Transcription of VACCINE FOR CHILDREN (VFC) PROGRAM …
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VACCINE FOR CHILDREN (VFC) PROGRAM …
VACCINE FOR CHILDREN (VFC) PROGRAMR efrigerated VACCINE Transport LogDate: I M M -113 2 (11/ 16 )Instructions: Complete this log when transporting vaccines to your alternate VACCINE storage Name: PIN:Transferred to: PIN: VACCINE transferred due to: Power outage Excess supply Short dated Unit malfunction Building maintenance OtherTemperature of VACCINE in refrigerator prior to transfer: C/F Time:Temperature of VACCINE in cooler before departure: C/F Time:Temperature of VACCINE in cooler upon arrival: C/F Time:Temperature of alternate VACCINE storage unit: C/F Time: Total Transport time: Min/HrVaccine Inventory InformationVaccineLot NumberNumber of DosesExpiration DateVaccine previously transported?
VACCINE FOR CHILDREN (VFC) PROGRAM Refrigerated Vaccine Transport Log Date: IMM-1132 (11/16) Instructions: Complete this log when transporting vaccines to your alternate vaccine storage location.
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