Available Vaccine: Flu - Philadelphia Immunization Program

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philavax@phila.gov

215-685-6784

215-238-6944

Complete the online reporting agreement form

Or fill out the

Reporting agreement form

then email it to
vaxreporting@phila.gov
or fax to the contact above.

Clinic onboarding list

Complete in addition to the reporting agreement form to onboard more than 2 clinics.

Need help? Review the FAQ

Reporting agreement FAQ

Patient update request

PhilaVax program information

Flat file reporting guide

More PhilaVax resources

Available influenza vaccine for 2026-2027

To place your first order:

Complete a reconciliation (if it’s been more than 2 weeks since your last reconciliation).
Upload your temperature data to PhilaVax.

Vaccines for Children (VFC)

Product	Manufacture/NDC	Eligibility	Dose / Presentation / Type	CPT Code	CVX Code	Available
FluLaval	GSK, 19515-0822-52	6 mos – 18 years	0.5 mL / Single-dose syringe / inactivated, trivalent	90656	140	No
Fluzone	Sanofi, 49281-0426-50	6 mos – 18 years	0.5 mL / Single-dose syringe / inactivated, trivalent	90656	140	No
Flucelvax	Seqirus, 70461-0656-03	6 mos – 18 years	0.5 mL / Single-dose syringe / inactivated, trivalent	90661	153	No
FluMist	AstraZeneca, 66019-0113-10	2 – 18 years	0.2 mL / intranasal spray	90660	111	No

Vaccines for Adults at Risk (VFAAR)

Product	Manufacture/NDC	Eligibility	Dose / Presentation / Type	CPT Code	CVX Code	Available
FluLaval	GSK, 19515-0822-52	19 years & older	0.5 mL / Single-dose syringe / inactivated, trivalent	90656	140	No