Wufoo

State of Montana Immunization Program


If your public vaccine has experienced inappropriate storage conditions, do the following (DO NOT include any private vaccine details):

1. Do not use or discard the affected vaccine.

2. Contact your Vaccine Coordinator or Backup (if primary is unavailable).

3. If possible, get the vaccine into an appropriate storage environment, but quarantine it with a clear “Do Not Use” sign.

4. Stabilize the situation by returning the vaccine to appropriate temperatures.
A. If the duration of the event is likely to be less than 4 hours, keep the vaccine in the storage unit with the door closed.
B. If the duration of the event is unknown or likely to last longer than 4 hours, move the vaccine to the alternate storage location designated in your Section 12- Routine and Emergency Management Plan.

5. Download data logger data for the excursion.

6. Reset and reinstall your data logger so your vaccines continue to be monitored. Use your backup data logger if necessary.

7. Review data logger data to determine the time the vaccine entered out-of-range temperatures and reentered in-range temperatures.

8. Determine the highest or lowest out-of-range temperature reached during the excursion.

9. Use temperature excursion resources to determine if vaccine may continue to be used. Contact any and all applicable manufacturers as needed.

10. Complete and submit this form with the outcome of the temperature excursion. Attach data logger files.

Questions? hhsiz@mt.gov 444-5580