HOW TO DO A PHYSICAL INVENTORYEZIZ.ORG
IMM-1090 Page 1 (12/18)
Using an electronic system? Print a copy of the current inventory report.
PRINT THE VFC "VACCINEPHYSICAL-INVENTORY FORM."
• Private and VFC vaccines should be separated and clearly labeled.
• Do not count private vaccines.
(To learn best practices, review the EZIZ lesson, Storing Vaccines.)
DETERMINE WHICH VACCINES ARE VFC VACCINES.
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California Department of Public Health, Immunization Branch IMM-1052 (6/17)
DATE:
REFRIGERATOR
FREEZER
VACCINE BRANDDOSES
PER BOX LOT NUMBERSEXPIRATION
DATE LOT NUMBERSEXPIRATION
DATE# DOSES ON HAND
TOTAL DOSES ON HAND
# DOSES ON HAND
DTaP
DTaP-HepB-IPV
HepA
HepB
Hib
IPV
MMR
MMRV
MCV4
MenB
PCV13
PPSV23
Td
Tdap
RV
HPV
Kinrix–vialsKinrix–syringesQuadracel – vials
105
10
Pediarix–syringes
VAQTA–vialsHavrix–vialsHavrix–syringes
ActHIB–vialsHiberix–vialsPedvaxHIB–vials
IPOL–vials
MMR-II–vials
ProQuad–vials
Menactra–vialsMenveo–vials
Bexsero–syringes* Trumenba–syringes*
Pneumovax 23–vials*
Prevnar 13–syringes
Tenivac–vials*Tenivac–syringes*Td Vaccine (Grifols)–vials*
Gardasil 9–vials
Varivax–vials
Engerix-B–vialsEngerix-B–syringesRecombivax HB–vials
Adacel–vialsAdacel–syringesBoostrix–vialsBoostrix–syringes
DTaP-IPV/Hib
Pentacel–vials
DTaP-IPV
Daptacel–vialsInfanrix–vialsInfanrix–syringes
Rotarix–vialsRotaTeq–tubesRotaTeq–tubes
Additional Space
Instructions: 1. Complete this form before you order VFC vaccine. 2. Transfer all lot numbers, expiration dates, and total doses on hand from this form to your VFC vaccine order.
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101010
101010
51010
10
10
55
10
101010
101025
1010
10
101010
10
10
105
1010
VACCINES FOR CHILDREN (VFC) PROGRAM
VACCINE PHYSICAL-INVENTORY FORM
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Highlights indicate special order VFC vaccines*
VAR
Then close the storage unit door.
REMOVE ALL DOSES FOR THE FIRST VFC VACCINE.
• Look at lot numbers on every box.
• Place expired vaccines and diluents in a bag or container marked “DO NOT USE.”
GROUP VACCINES BY LOT NUMBERS.
• Record a check next to the correct brand and packaging.
• Record the �rst lot number and expiration date.
• Note any vaccines that will expire within six months.
RECORD VACCINE INFORMATION ON THE INVENTORY FORM.
• For details and examples, refer to the Provider Operations Manual on EZIZ.org.
COUNT ALL DOSES OF THAT LOT NUMBER—INCLUDING OPENED BOXES.
VFC-Ped
VFC-Ped
VFC-Adol
Adult
Private
vaccines
Flu
vaccines
HepA
vaccines
HepB
vaccines
HPV
vaccines
MCV4
vaccines
MenB
vaccines
Tdap
vaccines vaccines vaccines
Flu
vaccines
PPSAV23
vaccines
DTaP
vaccines
Flu
vaccines
HepA
vaccines
HepB
vaccines
Hib
vaccines
IPV
vaccines
PCV13
vaccines
RV
HepA HepB
VFC Vaccine
DTaP
VACCINE BRANDDOSES/
BOX LOT NUMBERSEXPIRATION
DATE# DOSES ON HAND
TOTAL DOSES ON HAND
DTaPDAPTACEL vialsInfanrix vialsInfanrix syringes
101010
VFC-Ped
VFC-Ped
VFC-Adol
Adult
Private
vaccines
DTaP
vaccines
Flu
vaccines
HepA
vaccines
HepB
vaccines
HPV
vaccines
MCV4
vaccines
MenB
vaccines
Tdap
vaccines vaccines vaccines
Flu
vaccines
PPSAV23
vaccines
DTaP
vaccines
Flu
vaccines
HepA
vaccines
HepB
vaccines
Hib
vaccines
IPV
vaccines
PCV13
vaccines
RV
HepA HepB
MAX
Fº
CURRENT MIN MAX
Refrigerator Temperature LogRECORDING
MIN
MAX
CLEARSTART/STOP
VFC-Ped
VFC-Ped
VFC-Ped
IMM-1090 Page 2 (12/18)
HOW TO DO A PHYSICAL INVENTORY CONTINUED
EZIZ.ORG
• Repeat for each group of lot numbers for the �rst vaccine.
• Total the “# Doses On Hand” for all the lot numbers of that vaccine and record the doses in the “Total Doses on Hand” column.
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CONTACT THE VFC CALL CENTER TO ADDRESS ANY EXPIRED OR SOON TO EXPIRE VACCINES.
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Repeat steps 5-7 for each group of lot numbers for the same vaccine.
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Add the “# Doses On Hand” for all the lot numbers of that vaccine and record the number in the “Total Doses on Hand” column.
VACCINE BRANDDOSES/
BOX LOT NUMBERSEXPIRATION
DATE# DOSES ON HAND
TOTAL DOSES ON HAND
DTaPDAPTACEL vialsInfanrix vialsInfanrix syringes
101010
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A. Move vaccines with the earliest expiration dates in front to ensure older vaccines are used �rst.
B. Position vaccines 2-3 inches away from unit walls and �oor.
C. Do not return expired vaccines and diluents to the storage unit.
PUT VACCINES BACK IN ORDER OF EXPIRATION DATES.
RECORD THE COUNT IN THE “# DOSES ON HAND.”
Expires in3 months
DTaP
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Make sure all vaccines have been returned and storage unit doors are shut.
Using an electronic system? If the number of doses recorded on the completed VFC inventory form doesn’t match your current inventory report, research and correct any di�erences.
Remember:
• Expired vaccines must be reported on MyVFCVaccines.org.
• Vaccines that will expire within six months and are unlikely to be used should be transferred to another VFC provider. Contact the VFC Call Center (1-877-243-8832) or your Field Representative �rst.
REPEAT FOR ALL VFC VACCINES—ONE VACCINE BRAND AT A TIME.
VFC-Ped
VFC-Ped
VFC-Adol
Adult
Private
vaccines
Flu
vaccines
HepA
vaccines
HepB
vaccines
HPV
vaccines
MCV4
vaccines
MenB
vaccines
Tdap
vaccines vaccines vaccines
Flu
vaccines
PPSAV23
vaccines
DTaP
vaccines
Flu
vaccines
HepA
vaccines
HepB
vaccines
Hib
vaccines
IPV
vaccines
PCV13
vaccines
RV
HepA HepB
VFC Vaccine
DTaP
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