COVID-19 Vaccine

Limited Single Dose Vials of Pfizer Bivalent Becoming Available

On Monday, November 14 through Tuesday, November 15, PDPH will open pre-ordering in Philavax for a limited amount of the updated (bivalent) Pfizer-BioNTech COVID-19 vaccine for people 12 years of age or older in single-dose vials. Deliveries will begin several days later. Single dose vials will not be available for ordering through Monday.com – partial ordering – or pickup.This limited rollout is intended to expand the number of locations that offer the updated vaccine. Only sites that would otherwise not be able to utilize the standard six-dose per vial bivalent Pfizer will be approved to order single dose vials. Large health systems and sites with regular patient volumes/throughput should continue to order the six-dose per vial bivalent Pfizer.Ancillary kits will not be distributed with orders of single-dose vials. Single-dose vials do not require the use of low-dead-volume (LDV) syringes.Quick Facts:Single-Dose Vial Pfizer Bivalent Booster (Ages 12+)• NDC: 59267-1404-02• Configuration: 10 single-dose vials/carton• Minimum quantity per order: 50 doses• Maximum quantity per order: 150 doses• Product dimensions: 1.457 in length × 1.535 in width × 3.504 in height• Storage and handling: Same as other Pfizer tris products (e.g., store at ultra-low temperature until expiry, may refrigerate up to 10 weeks within expiry period)• No ancillary kits included with single-dose vial orders

Moderna Shelf Life Extension

FDA has approved a shelf-life extension for the following Moderna10 products, which have been extended by three months. Below, find a table with updated expiration dates for the specific lots impacted by the extension. For the most current information, please visit the Moderna website.

With the Moderna Vial Expiration Checker, Moderna also allows vaccine providers to look up expiration dates by lot number, which includes the new expiration dates listed above. To find the expiration date, locate the lot number printed on the carton and/or vial and enter it into the lot number search field on the website, then press “submit.”

For additional information, view the CDC overview of Moderna vaccine.

Matchmaking Program Coming to an End

The Philadelphia Department of Public Health’s COVID-19 Matchmaking Program would like to send a huge thank you for your time, commitment, and expertise you’ve given in partnering with vaccination clinics to provide vaccine. After careful consideration, we have determined to end the program effective November 4, 2022. 57 vaccination clinics were successfully matched for the duration of PDPH’s COVID-19 Matchmaking Program, and 77 providers were enrolled. These vaccinations clinics included community-based clinics, health fairs, and cultural events to name a few!If patients are looking to get vaccinated at their earliest convenience, you may direct them to use this link to find a facility in close proximity to them. Again, we thank you for your contributions and efforts to partner with vaccinations clinics to serve vaccine. You have made an immense difference through your dedication and continued support!

Temperature Reporting for Online Vaccine Ordering

Temperature Reporting for Online Vaccine Ordering

Temperature logs must be submitted on the same day as any order placed for federal vaccine (VFC, VFAAR, flu, COVID-19, or monkeypox)!

Temperature logs are to be uploaded in PhilaVax and emailed to tempcheck@phila.gov. The logs must show that the unit is within the appropriate temperature ranges and that there have been no alarms. This reporting guide can assist you in submitting your DDL temperature files.

For more information on ordering and how to upload your temperature log, please attend the next online ordering training on November 10, 2022 from 10:00AM – 11:00AM EST. Click the link below to register for the training.

Register: Online Ordering Training

If your site uses a privately purchased DDL or cannot upload in PhilaVax, please contact tempcheck@phila.gov.

Thank you for keeping Philadelphia safe and healthy!

Immunization Techniques Training

Wednesday, October 12, 2022, from 8:30 am – 12:00 pm, 1:00 pm – 4:30 pm

**Please arrive 15 minutes early. Late arrivals will not be able to attend.**

The Immunization Program is hosting a FREE Immunization Techniques training this Fall. Class participants are limited and will be taken on a first-come, first-served basis. A maximum of 20 participants will be accepted per session. Participants can only attend one training per year.This half-day, interactive, education session will focus on the basics of vaccine-preventable diseases, vaccines, immunization administration techniques, and pediatric immunization schedules. We encourage attendance by Nurses and Medical Assistants who administer vaccines or who will be administering vaccines in the future. This course is beneficial to new practitioners as well as seasoned practitioners who need a refresher course or would like an update on best practices for administering vaccines.We hope to see you there!

