CE/CME
Immunization
Welcome to the training on Immunization provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
This course is being updated and is currently unavailable. Check back soon for a CE-accredited version.
Goal
The goal of this module is to equip Texas Health Steps providers and other interested health-care professionals to apply the CDC Advisory Committee on Immunization Practices (ACIP) immunization schedules and recommendations, counsel parents about immunizations, and employ best practices for vaccine administration, storage and handling, and reporting.
Target Audience
Texas Health Steps providers and other interested health-care professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Apply the CDC Advisory Committee on Immunization Practices (ACIP) recommended routine and catch-up immunization schedules for children and adolescents.
- Assess effective strategies for counseling parents about the importance of vaccinating their children.
- Specify precautions and contraindications that affect administration of vaccines.
- Summarize appropriate administration routes and techniques to use when vaccinating children and adolescents.
- Employ proper procedures for the safe storage and handling of vaccines.
- Employ the features of the Texas Immunization Registry (ImmTrac2) to improve delivery of immunizations and meet legal reporting requirements.
Please note this module expires on 4/3/2023.
This module was released on 4/3/2020.
Featured
- Alker, J and Roygardner, L. Georgetown University Health Policy Institute. Center for Children and Families. The Number of Uninsured Children is on the Rise. October 2019.
- BlueCross BlueShield. Report. January 18, 2008. Early Childhood Vaccination Trends in America.
- Boom JA, Dragsbaek AC, Nelson CS. The Success of an Immunization Information System in the Wake of Hurricane Katrina. Pediatrics. 2007; 119(6): 1213-1217.
- Bowes J. Measles, misinformation, and risk: personal belief exemptions and the MMR vaccine. J Law Biosci. 2016;3(3):718–725. Published 2016 Nov 22. doi:10.1093/jlb/lsw057
- Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine-Preventable Diseases. Epidemiology and Prevention of Vaccine-Preventable Diseases. The Pink Book: Course textbook – 13th Edition (2015 and 2017 supplement).
- Centers for Disease Control and Prevention. (2019) HPV and Cancer. How Many Cancers are Linked with HPV Each Year?
- Center for Disease Control and Prevention. (2020). Vaccine Safety
- Center for Disease Control and Prevention. (2019). Vaccines for Children Infographic: Protecting America’s Children Every Day
- Children’s Hospital of Philadelphia. Vaccine Education Center. Volume 7, Winter 2018. Q&A Too Many Vaccines? What You Should Know.
- Chung Y, Schamel J, Fisher A, Frew PM. Influences on Immunization Decision-Making among US Parents of Young Children. Matern Child Health J. 2017;21(12):2178–2187. doi:10.1007/s10995-017-2336-6
- Harrington JW, Logan S, Harwell C, Gardner J, Swingle J, McGuire Ef, Santos R. Effective analgesia using physical interventions for infant immunizations. Pediatrics. 2012 May;129(5):815-22. doi: 10.1542/peds.2011-1607. Epub 2012 Apr 16.
- Hotez PJ (2016) Texas and Its Measles Epidemics. PLoS Med 13(10): e1002153. https://doi.org/10.1371/journal.pmed.1002153.
- Hotez PJ. (2018) Johns Hopkins University Press. Vaccines Did Not Cause Rachel’s Autism: My Journey as a Vaccine Scientist, Pediatrician, and Autism Dad.
- Hyle EP, Rao SR, Bangs AC, et al. Clinical Practices for Measles-Mumps-Rubella Vaccination Among US Pediatric International Travelers. JAMA Pediatr. Published online December 09, 2019. Doi:https://doi.org/10.1001/jamapediatrics.2019.4515.
- Jacobson Vann JC, Jacobson RM, Coyne‐Beasley T, Asafu‐Adjei JK, Szilagyi PG. Patient reminder and recall interventions to improve immunization rates. Cochrane Database of Systematic Reviews 2018, Issue 1. Art. No.: CD003941. DOI: 10.1002/14651858.CD003941.pub3.
- Kroger AT, Duchin J, Vázquez M. General Best Practice Guidelines for Immunization. Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP). Accessed on 2/2/2020.
- Kurosky, S. K., Davis, K. L., & Krishnarajah, G., (2016). Completion and compliance of childhood vaccinations in the United States. Vaccine, 34(3): 387-94.
- Loehr J, Savoy M. Editorial. Strategies for Addressing and Overcoming Vaccine Hesitancy. Am Fam Physician. 2016 Jul 15;94(2):94-96.
- Mayo Foundation for Medical Education and Research. (2016). Healthy lifestyle: Infant and toddler health. Are vaccine side effects dangerous?
