Documentation 

COVID-19 vaccination providers must document vaccine administration in their medical record systems within 24 hours of administration and use their best efforts to report administration data to the relevant system (e.g., immunization information system) for the jurisdiction as soon as practicable and no later than 72 hours after administration.

Document each recipient's vaccine administration information:

  • Medical record: The vaccine and the date it was administered, manufacturer, lot number, vaccination site and route, the name and title of the person administering the vaccine  
  • Vaccination record card: Date of vaccination, product name/manufacturer, lot number, and the name/location of the administering clinic or healthcare professional. Give to the vaccine recipient.  
  • Immunization information system (IIS): Report the vaccination to the appropriate state/local IIS.*

* If not automatically transferred from clinical data software

info

ACIP General Best Practice Guidelines for Immunization

CDC Immunization Information Systems  

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Page last reviewed: November 16, 2021