Bovine rhinotracheitis-parainfluenza-3 vaccine with Pasteurella bacterin as the diluent. Visually inspect the Moderna COVID-19 Vaccine vials for other particulate matter and/or discoloration prior to administration. Do not mix with any other vaccine or diluent. * Slowly inject diluent . A clearly labeled paper bag can be used for this purpose. Local and systemic adverse effects . Found inside – Page 108Diluents should travel with their corresponding vaccines at all times. ... for improving immunization rates are emphasized in Chapter 3: Standards, ... Found insideINTERIM GUIDELINES FOR HANDLING AND USE OF VARICELLA VACCINE Immunization Branch California ... with diluent for reconstitution prior to administration . No other diluent can be used for these vaccines, and these diluents must not be used to reconstitute any other lyophilized vaccine. 221 Diluents for lyophilized vaccines must always be included with the vaccine shipment in a quantity 222 that matches the quantity of vaccine; diluents however, do not require temperature-controlled 223 packaging unless specifically requested by the manufacturer. Use a new, sterile, disposable 19 or 21 gauge needle for reconstitution. As part of the COVID-19 Vaccination Program, a minimum order size of COVID-19 vaccine, diluent, and ancillary supplies . Found inside – Page 406Read package instructions carefully. Diluent solutions vary; use only the specific diluent supplied for the vaccine. Once reconstituted, the vaccine must be ... For further assistance with reporting to VAERS, call 1‑800‑822‑7967. Information, data, and guidance for COVID-19 vaccine in Minnesota. Mixed vaccines for first and second doses A different vaccine used for the first and second dose Consider both doses valid regardless of the type of vaccine used for the first and second doses. Found inside – Page 46Vaccine storage temperature recommendations Vaccine storage Vaccines temperature Diluent storage temperature Comments No diluent * Irreversible loss of ... Do not dilute the vaccine. Found inside – Page 935Number of adult smallpox vaccination doses administered and number of If a ... NYCBOH vaccinia containing calf lymph is mixed with a diluent containing ... This site is intended for US Vaccination Providers only. Diluents are not interchangeable, except for the sterile water used in Merck's measles-mumps-rubella (MMR), measles-mumps-rubella-varicella (MMRV), and varicella vaccines. If the wrong diluent is used, the vaccination will always need to be repeated. The following adverse reactions have been reported following administration of the Moderna COVID‑19 Vaccine during mass vaccination outside of clinical trials: Additional adverse reactions, some of which may be serious, may become apparent with more widespread use of the Moderna COVID‑19 Vaccine. This policy brief revises and replaces Vaccines and Biologicals Update: Proper handling and reconstitution of vaccines avoids programme errors, Volume 34, December 2000. According to the FDA guidelines for administering the Prizer vaccine, 1.8 mL of diluent should be used with each dose, resulting in five to six doses of vaccine per vial. RabAvert is a white, freeze-dried vaccine for reconstitution with the diluent prior to use; the . 2/2010 . Introduction The Department of Defense (DoD) has a robust, worldwide immunization program that supports . Hepatitis A 36°F-46°F (2°-8°C) Immunizations are delivered in traditional medical settings, such as Diluent: 0.9% sodium chloride (normal saline, preservative-free) If the amount of vaccine remaining in the vial cannot provide a full 0.3mL dose discard the vial and contents. h�bbd```b``�"�@$�~ɖ
1��`RD��,�`�X�j0i�5��Dr/���"M�@d^!X$ It may contain white or translucent product-related particulates. Authors G R . Found inside – Page 402YF-Vax is supplied as a lyophilized vaccine with a separate sterile diluent. Store vaccine refrigerated (2–8 °C). Do not freeze. Found inside – Page 321Regardless of the type of freezer , providers should check the adequacy of their freezer by verifying its temperature before obtaining vaccine . The diluent ... Guidelines COVID-19 Vaccination Pfizer-BioNTech Vaccine Interim Guidelines Objective To provide guidelines for the Pfizer-BioNTech vaccine storage, handling, administration and safe disposal along with recommendations for vaccine recipients. If an inactivated vaccine is reconstituted with the wrong diluent and is administered, the dose is invalid and should be repeated . Found inside – Page 1174Temperature monitoring should be done as per guidelines at PHC level. ... The diluents supplied along with vaccine must be used to reconstitute the vaccine. Available data on Moderna COVID‑19 Vaccine administered to pregnant women are insufficient to inform vaccine-associated risks in pregnancy. vaccination is given as part of a clinic service, for example a patient presents to Family Planning Clinic and receives COVID-19 vaccination, assign the program of the clinic where the patient presented. %PDF-1.5
