Transcription of COVID-19 Temperature Log - EZIZ
1 COVID-19 Temperature LogKeep all Temperature logs and data files for three years. Questions? Call (833) Names and Initials:_____California COVID-19 Vaccination ProgramIMM-1311 Page 1 (2/10/22)ampmampmampmampmampmampmampmamp mampmampmampmampmampmampmampmampmDayExam -pleTimeCURRENTMINMAXE xcursionResolvedInitials1234567891011121 31415 AlarmMONTH & YEARVACCINE STORAGE UNIT LOCATION/IDCOVID PINOn-Site Supervisor s Review When log is complete, check all that apply: temperatures wer e recorded twice daily. I reviewed data files to find any missed excursions. Download date: _____ Any excursions were : Signature: Date: ?Identify product and storage unit: Pfizer 6mo-4y (maroon cap), 5-11 (orange), and 12+ (gray): ULT Freezer: until expiration refrigerator : 10 weeksPfizer-BioNTech 12+ (purple cap): ULT Freezer: until expiration Freezer: 2 weeks refrigerator : 31 daysModerna: Freezer: until expiration refrigerator : 30 days Janssen: refrigerator : until expirationFill in Temperature range:Check temperatures twice a day:1.
2 Fill out clinic details in record the time and your record a check if alarm went record Current, MIN, and no alarm:1. Clear Ensure data logger is ALARM WENT OFF:1. Clear MIN/MAX and alarm Post Do Not Use Vaccines Alert your Complete Report Temperature Excursion Contact vaccine Report Temperature record a check after the incident has been Ensure data logger all Temperature logs and data files for three years. Questions? Call (833) Names and Initials:_____California COVID-19 Vaccination ProgramIMM-1311 Page 2 (2/10/22)?Identify product and storage unit: Pfizer 6mo-4y (maroon cap), 5-11 (orange), and 12+ (gray): ULT Freezer: until expiration refrigerator : 10 weeksPfizer-BioNTech 12+ (purple cap): ULT Freezer: until expiration Freezer: 2 weeks refrigerator : 31 daysModerna: Freezer: until expiration refrigerator : 30 days Janssen: refrigerator : until expirationFill in Temperature range:Check temperatures twice a day:1.
3 Fill out clinic details in record the time and your record a check if alarm went record Current, MIN, and no alarm:1. Clear Ensure data logger is ALARM WENT OFF:1. Clear MIN/MAX and alarm Post Do Not Use Vaccines Alert your Complete Report Temperature Excursion Contact vaccine Report Temperature record a check after the incident has been Ensure data logger Temperature Logampmampmampmampmampmampmampmampmampma mpmampmampmampmampmampmampmDayTimeCURREN TMINMAXE xcursionResolvedInitials1716181920212223 2425262728293031 AlarmMONTH & YEARVACCINE STORAGE UNIT LOCATION/IDCOVID PINOn-Site Supervisor s Review When log is complete, check all that apply: temperatures wer e recorded twice daily.
4 I reviewed data files to find any missed excursions. Download date: _____ Any excursions were : Signature: Date.
