)
1. Vaccine Storage in shipping container OK ( replenish dry ice as
To central distributor ( at -20 ° C) needed)
Multidosevials ( 10 doses/ vial) Refrigerated ( 2–8 ° C )
2. Ancillary supply kits Must use within 7-14 days
Direct to site from USG (at room temperature ) Room temperature
Mustuse within 6 hours
ORDERS ADMINISTRATION
Central distribution capacity required 2 - dose series ( 28 days between doses)
Required by Dec 2020 No on -site mixing required
Maintained at -20 ° C Administerby intramuscular(IM ) injection
PRIORITIZED POPULATIONS AND ANTICIPATED VACCINE ADMINISTRATION SITES
Health care professionals( incl. LTCFstaff) – health care clinics + health care occupational health clinics + public health closed
temporary mass vaccination clinics + mobile clinics
Essentialworkers ( specifics TBA ) – hospital occupational health + hospital clinics + public health closed temporary mass
vaccination clinics
NationalSecurity populations + closed temporary mass vaccination clinics + mobile clinics
LTCFresidents & staff – commercialpharmacy partners + mobile clinics

Additional Considerations for Early Vaccination Planning

Jurisdictions should plan for real-time shipment of doses.

Administrationsites ( during Phase 1) will not be required to store vaccine products beyondthe period of Vaccine B can
be stored at 2–8 °C.
Vaccine will be free of cost, but administrationfees may not be reimbursablewhile a vaccine product is administered
under an EUA
Giventhe challenging storage, handling, and administrationrequirements, early vaccination shouldfocus on
administrationsites that can reach prioritized populationswith as much throughputas possible.
Stability testingis ongoingfor Vaccine B; the storage and handling requirementspresentedhere may shift. The
requirementsin these scenarios are likely the strictest set of requirementsfor which planning is needed.
Jurisdictions shouldconsider partneringwith the private sector and with local hospital systemsto providevaccine in
closest proximityto the prioritizedpopulationsas possible, given limitationswith the product.

August 26, 2020

 COVID- 19 VACCINATIONSCENARIOS FOR
JURISDICTIONAL PLANNING PHASE , Q4 2020

Scenario 3 : Vaccines A and B demonstrate sufficient efficacy / safety for EUA in 2020

Availability Assumptions
Vaccineavailabilityby
Candidate End of Oct 2020 End of Nov 2020 End of Dec 2020 Notes
Vaccine A ~ doses doses doses Ultra -cold (-70 ° C), for large sites only
Vaccine B ~ 1M doses 10M doses 15M doses Central distro capacity required (-20 °C)
Total ~ doses doses 35–45M doses

Distribution , Storage, Handling, and Administration Assumptions

Vaccine
SHIPMENT ON-SITE VACCINE STORAGE
3 separatelyacquiredcomponents (mixedon site) Frozen (-70 ° C C)
1. Vaccine Must be used/ rechargedwithin 10 days
Directto site from manufacturer(on dry ice) Storage in shipping container OK ( replenish dry ice as
Multidose vials (5 doses/ vial ) needed)
2. Diluent Thawedbut NOTreconstituted( 2–8 ° C)
Directto site from USG ( at roomtemperature) Must use within 24-48 hours
3. Ancillary supply kits Reconstituted ( room temperature)
Direct to site from USG ( at room temperature) Must use within 6 hours
ORDERS ADMINISTRATION
Large quantities, to large administration sites only 2 - dose series ( 21 days between doses)
Minimum order: 1,000 doses On -site mixing required ; reconstitute with diluent just prior
Maximum order 5,000 doses to administration
:

Administer by intramuscular (IM ) injection

PRIORITIZED POPULATIONS AND ANTICIPATED VACCINE ADMINISTRATION SITES
Health care professionals ( incl. LTCF staff) public health closed temporary mass vaccination clinics + potential for mobile
clinics
Essential workers ( specifics TBA public health closed temporary mass vaccination clinics + potential for mobile clinics
National Security populations public health closed temporary mass vaccination clinics + sites
LTCF residents & staff potential for mobile clinics to facilities
VaccineB
SHIPMENT ON-SITE VACCINE STORAGE
2 separately shipped components Frozen (-20 ° C)
1. Vaccine Storage in shipping container OK ( replenish dry ice as
To central distributor ( at -20 ° C) needed)
Multidose vials ( 10 doses/ vial) Refrigerated( 2–8 ° C)
2. Ancillary supply kits Must use within 7-14 days
Direct to site from USG (at roomtemperature) Roomtemperature
Must use within 6 hours
ORDERS ADMINISTRATION
Central distribution capacity required 2 - dose series ( 28 days between doses )
Required by Dec 2020 No on-site mixing required
Maintainedat -20 ° C Administer by intramuscular (IM ) injection
PRIORITIZED POPULATIONS AND ANTICIPATED VACCINE ADMINISTRATION SITES
Health care professionals ( incl. LTCF staff) – health care clinics + health care occupational health clinics + public health closed
temporary mass vaccination clinics + mobile clinics
Essential workers (specifics TBA) – hospital occupational health + hospital clinics + public health closed temporary mass
vaccination clinics

