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Model Standing Order and Immunization Protocol Template

IP COVID-19 Vaccine Page 1 of 19 OHA 8285 (7/19) A. PUBLIC HEALTH DIVISION Immunization Program Immunization Protocol COVID-19 Vaccine (Pfizer-BioNTech, Moderna, Janssen [Johnson & Johnson]) Last Reviewed 7 January 2022 Last Revised 7 January 2022 This Order expires 30 June 2022 Table of contents What s new .. 1 Oregon Immunization Protocol .. 2 Vaccine schedule for COVID-19 Vaccine .. 3 Licensed COVID-19 vaccine .. 4 Recommendations for use .. 5 Contraindications .. 6 Warnings and precautions .. 7 Other considerations .. 8 Side effects and adverse reactions .. 9 Storage and handling .. 9 Adverse events reporting .. 11 References .. 12 Appendix A .. 15 Appendix B .. 16 Appendix C .. 17 Appendix D .. 19 What s new CDC now recommends that all people 12 years of age receive a booster dose of Pfizer vaccine 5 months after completing their initial Pfizer vaccination The interval between the final dose in the primary series and the booster dose has been shortened to 5 months for the Moderna IP COVID-19 Vaccine Page 2 of 19 Immunocompromised children 5 through 11 years old should receive a th

C. Provide a Vaccine Information Fact Sheet for Recipients and Caregivers, and answer any questions. People aged 15– 17 years may consent for their own vaccinations and do not need a parent to consent or to be present. For more information, see appendix D. D. Record all required data elements in the client’s permanent health record.

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