- McClung N.M., Lewis R.M., Gargano J.W., Querec T., Unger E.R., Markowitz L.E., (2019). Declines in Vaccine-Type Human Papillomavirus Prevalence in Females Across Racial/Ethnic groups: Data From a national Survey. Journal of Adolescent Health, 65(6): 715-722.
- Sinclair DR, Grefenstette JJ, Krauland MG, et al. Forecasted Size of Measles Outbreaks Associated With Vaccination Exemptions for Schoolchildren. JAMA Netw Open. 2019;2(8):e199768. doi:10.1001/jamanetworkopen.2019.9768
- Smith LE, Amlot R, Weinman J, Yiend J, Rubin GJ. A Systematic Review of Factors Affecting Vaccine Uptake in Young Children. Vaccine. October 2017; 35(45): 6059-6069.
- The National Academies of Sciences Engineering Medicine. (2011) Health and Medicine Division. Adverse Effects of Vaccines: Evidence and Causality.
- Ventola C. L. (2016). Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 1: Childhood Vaccinations. P & T : a peer-reviewed journal for formulary management, 41(7), 426–436.
- World Health Organization. (2019). Immunization, Vaccines and Biologicals: Two out of three wild poliovirus strains eradicated.
- Yang YT, Broniatowski DA, Reiss DR. Government Role in Regulating Vaccine Misinformation on Social Media Platforms. JAMA Pediatr. 2019;173(11):1011–1012. doi:10.1001/jamapediatrics.2019.2838
Definitions
The medical definitions provided in this module were adapted from the American Academy of Pediatrics, Centers for Disease Control and Prevention, the Free Dictionary, National Institute of Neurological Disorders and Stroke, and the U.S. National Library of Medicine.
Continuing Medical Education
The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded contact hour(s) of Continuing Nursing Education.
Social Workers
The Texas Department of State Health Services, Continuing Education Service under sponsor number CS3065 has been approved by the Texas State Board of Social Worker Examiners to offer continuing education contact hours to social workers. The approved status of The Texas Department of State Health Services, Continuing Education Service expires annually on December 31. The Texas Department of State Health Services, Continuing Education Service has awarded contact hour(s) of Continuing Social Work Education.
Certified Health Education Specialists
Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to total entry-level Category I contact education contact hours.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated hour(s) for attendance.
Certified Community Health Worker
The Texas Department of State Health Services, Promotor(a)/Community Health Worker Training and Certification Program has certified this course for contact hour(s) of continuing education for Certified Community Health Workers and Community Health Worker Instructors.
Disclosure - IMMU
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support. - Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee has the following relevant financial relationships to disclose:- Flor Rivas-Munoz - Physician - Grant/Research Support - National Institutes of Health, Centers for Disease Control and Prevention, Janssen
- Flor Rivas-Munoz - Physician - Consultant - Data Safety Monitoring Board, Moderna, Pfizer
- Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center. - Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
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Resources
Section 1: Overview of the Benefits of Immunization and the CC Advisory Committee on Immunization Practices (ACIP) Schedule
- American Academy of Family Physicians, Practice Guidelines. (2019) ACIP Approves 2019 Adult and Childhood/Adolescent Immunization Schedules.
- American Academy of Pediatrics. Committee on Infectious Diseases, Policy Statement. (2019) Recommended Childhood and Adolescent Immunization Schedules: United States, 2019.
- American College of Obstetricians and Gynecologists. ACOG Departments & Activities. Immunization webpage.
- Centers for Disease Control and Prevention. (2020) Advisory Committee on Immunization Practices (ACIP).
- Centers for Disease Control and Prevention. (2019) Human Papillomavirus (HPV. Genital HPV Infection – Fact Sheet.
- Centers for Disease Control and Prevention. (2019) Human Papillomavirus (HPV). HPV and Men – Fact Sheet.
- Centers for Disease Control and Prevention. (2019) Immunization Schedules.
- Centers for Disease Control and Prevention. (2019) Immunization Schedules. Childhood Vaccine Assessment Tool webpage is for parents. Parents can answer a few simple questions (which is not collected or stored) to receive a complete list of recommended immunizations.
- Centers for Disease Control and Prevention. (2019) Immunization Schedules. Table 1. Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2019.
- Centers for Disease Control and Prevention. (2019) Immunization Schedules webpage with parent-friendly formats of vaccine schedules.
- Centers for Disease Control and Prevention. (2018). Infographic: The Journey of Your Child’s Vaccine.
- Centers for Disease Control and Prevention. (2016). Vaccines for Children Program (VFC)
- Centers for Disease Control and Prevention. (2019) Vaccines for Your Children. Why Vaccinate?
- Centers for Disease Control and Prevention. (2019) Vaccine Information Statement for HPV Vaccine: What You Need to Know.
