Moderna COVID-19 Vaccine Temperature Log (Fahrenheit)

Moderna COVID-19 Vaccine Temperature Log (Fahrenheit)

Moderna COVID-19 Vaccine Temperature Log for Frozen Vaccine Storage (Fahrenheit) Days 1–15 Store Moderna COVID-19 vaccine between -58°F and 5°F. Using a digital data logger (DDL), check and record the temperature daily using one of the options below. Save this record for 3 years, unless your state/local jurisdiction requires a longer time period. See CDC’s Vaccine Storage and Handling Toolkit, COVID-19 Addendum, for additional information. Option 1: Minimum/Maximum (Min/ Option 2: Current Temperature If the temperature is out of range, TAKE ACTION! Max) Temperatures (preferred) 1. If the DDL does not display min/max temperatures, check and record the current temperature at the start and end of the workday. 1. Most DDLs display minimum and maximum 1. Do NOT discard the vaccine. temperatures. Check and record the min/max 2. Document these temperatures by writing an "X" in the row that 2. Label the vaccine “Do Not Use.” temperatures at the start of each workday. corresponds to the freezer temperature under the appropriate day 2. Document these temperatures in the min/max of the month. 3. Complete the Vaccine Troubleshooting Record. temperature row under the appropriate date. 3. Review the continuous DDL temperature data daily. 4. Contact the manufacturer to determine under what conditions (frozen or refrigerated) to store the vaccine as quickly as possible. Month PIN Number Facility Name O Day of the month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 P T Time I O Staff initials N Min/max 1 temperatures Temperatures lower than -58°F and higher than 5°F are out of range. Complete a Vaccine Troubleshooting Record. Contact the manufacturer and your immunization program. Time AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM Staff initials 5°F O 4°F P 3°F T I 2°F O 1°F N 2 0°F -1°F -2°F -3°F -4°F to -58°F For additional information, see the vaccine manufacturer’s product information at https://www.modernatx.com/covid19vaccine-eua/ Adapted with appreciation from the Immunization Action Coalition (IAC) temperature log 07/15/2021 CS321571-B Moderna COVID-19 Vaccine Temperature Log for Frozen Vaccine Storage (Fahrenheit) Days 16–31 Store Moderna COVID-19 vaccine between -58°F and 5°F. Using a digital data logger (DDL), check and record the temperature daily using one of the options below. Save this record for 3 years, unless your state/local jurisdiction requires a longer time period. See CDC’s Vaccine Storage and Handling Toolkit, COVID-19 Addendum, for additional information. Option 1: Minimum/Maximum (Min/ Option 2: Current Temperature If the temperature is out of range, TAKE ACTION! Max) Temperatures (preferred) 1. If the DDL does not display min/max temperatures, check and record the current temperature at the start and end of the workday. 5. Most DDLs display minimum and maximum 1. Do NOT discard the vaccine. temperatures. Check and record the min/max 2. Document these temperatures by writing an "X" in the row that 2. Label the vaccine “Do Not Use.” temperatures at the start of each workday. corresponds to the freezer temperature under the appropriate day 6. Document these temperatures in the min/max of the month. 3. Complete the Vaccine Troubleshooting Record. temperature row under the appropriate date. 3. Review the continuous DDL temperature data daily. 4. Contact the manufacturer to determine under what conditions (frozen or refrigerated) to store the vaccine as quickly as possible. Month PIN Number Facility Name O Day of the month 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 P T Time I O Staff initials N Min/max 1 temperatures Temperatures lower than -58°F and higher than 5°F are out of range. Complete a Vaccine Troubleshooting Record. Contact the manufacturer and your immunization program. Time AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM Staff initials 5°F O 4°F P 3°F T I 2°F O 1°F N 2 0°F -1°F -2°F -3°F -4°F to -58°F For additional information, see the vaccine manufacturer’s product information at https://www.modernatx.com/covid19vaccine-eua/ Adapted with appreciation from the Immunization Action Coalition (IAC) temperature log 07/15/2021 CS321571-B.

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