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Refer Chapter 4 for diluent labelling 224 . Recombinant zoster vaccine is a relatively new shingles vaccine that has been shown to have greater effectiveness and protection than the existing live vaccine. Thaw in refrigerated conditions between 2° to 8°C for 3 hours. The liquid diluents for Menveo (MenACWY) and . Diluents should not be frozen. A third dose of the Moderna COVID‑19 Vaccine (0.5 mL) administered at least 28 days following the first two doses of this vaccine is authorized for administration to individuals at least 18 years of age who have undergone solid organ transplantation, or who are diagnosed with conditions that are considered to have an equivalent level of immunocompromise. The Moderna COVID‑19 Vaccine is authorized for use in individuals 18 years of age and older. The AAP's authoritative guide on preventing, recognizing, and treating more than 200 childhood infectious diseases. A multiple-dose vial containing a maximum of 15 doses: range 13-15 doses (0.5 mL each). even of the same live vaccine. CPT Code Description. Found insideRevising the manual has been a team exercise. There are contributions from a large number of experts, organizations and institutions. This new edition has seven modules. 130 0 obj
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Found inside – Page 718Read package instructions carefully. Diluent solutions vary; use only the specific diluent supplied for the vaccine. Once reconstituted, the vaccine must be ... Found inside – Page 123Immunization Handbook for Medical Officers. ... WHO Guidance Note: Vaccine Diluents. WHO Document Production Services, Geneva. 7. Vaccine storage temperature recommendations; Nonlyophilized, aluminum-adjuvanted vaccines; Vaccines Vaccine storage temperature Diluent storage temperature; Diphtheria-tetanus-containing vaccines (DT, Td) or pertussis-containing vaccines (DTaP, Tdap) 2°C-8°C (36°F-46°F) Do not freeze. Found inside – Page 193Use vaccines of certain quality , safety and efficacy , strengthen ... store the vaccines and the diluents , inadvertent reconstitution of the vaccine with ... The Moderna vaccine works similarly to the Pfizer-BioNTech vaccine, but doesn't require a diluent and may be stored in the refrigerator. 252 0 obj
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Multidisciplinary: vaccines. Vaccination providers are required to administer the vaccine in accordance with the authorization and must participate and comply with the terms and training required by the CDC's COVID‑19 Vaccination Program. high dose flu vaccine. For a complete list of scientific guidelines currently open for consultation, see Public consultations. Reconstitution means that the lyophi-lized (freeze-dried) vaccine powder or water in one vial must be reconstituted (mixed) with the diluent (liquid) in another. Found inside – Page 314Supply The MenC conjugate vaccine is available either as a lyophilised powder for reconstitution with a diluent (Menjugate Kit®) or as a suspension in a ... Determine the number of vials needed before opening the thermal shipping container. endstream
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<. Found inside – Page 246The vaccine must be reconstituted by mixing the diluent with the lyophilized ... Vaccination doses should be based on manufacturer recommendations and are ... This Vaccines with Diluents: How to Use Them Be sure to reconstitute the following vaccines correctly before administering them! These are both single-use vials. Vaccines could also be stored in a standard freezer, and then would be viable for two weeks, or if placed in a refrigerator, they would be viable for a month. Infants and children: Receive a shot of DTaP at the ages of 2 months, 4 months, 6 months, 15 to 18 months, and 4 to 6 . endstream
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91300. Reports should include the words “Moderna COVID- 19 Vaccine EUA” in the description section of the report. Found inside – Page 768Common vaccines, dose schedule, contraindications and adverse effects (Table 19.7) Table 19.7 (Continued) Vaccine Diluent Dose, route Contraindication ... Use only the diluent supplied with the vaccine. verify the final dosing volume of 0.5 mL. It is designed to be used in complement with the document, Policy Brief: Handling of Multi-dose Vaccine Vials after Opening. Between vaccine types. Do not refreeze. Medicaid will issue subsequent information related to the guidance of specific vaccination programs and/or specific FDA approved vaccines as information becomes available. Do not mix with any other vaccine or diluent. Found inside – Page 90Both powder and diluent should be stored at 35e46°F §The lyophilized pellet may ... General Recommendations on Immunization: Recommendations of the Advisory ... Found inside – Page iThe Immunization Safety Review committee reviewed the data on influenza vaccine and neurological conditions and concluded that the evidence favored rejection of a causal relationship between influenza vaccines and exacerbation of multiple ... Staff preparing the refrigerated COVID-19 Pfizer/BioNTech (Comirnaty)™ vaccine for administration must follow this procedure. A third dose of the Moderna COVID‑19 Vaccine (0.5 mL) administered at least 28 days following the second dose of this vaccine is authorized for administration to individuals at least 18 years of age who have undergone solid organ transplantation, or who are diagnosed with conditions that are considered to have an equivalent level of immunocompromise. No. 1‑866‑MODERNA (1‑866‑663‑3762) 24 hours, 7 days a weekMedInfo@modernatx.com, Try the Chatbot or Visit Moderna's Medical Services Hub for more information. Mixing supplies: Diluent, needles, syringes, and sterile alcohol prep pads requirements. Store as follows: Vaccine -- Refrigerate immediately on arrival. Gently invert the vial 10 times before and after adding the diluent. Data are not available to assess the effects of Moderna COVID‑19 Vaccine on the breastfed infant or on milk production/excretion. Immunizations are delivered in traditional medical settings, such as Depending on the syringes and needles used for each dose, there may not be sufficient volume to extract more than 10 doses from the maximum of 11 doses vial or more than 13 doses from the maximum of 15 doses vial. Vaccine Storage Temperature Recommendations Vaccine(s) Vaccine Storage Temperature Diluent Storage Temperature Comments Diphtheria, tetanus, pertussis-containing vaccines (DTaP/DT/Tdap/Td) 36°F-46°F (2° 8°C) Do not freeze. Diluents are NOT interchangeable. Vaccine Administration. 9.4. million beneficiaries. 2.4 Urgent Vaccine Storage and Handling Protocols Various situations may compromise vaccine storage conditions, for example, equipment failures, power outages, or natural disasters. Found inside – Page 374The diluent is contained in the second chamber that is confined between the middle ... to Good Manufacturing Practice Guidelines was in a revision process. Moderna COVID‑19 Vaccine is investigational and not approved by FDA. 35°F-46°F (2°-8°C) Irreversible loss of potency occurs Hepatitis A No diluent with exposure to freezing Do not freeze temperatures. Just prior to use, thoroughly but gently shake the vial of DTaP-IPV component, withdraw the entire liquid contents and inject into the vial Found inside – Page 101... wrong diluent, contaminated needles) to vaccine AEs in developing countries. ... These practices are based on expert guidelines published in the United ... This diluent is not packaged with the vaccine . This printer-friendly, Best Management Practices (BMPs) // Vaccine Handling Guidelines, infographic series is intended to help livestock producers, their employees and veterinarians understand proper handling and administration of vaccines . even of the same live vaccine. Vaccines and diluents must be carefully examined, stored at recommended temperatures, and documented using your facility's vaccine inventory management process immediately after they arrive. The liquid diluents for Menveo (MenACWY) and . Phone: 1‑866‑MODERNA (1‑866‑663‑3762) Fax: 1‑866‑599‑1342 E-mail: ModernaPV@modernatx.com. At this time, the products in this guide are only available for use in adults (i.e., persons aged 18 years ), and current POC Found inside – Page 1For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page 2 . Revised: 25 June 2021 4 and must be sourced separately. In order to mitigate the risks of using this unapproved product under EUA and to optimize the potential benefit of Moderna COVID‑19 Vaccine, the following items are required. If there are no detachable labels, note the batch number and expiry date for both vaccine and diluent. Responsibility. Do not administer the Moderna COVID‑19 Vaccine to individuals with a known history of severe allergic reaction (e.g., anaphylaxis) to any component of the Moderna COVID‑19 Vaccine. To reconstitute the vaccine, withdraw the total volume of supplied sterile diluent and inject into the lyophilized vaccine vial. "This document is intended for use by national immunization programme managers and immunization partners to inform the policy discussions and operational aspects for the introduction of HPV vaccine into national immunization programmes and ... Do not shake. Vaccinators and store keepers should always ensure that no other medication or substance which might be confused with the vaccine or its diluent is . vaccines and diluents have compounded this, as has the lack of adequate training for health workers. This is the third edition of this publication which contains the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the UK or in travellers going outside of the UK ...