If you have any questions, don’t hesitate to reach out to dphproviderhelp@phila.gov.

Moderna Bivalent Booster Ordering Resumed

Moderna Bivalent Booster ordering has been turned back on in Philavax and Monday.com. Please note: allocations are still limited at this time so providers may not receive what is requested based on dose availability.

Please make sure you are selecting the correct NDC when ordering bivalent boosters (see table below). Selecting the monovalent product code and then selecting booster in the Dose Number column will not allow you to order bivalent doses. You will need to select the correct NDC. All previously submitted orders of bivalent vaccines during the ordering pause will need to be resubmitted for processing.

Moderna Bivalent Ordering Pause

Due to limited initial allocations of bivalent vaccines, we are currently unable to approve new Moderna bivalent booster orders. Ordering for Moderna boosters has been turned off in Philavax and made unavailable in Monday.com. The city does expect to receive an allocation increase and we will reopen ordering in Philavax and Monday.com at that time.

Please keep in mind that Moderna is experiencing some delivery delays for previously placed orders as well. We appreciate your patience at this time and apologize for any inconveniences as a result of this delay.

COVID-19 Walk-in Survey

PDPH is interested in learning more about Philadelphia providers’ walk-in capacity. Please complete this brief, four-question survey to assess your site’s ability to accept walk-ins now that bivalent boosters are available. Responses will be collected until 9/14.

Take the survey.

COVID Vaccine Expiration Dates

With expiration dates for some Pfizer lots approaching, we would like to remind providers to be mindful about documenting Beyond Use Dates (BUD) and manufacture expiration dates. Any time you move vaccine from the ultra-low freezer/dry ice shipper to a standard freezer or fridge or from a freezer to a fridge, you should place a BUD label on the vaccine box to keep track of vaccine viability. Both PDPH and the CDC have BUD labels available for printing on label sheets. Check out this link for PDPH BUDs (more label options to come soon): Forms and Resources – Philadelphia Immunization ProgramImportant Tip: A Beyond Use Date can never extend pass a manufacture expiration date. You have to use vaccines by whichever date comes first.Pfizer

All lots of Orange Cap (5-11) Pfizer shipping out until 8/30/22 will have a 9/30/22 expiration date and must be disposed of by this date. Orange Cap vaccine shipping out after 8/30/22 will have an end of November expiration date and must be disposed of by that date.
Pfizer has a new lot/expiration date lookup tool – lotexpiry.cvdvaccine.com

Moderna

Moderna lot/expiration date lookup tool
- Moderna Under Five Magenta BUDs
  - Moderna COVID-19 Vaccine: Beyond Use Date/Time (BUD) Tracking Label for Vaccine During Refrigerator Storage • FORMULATION: 6 Months through 5 Years of Age (cdc.gov)
- Moderna 5-11 Purple/Teal AND Red cap Adult Moderna BUDs
  - Moderna COVID-19 Vaccine: Beyond Use Date/Time (BUD) Tracking Label for Vaccine During Refrigerator Storage (cdc.gov)

Novavax

Novavax lot/expiration date lookup tool
Does not have BUD labels presently as vaccine arrives refrigerated – use manufacture expiration date and use expiration tool to check date prior to each use

Janssen

Janssen lot/expiration date lookup tool
- Many lots approaching expiration
Does not have BUD labels presently as vaccine arrives refrigerated – use manufacture expiration date and use expiration tool to check date prior to each use

Monovalent (Original Formulation) mRNA Vaccines No Longer Authorized for Boosters

An important note: Monovalent mRNA COVID-19 vaccines are NO LONGER authorized for use as boosters in people ages 12 years and older.

From the FDA press release: With today’s authorization, the monovalent mRNA COVID-19 vaccines are not authorized as booster doses for individuals 12 years of age and older.

Appointments for monovalent Pfizer-BioNTech or Moderna boosters in people 12 years of age and older must be rescheduled for when locations have the bivalent COVID-19 vaccines available.Please check out the FDA landing pages below for updated EUAs for existing products and new EUAs for the bivalent products.

Pfizer: Pfizer-BioNTech COVID-19 Vaccines | FDA
Moderna: Moderna COVID-19 Vaccines | FDA

Remember: Bivalent vaccines cannot be administered until ACIP convenes and makes formal recommendations (expected tomorrow or Thursday).