Consider adopting this process for providing immunization services. This guidance is consistent with the National Vaccine Advisory Committee and CDC Standards for Adult Immunization Practice.
1. Collect patient information to screen for contraindications and indications using immunization registry records, patient records and patient-provided information.
2. Assess immunization needs based on patient’s age, health conditions, lifestyle, occupation and immunization history.
- Immunization Schedules (CDC)
- Pneumococcal Vaccine Timing For Adults
- ACIP Recommendations (CDC)
- Vaccine Abbreviations (CDC)
3. Develop a patient-centered care plan that includes giving a strong recommendation and offering of vaccine(s) or referral to another healthcare provider who can administer the vaccine(s), as appropriate.
4. Implement the care plan by administering the vaccine (or refer, if applicable). Record vaccine administered in pharmacy records and California Immunization Registry (CAIR) (if not submitting data electronically). Provide the patient with Vaccine Information Statements (VIS) and immunization documentation. Notify primary care provider (if known) or prenatal care provider (if applicable) of vaccine(s) administered.
- My Digital Vaccine Record
- Pharmacies and the California Immunization Registry (CAIR)
- Immunization Record
- California State Board of Pharmacy Regulation: Pharmacists Initiating and Administering Vaccines
- Vaccine Information Statements | Instructions for the use (CDC)
- Job Aid for Immunization Dose, Route, Site, and Needle Size (IAC)
- Expecting? Protect Yourself and Your Baby Against Flu and Whooping Cough flyer | Spanish
- Additional Patient Education Resources
5. Follow up with patient by monitoring for syncope or adverse reactions. Let patient know of any subsequent vaccine doses needed.
- Medical Management of Vaccine Reactions in Adult Patients (IAC)
- VAERS, VERP & MedWatch
- Vaccine Adverse Event Reporting System (VAERS)
- Vaccine Errors Reporting Program (VERP)
Additional Resources
- Pharmacy Pilot (Pharmacy Resource Kit)
- Participating Locations