August 26, 2020

 COVID - 19 VACCINATION SCENARIOS FOR

JURISDICTIONAL PLANNING , Q4 2020

National Security populations + closed temporary mass vaccination clinics + mobile clinics
LTCF residents & staff commercial pharmacy partners +mobile clinics

Additional Considerationsfor Early Vaccination Planning

Jurisdictions should plan for real-time shipment of doses.
Administrationsites ( during Phase 1) will not be required to store vaccine products beyondthe period of time Vaccine
A can be stored in the ultra- cold shipment box or Vaccine B can be stored at 2–8 °C.
Vaccine will be free of cost, but administrationfees may not be reimbursablewhile a vaccine product is administered
under an EUA.
Given the challenging storage, handling, and administrationrequirements, early vaccination should focus on
administrationsites that can reach prioritized populationswith as much throughputas possible.
Stability testing is ongoingfor Vaccine A and Vaccine B; the storage and handling requirementspresented here may
shift. The requirementsin these scenarios are likely the strictest set of requirementsfor which planningis

.
Jurisdictions should consider partneringwith the private sector and with local hospital systems to providevaccine in
closest proximityto the prioritized populations as possible, given the limitationswith the product. For example:
Vaccine A may be administeredthrough mobile clinics if multiple mobileclinics are plannedover a short periodof time
to ensure high enough throughput.

August 26, 2020

EARLY COVID - 19 VACCINATION PROGRAM
ACTION ITEMS FOR JURISDICTIONS
Use this checklist to assist in early planning for the COVID- 19 vaccination
program . Jurisdictions must be prepared to immediately vaccinate
identified critical populations when the earliest COVID- 19 vaccine
doses are available and approved by the U.S. Food and Drug
Administration (FDA). Jurisdictions should also begin planning for
vaccination of the rest of the general population when COVID - 19
vaccine supply allows.

DETERMINE ORGANIZATIONAL STRUCTURE AND

PARTNER INVOLVEMENT

Convene internal planning and coordination team (s) whose members represent a wide array of
expertise.
Include representativesfrom immunizationprogram, preparednessprogram , emergency
managementagency, healthcare coalition, media/ public affairs, andcrisis and emergencyrisk
communicationsto developplans andcoordinateactivities.
Assign roles and responsibilitiesbasedon areas of expertise.
EstablishCOVID - 19 vaccine implementationcommittee( s) of community memberswith expertise in
care and access issues for criticalpopulations to enhancedevelopment of plans, reachof activities,
and risk / crisis response communicationmessaging and delivery.
Include representativesfrom key vaccinationprovidersfor groups identifiedby CDC as beingat
increasedrisk of severe COVID - 19 and others likely to be prioritizedfor initialvaccination.
.
Include representativesfrom other sectors within the community, such as health systems,
pharmacies, long-term care/ assistedlivingfacilities, business, education, corrections, religious,
tribal, and racialand ethnic minority serving organizations, etc.

IDENTIFY GAPS IN PREPAREDNESS

Review and use current CDC -provided planning assumptions.

Review experience and lessons learned from 2009 pandemic vaccination campaign.
Consider tabletop , functional, or full-scale exercises to test operational plans and capabilities for
access to vaccine , communications, data reporting, possible cold chain challenges .
Determine baseline readiness and address any barriers to launching the COVID - 19 vaccination
program .

REVIEW REQUIREMENTS AND ASSESS CAPACITY OF IMMUNIZATION

INFORMATION SYSTEM ( IIS) OR OTHER REPORTING SYSTEM
Determine baseline IIS capacity for a substantial increase in users , documenting vaccine
administration , dose -level accountability , ordering , inventory management , and reporting CDC
defined core data elements .
Facilitate onboarding to the Immunization Gateway (IZ Gateway ) for both Connect and Share to use a
national immunization data exchange solution for mass vaccine administration .
Identify vaccination providers not currently reporting to the IIS for outreach and onboarding
opportunities .
Determine internal processes (e.g. Institutional Review Board review , internal department
,

reviews, etc.) needed to execute the signing of Data Use Agreements with CDC and / or other entities
deemed critical by CDC .
If the IIS does not meet all of CDC's technology and data requirements , develop a plan to us the
 Vaccine Administration Management System ( VAMS), including necessary training of immunization
program staff andproviders.
Identify opportunities to adopt 2D barcode scanning technology duringvaccine inventory
management and administration to improve data quality and minimize transcription errors during
mass vaccination events .