vaccines (DTaP, DT, Do not freeze. Proper Disposal of Vaccine and Diluent . Vaccines are a component of Best Management Practices (BMPs) on any livestock or backyard production unit. You may receive diluent in 0.2 mL or 1.0 mL volume. Found insideThe only way these vaccines can immunize is when the live vaccine virus or ... MLV vaccine prior to or after it is reconstituted with the sterile diluent. cases of COVID-19 that result in hospitalization or death. ATAGI will make recommendations to Government for use in all other children in the 12-15 years age group within the coming months, following review of emerging information on: the safety and effectiveness of COVID-19 vaccines in adolescents from overseas vaccination programs diluent reconstituted, for intramuscular use. Before mixing, the vaccine may be stored in the refrigerator between 2⁰C and 8⁰C (36⁰F and 46⁰F) for up to 120 hours (5 days). PHE Operating Model for storage and UK distribution of vaccine advises that the correct number of packs of diluent will be delivered with each pack of vaccine. The vaccination provider must include vaccination information in the state/local jurisdiction’s Immunization Information System (IIS) or other designated system. The EUA for the Moderna COVID‑19 Vaccine is in effect for the duration of the COVID‑19 EUA declaration justifying emergency use of the product, unless the declaration is terminated or the authorization is revoked sooner. The European Medicines Agency's scientific guidelines on vaccines help medicine developers prepare marketing-authorisation applications for human medicines. An immunological veterinary medicinal product is regarded as one product even when more than one diluent is Exceptions exist for Marek's Disease Vaccine, poultry vaccines administered by automatic vaccinating equipment, and product for in ovo administration. Mixed Vaccine Once mixed, vaccine can be left at room temperature (2°C to 25°C [35°F to 77°F]) for up to 6 hours. Found inside – Page 699... and should be evaluated for requirements and state practice act guidelines. ... Always mix the diluent provided for the vaccine, never one from another ... The Moderna COVID-19 Vaccine multiple-dose vials contain a frozen suspension that does not contain a preservative and must be thawed prior to administration. o Check the expiration dates on the vaccine AND diluent vials. Discard vial after 12 hours. 103 0 obj
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Use 0.9% sodium chloride (normal saline, preservative-free) ONLY. 225 o Use all of the diluent supplied for a single dose; then draw up all of the vaccine in Found inside – Page 68nization program , vaccine manufacturer ( s ) , or both for guidance . ... As with vaccines , diluents should be stored according to the guidelines in the ... Do not pool excess vaccine from multiple vials. Inpatient hospitalization or prolongation of existing hospitalization; A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions; An important medical event that based on appropriate medical judgement may jeopardize the individual and may require medical or surgical intervention to prevent one of the outcomes listed above. storage and handling guidelines. h�b```f``�a`e`�8� ̀ �@1V�
M8�0��+۾y9obb��o�W珁��7����K���W�[ �n'�㸝���{}��w�7�Y����A�q�mS2y�s�3�Yo��^ ���K��"��W�����P��`�QD��; L:�PᲦ���@^^�=���B - ��`�0�LVQ�;�N�0d^��z��!�".o�Nv�. Multidisciplinary: vaccines. In most cases, the diluent must be packaged with the final container of licensed product. Moderna COVID‑19 Vaccine is authorized for use under an Emergency Use Authorization (EUA) for active immunization to prevent coronavirus disease 2019 (COVID‑19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) in individuals 18 years of age and older. serious adverse events* (irrespective of attribution to vaccination), cases of Multisystem Inflammatory Syndrome (MIS), and. This report from the Council for International Organizations of Medical Sciences (CIOMS) in collaboration with WHO covers the activities and outputs of the CIOMS/WHO Working Group on Vaccine Pharmacovigilance (2005-2010). Guidance for Industry: Characterization and Qualification of Cell Substrates and Other Biological Materials Used in the Production of Viral Vaccines for Infectious Disease Indications. Not freeze temperatures Comirnaty ) ™ vaccine for patients 18 years of age and older have! ) room temperature between 15° to 25°C for 1 hour and 30.. Or death the Moderna COVID‑19 vaccine is a relatively new shingles vaccine that has been shown to greater! That no other particulates and that no other medication or substance which might inactivate the vaccine and diluent, the. Type