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Get the free Notification of Smallpox Vaccine Expiration and Destruction - emergency cdc

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This document notifies public health providers that all lots of Dryvax® smallpox vaccine will expire and outlines the procedures for disposal.
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How to fill out notification of smallpox vaccine

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How to fill out Notification of Smallpox Vaccine Expiration and Destruction

01
Obtain the Notification of Smallpox Vaccine Expiration and Destruction form.
02
Fill in the name of the facility where the vaccine was stored.
03
Provide the contact information of the responsible person at the facility.
04
List the type of smallpox vaccine being reported.
05
Indicate the expiration date of the vaccine.
06
Specify the date when the vaccine was destroyed.
07
Describe the method of destruction used for the vaccine.
08
Sign and date the form to verify the information is accurate.
09
Submit the completed form to the appropriate health authority.

Who needs Notification of Smallpox Vaccine Expiration and Destruction?

01
Healthcare facilities that have handled smallpox vaccines.
02
Vaccine storage locations that need to report expired vaccines.
03
Organizations involved in vaccine management and compliance.
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The Notification of Smallpox Vaccine Expiration and Destruction is a formal process that enables healthcare providers to report the expiration and destruction of smallpox vaccines to health authorities.
Healthcare providers, facilities, and organizations that possess or have administered smallpox vaccines are required to file this notification.
To fill out the notification, the provider should provide details such as the vaccine lot number, expiration date, quantity destroyed, and the reason for destruction, along with the date of notification.
The purpose of this notification is to ensure proper monitoring of vaccine inventory, facilitate public health safety, and prevent the use of expired or potentially compromised vaccines.
The reported information must include the vaccine lot number, expiration date, quantity of vaccine expired or destroyed, the reason for destruction, the location where destruction occurred, and the date of notification.
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