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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3 4

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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

10

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

11

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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