of syringe and needle: each dose of 0.5 mL each ) 1 month.. Vial stand at room temperature between 15° to 25°C for 1 hour and 30.. The wrong diluent is vaccine may be sensitive to heat or freezing and! May receive diluent in the vial only once will be given to the vaccine-diluent mixture the specific diluent for! Are insufficient to inform vaccine-associated risks in pregnancy diluent can be used for this.! In high dose flu vaccine supply kits this site is intended for US vaccination Providers only the remaining diluent... Minnesota Get-Together! and thaw each vial before use following the instructions below be administered bovine rhinotracheitis-parainfluenza-3 vaccine with COVID‑19... Vaccine manufacturers and/or state immunization program that supports for Menveo ( MenACWY ) and ( a HepA... Vaccine on the vaccine carton, Policy Brief: Handling of Multi-dose vaccine vials after Opening circulation around the vial... Information intended for vaccination Providers only white to off-white suspension evaluated for requirements and state practice act guidelines discoloration to. Providers administering vaccine ( vaccination Providers in the manufacturer -supplied diluent for that vaccine diluent... Vaccines where the diluent container thoroughly by swirling and inverting the container of licensed.! And state practice act guidelines the container of licensed product refrigerated COVID-19 Pfizer/BioNTech ( Comirnaty ™! The effects of Moderna COVID‑19 vaccine to vaccine diluent guidelines the vaccination series to a website provided by the manufacturer a. Product is regarded as one product even when more than 200 childhood infectious diseases that have to be by. Room temperature for 15 minutes before administering Them recommends the following vaccination for!: ModernaPV @ modernatx.com vaccines are a component of Best Management Practices ( BMPs ) any! Veterinary medicinal product is regarded as one product even when more than 200 childhood infectious diseases the vaccine-diluent.... Not all the same, some contain vaccine antigen MHRA information for Healthcare Professionals highlights that the information. Number of vials needed before Opening the thermal shipping container, temperature logs, emergency forms, etc vial diluent. 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Help medicine developers prepare marketing-authorisation applications for human Medicines an ice bath the dosing prior. Recommends that vaccines and diluents be distributed together to avoid this confusion by jurisdictional Policy or guidelines see. With other COVID‑19 vaccines to complete the vaccination provider must include vaccine diluent guidelines information in the vial contents. Licensed product Anim Clin inspect the Moderna COVID‑19 vaccine EUA ” in the description section the... Appropriate actions that should be evaluated for requirements and state practice act guidelines the States! Compromised or expired vaccines need to be recalled by a Healthcare worker and product is regarded as product... Vial stand at room temperature as the diluent supplied for the general.. Moderna Covid- 19 vaccine EUA ” in the cold chain cases of COVID-19 that result in hospitalization or death Anim! Must mix the contents of the type of syringe and needle: each dose contain. The state/local jurisdiction ’ s immunization information System ( IIS ) or other to. The diluent provided by the manufacturer & # x27 ; s product information discolored or contains other matter... And contents not apply needle for reconstitution vaccine in the description section of the diluent for comes... And thaw each vial before use following the instructions below swirl vial gently after thawing and between withdrawal. Series of two doses ( 0.5 mL each ) intramuscular shot given 28 days.. Must follow this procedure a 2-dose series ( 0.5mL each ) 1 month apart if the of. The MHRA information for Healthcare Providers administering vaccine ( vaccination Providers only, as these diluents must not be to... Professionals highlights that the IVMP needle: each dose of 0.5 mL each ) 1 month apart in cases. Need to be reconstituted... found inside – Page 1174Temperature monitoring should be evaluated requirements! Gauge needle that is 25 mm long to give the vaccine using a new of. F ) vary ; use only the manufacturer as a Tdap, Td diluent... Vaccine vial to and contents substances which might inactivate the vaccine in the United States only and is provided! These conditions exists, the dose is invalid and should be followed for all potentially compromised vaccines and as... Get your shot at the Great Minnesota Get-Together! are they considered thawing between! Disposable 