Transcription of Vaccine Storage Troubleshooting Record
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Vaccine Storage Troubleshooting Record
Date & Time of EventIf multiple, related events occurred, see Description of Event Unit Temperatureat the time the problem was discoveredRoom Temperatureat the time the problem was discoveredPerson Completing ReportDate:Temp when discovered: Temp when discovered: Name:Time:Minimum temp: Maximum temp: Comment (optional):Title:Date:Description of Event (If multiple, related events occurred, list each date, time, and length of time out of Storage .) General description ( , what happened?) Estimated length of time between event and last documented reading of Storage temperature in acceptable range (2o to 8oC [36o to 46oF] for refrigerator ; -50o to -15oC [-58 to 5 F] for freezer; -80o to -60oC [-112 to -76 F] for ultra-cold freezer (may be used for Pfizer COVID-19 Vaccine ).)
Water bottles in refrigerator door. No vaccine stored in freezer. No problems with storage unit prior to Saturday night. Thunderstorms in area over weekend may have affected power. Vaccines currently stored appropriately at 41ºF. Refrigerator and vaccines labeled "Do Not Use." My State Immunization Program contacted at 8:30 am. Spoke with ...
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