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These data do not suggest an increased risk for miscarriage after receiving an mRNA COVID vaccine just before or within the first 20 weeks of pregnancy. CDC is committed to continuing to learn about COVID vaccination during pregnancy and will update healthcare providers and the public as more data become available.

There are several reminder strategies to bolster the likelihood of patients returning for second visits, such as: Filling out and giving patients the CDC vaccination card. This card tells patients what COVID vaccine they received, the date they received it, and where they received it. They are instructed to keep it as a reminder for their second appointment and for their records. Utilizing VaxText, a free text-messaging platform that providers can offer to their patients.

Patients can opt in to conveniently receive text message reminders to get their second dose of COVID vaccine. VaxText offers the added benefit of reminding patients to sign up for v-safe, a tool that allows people to report adverse outcomes following vaccination. Ordering process steps Vaccinators are responsible for ordering second doses.

Overview of vaccine ordering updates: Effective November 23, at p. DHS is moving to a survey format to more efficiently and equitably receive and fill orders given current constraints. Although the survey will open November 24, hub orders will not be processed until November 29 at 12 p. If there are any questions or issues during the ordering process, please send an email to dhscovidvaccinator dhs. Users will need to log into WIR and navigate to the announcements section.

The link will also be included as a standing item in the weekly communication to vaccinators. You may also bookmark the direct link as it will not change. The survey ordering process changes the timeline for order deliveries. If you need vaccine for clinics scheduled during the holiday weekend submit your orders early, during the week of November Orders placed between a.

Please provide the following information about your anticipated shortage or current supply difficulties: Your entity category hospital, FQHC, public health, long term care, etc. Contact information Specific item description for example, if it is a needle or syringe, indicate the exact size s , or if it is a N95 respirator, indicate the exact manufacturer and model Anticipated or current shortage amounts This information can be communicated to DHS by sending an email to dhsstockpile dhs.

Vaccine wastage reporting process Given the difference in dosages between primary and booster dose, Moderna has provided additional resources to support providers in determining wastage. CDC does not recommend pre-drawing vials. If doses need to be pre-drawn: Set up a separate administration station for each vaccine type to prevent medication errors.

Draw up vaccines at the clinic site or mass vaccination event on the day of the event. Do not draw up in advance or plan on transporting pre-drawn vaccine.

Each person administering vaccines should draw up no more than one multi-dose vial at one time. Monitor patient flow to avoid drawing up unnecessary doses. Pre-draw reconstituted vaccine into a syringe only when ready for administration. If pre-drawn vaccine is not used within 30 minutes of being reconstituted, follow manufacturer guidance for storage conditions and time limits.

Transportation of vaccine in vials and predrawn syringes Ideally, vaccines should be delivered directly to the facility where they will be used. Transport vaccine in vials whenever possible. Partially used vials may be transported. In the limited instances when the only option is to transport vaccine in a predrawn syringe, follow guidance for transporting predrawn vaccine in syringes provided in the USP COVID Vaccine Toolkit: Operational Considerations for Healthcare Practitioners.

Any time spent in transport must be included in the beyond-use dates or times for the vaccine products. Steps to redistribute vaccine Note: Organization refers to the provider listed on Form A, and location or site refer to the provider listed on Form B.

Report ancillary kit issues to McKesson. Report deficiencies to DHS and your site's leadership. This helps identify trends in equipment problems. Because syringes are a medical device, complete FDA form You should have received an email from vaccinefinder auth. If you cannot locate this email, please email dhscovidvaccinator wi. The initial registration email goes to the identified organization contact listed under Form A of the Provider Agreement to set up the reporting structure for the organization.

If the organization contact designates site level reporting, this triggers registration emails to be sent to the 2 site level vaccine coordinators listed in Form B of the Provider Agreement.

If the email address the registration email is sent to is incorrect, please email DHS at dhscovidvaccinator wi. Once registered, you will be responsible for managing the public display information for your locations on vaccines. To begin, check your public display details to make sure the information is accurate. You can use the Vaccines. Providers have the option of uploading a spreadsheet or filling out a manual form to update their public display information.

Guides for each option are below. Upload spreadsheet Log manually Please note, vaccinators will not be able to update their inventory settings or addresses. To make changes to inventory display or address please email dhscovidvaccinator wi. Best Practices: DHS encourages vaccinators to consider the following when updating their public profile information: For single-day or pop-up clinics, please provide information at least three days prior to ensure visibility on the map.

Include information about parking, entrances, and other access details. You can also add a Vaccines. Communicate with patients so they are aware and attentive of fraudulent practices such as: Requests for payment to get a vaccine, including deposits or fees. Requests for payment or offers of money to enhance ranking for vaccine eligibility such as, getting a better spot in line or on a wait list. Offers to sell or ship doses of vaccine for payment. Offers to purchase vaccine record cards containing personally identifiable information, and offers of money to participate in a vaccine survey.

Secure disposal of vaccine vials and packaging Due to the increased threat of fake or counterfeit vaccines, the Department of Defense has outlined recommended steps to properly dispose of empty vaccine vials and product packaging.

Always secure your vaccine and vaccination cards to protect them from inappropriate distribution. Monitor both the inventory of vaccine and blank vaccination cards and keep them locked up when not being used.

If you are unable to store the excess cards, offer them to your local health department, or as a last resort, destroy them. General questions Q: To avoid the need to touch and hand out vaccination cards on-site, can we email, text, or electronically provide the vaccination card to the patient and still be in compliance with CDC requirements?

A: Yes, you can give your patients a vaccination card electronically. Q: What types of providers can vaccinate? Q: Does CDC or the state provide a template consent form? You will also need to have a window that complies with the rules listed below: There needs to be two 2 delivery windows, one in the morning and one in the afternoon for selected days. You must have a one-hour spacing, between the morning first and afternoon second delivery windows: 7 a. A: Yes, your sites must indicate they can receive vaccine delivery, at minimum: One day per week other than a Monday.

A delivery window of four consecutive hours that does not encompass the noon hour. Q: What is redistribution? Q: Where can I find the Redistribution Form? Q: Who are the responsible officers on the Redistribution Form? Q: Do I need a Redistribution Form?

Q: What do I do if I need to redistribute vaccine immediately? Q: Do I need to receive approval before I can redistribute vaccine? Q: What if I already completed a Redistribution Form? Q: Why is our site being visited? The purpose of site visits is to: Assess vaccinator adherence to program guidelines and requirements. Ensure vaccines are received and administered in the proper manner.

Identify and address challenges needing technical assistance, training, and additional follow-up. Support vaccinators by providing updated resources and education regarding vaccine administration, storage and handling, and other relevant resources. Q: Will my site know ahead of time when a site monitor is coming? Q: What will a typical site visit include? A: Site visits may last up to 3 hours. During the visit, the site monitor s will review the following items with the vaccinating site: Provider registration information Billing, documentation of vaccine administration, and vaccine recipient communications Vaccine storage and handling Vaccination procedures Ancillary supply kits Q: What if our site has no COVID vaccinations scheduled for the day of the site visit?

Q: How will the site monitor review storage and handling? Q: What happens if a site monitor finds a non-compliant practice? Q: Who can I contact if I have additional questions? Resilient Wisconsin Get help learning how to manage stress and adapt to change with services and support from organizations across the state.

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