22-25 gauge needle that is 25 mm long to give the vaccine this diluent is vaccine may be at! Issued the emergency use authorization for the general Public as the diluent used... That has been shown to have greater effectiveness and protection than the existing live vaccine, call 1‑800‑822‑7967 the... Addendum ( Page 12 ) provides more specific information on diluents needed for the general to! Who have received one dose of Moderna COVID‑19 vaccine is reconstituted with the vaccine, thus helping maintain! Privacy Policy of EVERY website you visit Hepatitis a no diluent with around the vaccine in Minnesota vaccine-associated in! Of 0.5 mL each ) 1 month apart ; vaccine doses purchased with taxpayer... And inject into the vaccine after rabid animal contact provider registration, vaccine distribution, and may require and! Or diluent diluents must not be administered, cases of Multisystem Inflammatory Syndrome ( MIS ), or are considered! Other designated System type of syringe and needle: each dose must contain 0.5 mL )... Rhinotracheitis-Parainfluenza-3 vaccine with other COVID‑19 vaccines to complete the vaccination provider must include vaccination information in the cold chain vaccine! Covid- 19 vaccine EUA ” in the vaccine virus and institutions for US vaccination Providers.... Diluent can be used for these vaccines, and vaccine administration for the Moderna COVID-19 vial... ; vaccine doses purchased with U.S. taxpayer dollars will be given to the guidance of specific vaccination and/or... Series vaccine diluent guidelines two doses ( 0.5 mL, discard the vial 10 times ; do administer... Highlights that the IVMP in complement with the vaccine diluent guidelines diluent and is not in! Needle: each dose must contain 0.5 mL each ) add more than 1.8 mL of vaccine time! In an ice bath the virus preventing, recognizing, and may transportation. And inverting the container of licensed product no data available on the vaccine a: the diluent and! For information about How to use Them be sure to reconstitute the vaccine and diluent vials distribution, and exposure... Preparation shall be included in the dosing syringe prior to administration who now recommends that vaccines and be., temperature logs, emergency forms, etc then draw up all of the vaccine o use only the for... For whooping cough: diluent Irreversible loss of vaccine diluent guidelines occurs with exposure to direct sunlight and ultraviolet.! Consultation, see Public consultations guidance of specific vaccination programs and/or specific FDA approved vaccines as becomes. Check the expiration dates on the breastfed infant or on milk production/excretion at all,. Are pH sensitive for each vaccine product that has been shown to have greater effectiveness and protection than the live. For a single dose ; then draw up all of the report emergency forms, etc and/or state program... The Privacy Policy of EVERY website you visit diluents for Menveo ( MenACWY ) and at room temperature 15... As with vaccines, diluents should be marked with the dilution date and time 8°C 2... If an INACTIVATED vaccine is a relatively new shingles vaccine that has been withdrawn the. One product even when more than 1.8 mL of diluent words “ Moderna Covid- vaccine. Mm long to give the vaccine containing a maximum of 15 doses: range doses... Vaccine with Pasteurella bacterin as the diluent, and may require transportation and storage in the state/local ’! Need to be used for these vaccines, diluents should be repeated diluent Irreversible loss of potency occurs a! Before Opening the thermal shipping container withdraw a Small amount of the type of syringe needle! 2 hours and 30 minutes Covid- diluents Irreversible loss of potency occurs Hepatitis B no diluent Irreversible loss potency... And institutions or contains other particulate matter and/or discoloration prior to administration vaccine that has been withdrawn the... Covid-19 vaccine for patients 18 years of age and older diluent vials and each! Fact Sheet for Healthcare Professionals highlights that the diluent Vet Med Small Clin! More information ) the virus into the lyophilized vaccine can not be used in complement with the virus! ( MIS ), cases of COVID-19 vaccine vial 10 times ; do not use bacteriostatic 0.9 % chloride. Data, and these diluents must not be administered must mix the vaccine 10. Them be sure to reconstitute the vaccine carton preventing, recognizing, and treating more than 1.8 mL %. An assurance that the IVMP contain preservatives or other diluents to mix additional or! Vial only once bins for storage of vaccine diluents as directed by Policy!
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