IDENTIFY CRITICAL POPULATIONS

Identifyand estimate sizes of criticalpopulations, particularlythose to receivefirst availabledoses

of vaccine, and other populationsthat may requirespecial considerationin eachjurisdictionfor
distributionand expandedaccess:
Criticalinfrastructure/ essentialworkers (e.g., health care, homelandand nationalsecurity, public
safety, education, food, and agricultureworkers)
People at increasedrisk for severe illness ( e.g., persons years of age, peoplewith underlying
medicalconditions that are risk factors for severe COVID - 19, long-term care/ assistedliving
facility residents, people from tribal communities, and people from racial and ethnic minority
populations)
People livingin group settings (e.g., peoplewho are incarcerated/ detained, experiencing
homelessnessor livingin shelters, attending colleges/ universities)
People with limitedaccess to vaccinationservices (e.g., ruralcommunities, individualswith
disabilities , under- or uninsured people )
Describe and identify where these critical populations live , including places of employment for
critical workforce .

PREPARE FOR EARLY COVID - 19 VACCINE ADMINISTRATION

Identifyvaccinationprovidersand settingsfor rapidvaccinationof early populationsof focus: likely

healthcareand other essentialworkforce. Focus on arrangementsthat will allow for maximum
throughputof personsto be vaccinatedwhile maintainingsocialdistancing and other infection
controlprocedures
. Consider collaboratingwith:
Largehospitalsandhealthsystems
Commercialpartners( e.g., pharmacies
Mobilevaccinationproviders
Occupational health for large employers
Target these vaccination providers for immediate enrollment.
Determine points of contact for each population group to be vaccinated and establish methods of
communication and coordination .
Secure locations for temporary clinics and develop logistical plans for each .

PLANFOR EXPANSIONOF COVID- 19 VACCINATIONPROVIDER

OUTREACHAND ENROLLMENT
After finalizinginitial vaccinationplansfor healthcareand criticalworkforcepopulations
,
determinevaccinationprovider types andsettingsto target for enrollmentwhenvaccinesupply
increasesto expand accessto COVID- 19 vaccinationservices.
Identifyall existingcommunityvaccinationprovidersandservices to serveother criticalpopulations
as well as the generalpopulation. Consider:
Healthcare provider offices and other outpatient settings
Inpatient settings (e.g. , hospitals, long- term care facilities )
Pharmacies
School -based health centers
Workplaces and other occupational health settings
.

Satellite, temporary, or off-site clinics

Identifyanddocume the locationsof these vaccinationproviders andservices.

2 Page
 Develop and implement a vaccination provider outreach and training plan, focusing first on
vaccination providers and services likely to serve remaining critical populations.
Determine each vaccination provider's vaccination capacity by reviewing patient panel size and
vaccine administration data from the peak week of influenza vaccination .
Determine each vaccination provider's storage capacity by volume at routine refrigerated ( 2 to
8° C) frozen ( -20°C ) and ultra -cold (-60° to -80° C) temperatures . Note : These temperatures are based

,
on information available as ofAugust 26, 2020. Updated information will be provided as it becomes
available .
Determine need for additional vaccination services, such as satellite , temporary , or off -site clinics, to
serve critical populations , particularly those with limited access to vaccination services . Work with
partners to implement vaccination in these settings.
Ensure all providers participating in the COVID - 19 vaccination program :
Understand and have signed a CDC COVID - 19 Vaccination Provider Agreement.
Collect and submit all CDC -required COVID - 19 vaccination provider profile data elements to
CDC.
Have capacity to store and handle COVID - 19 vaccine according to manufacturer specifications .
Onboard enrolled COVID -19 vaccination providers to the jurisdiction's chosen system for ( )
vaccine ordering and (2 ) vaccine administration documentation and reporting .
Provide training and related CDC resources to ensure providers understand :
COVID - 19 vaccine recommendations , when available
Ordering and receiving COVID - 19 vaccine
Vaccine storage and handling , including transport requirements , specific to COVID - 19 vaccine
Vaccine administration , including reconstitution , use of adjuvants , diluents , etc.
Documenting and reporting vaccine administration via the jurisdiction's or other mass
vaccination module
Managing and reporting vaccine inventory (e.g. , IIS, VAMS)
.

Documenting and reporting vaccine wastage / spoilage

Procedures for reporting to the Vaccine Adverse Event Reporting System ( VAERS )
Providing Emergency Use Authorization ( EUA ) fact sheets and / or vaccine information statements
( VISs) to vaccine recipients
Enter ship - to site informationfor eachenrolledproviderintothe VaccineTrackingSystem ( ).

DETERMINECOVID - 19 VACCINEALLOCATIONS

Determineallocationmethodto COVID- 19 vaccinationprovidersfor identifiedcriticalpopulationsin

early andlimitedsupplyscenarios.
Base allocationplanson:
Advisory Committee on Immunization Practices (ACIP ) recommendations (when available )
.
Estimated number of doses allocated to jurisdiction and timing of availability
Vaccination provider site vaccine storage and handling capacity

DEVELOPCOMMUNICATIONSPLAN
Determine process for frequent communication with participating COVID - 19 vaccination providers
about vaccine recommendations , supply , ordering , reporting, etc.
Engage with community leaders and vaccination providers of critical populations on supplementary
dose allocations when vaccine supply is limited.
Determine culturally and linguistically responsive communication approaches for critical
populations as well as the general public , based on CDC messaging .
Explore use of multiple methods and systems to provide second dose reminders for vaccine
recipients as warranted .

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