- Centers for Disease Control and Prevention. (2019) Vaccine Recommendations and Guidelines of the ACIP. Influenza ACIP Vaccine Recommendations.
- Centers for Disease Control and Prevention. (2015) Vaccine Safety. Influenza (Flu) Vaccines.
- National Institutes of Health, National Cancer Institute. (2019) Human Papillomavirus (HPV) Vaccines.
- Texas Health and Human Services, Texas Department of State Health Services. (2019) Immunization Unit.
- Texas Health and Human Services, Texas Department of State Health Services. (2019). National Immunization Survey (NIS)–Child (NIS-Child) 2017.
- Texas Health and Human Services, Texas Department of State Health Services. (2019). National Immunization Survey-Teen (NIS-Teen) 2018, Texas.
- Texas Health and Human Services. Texas Department of State Health Services. (2019) Texas School and Child-Care Facility Immunization webpage.
- WhyImmunizeKids.org, a partnership that includes the American Academy of Pediatrics. Parent and Family Resources. (Bilingual).
Section 2: Immunization Barriers and Solutions
- American Academy of Pediatrics. Immunizations. Vaccine Hesitant Parents webpage. Accessed March 2020.
- Children’s Hospital of Philadelphia. Vaccine Education Center. YouTube. May 13, 2015. Talking About Vaccines with Dr. Paul Offit. Do Babies Get Too Many Vaccines?
- Children’s Hospital of Philadelphia. Vaccine Education Center. YouTube. May 13, 2015. Talking About Vaccines with Dr. Paul Offit. Do Vaccines Cause Autism?
- Centers for Disease Control and Prevention. (2018) Advisory Committee on Immunization Practices (ACIP). Evidence-Based Recommendations—GRADE.
- Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine-Preventable Diseases. Epidemiology and Prevention of Vaccine-Preventable Diseases. The Pink Book: Course textbook – 13th Edition (2015 and 2017 supplement).
- Centers for Disease Control and Prevention. (2019) Epidemiology and Prevention of Vaccine-Preventable Diseases. Immunization Strategies for Healthcare Practices and Providers webpage.
- Centers for Disease Control and Prevention. (2018) Healthcare Providers/Professionals. Reminder Systems and Strategies for Increasing Childhood Vaccination Rates webpage.
- Centers for Disease Control and Prevention. (2019) (IQIP) Immunization Quality
- Improvement for Providers webpage.
- Centers for Disease Control and Prevention. (2020) Measles (Rubeola) Measles Cases and Outbreaks.
- Centers for Disease Control and Prevention. (2020) Mumps. Mumps Cases and Outbreaks.
- Centers for Disease Control and Prevention. (2017) Pregnancy and Vaccination. Tdap (Pertussis) Vaccine and Pregnancy.
- Centers for Disease Control and Prevention. (2018) Vaccine Safety. Multiple Vaccines and the Immune System webpage.
- Centers for Disease Control and Prevention. (2015) Vaccine Safety. Vaccines Do Not Cause Autism webpage.
- Centers for Disease Control and Prevention. (2016) Vaccines for your Children. Vaccine Resources for Parents.
- Clarification to ‘NCCI Changes to be Enforced for Vaccine Administration and Preventive Medicine E/M Visits Effective April 1, 2014’ download.
- Dallas County Department of Health and Human Services. Epidemiology. Health Update (2): Mumps. December 13, 2016. Accessed January 2020.
- Generations United. Valuing Vaccinations Across Generations.
- HealthyChildren.org, sponsored by the American Academy of Pediatrics. Immunizations: A large collection of articles about childhood vaccines and safety. (Bilingual).
- Immunization Action Coalition. (2019) Handouts. Clinic Resources, Standing Orders for Administering Vaccines web page.
- Immunization Action Coalition. (2019) Parent Handouts. (Multiple languages).
- National Conference of State Legislatures. States with Religious and Philosophical Exemptions From School Immunization Requirements (2019).
- Resources to help providers communicate with parents who may be hesitate about vaccines for their children:
- Download the AAP’s Countering Vaccine Hesitancy (2016) Clinical Report for a comprehensive examination of the reasons for vaccine hesitancy and information about addressing parental concerns about vaccination. An extensive list of resources is also provided.
- Centers for Disease Control and Prevention. (2015) Provider Resources for Vaccine Conversations with Parents web page.
- Visit the AAP Vaccine Hesitant Parents web page to learn more about parental attitudes about immunization, strategies for talking to parents, and immunization policies and resources for health-care providers.
- A list of science-based materials to help you respond to vaccine-hesitant parents can also be downloaded from the website of the Immunization Action Coalition, a national nonprofit dedicated to immunization education.
- Texas Health and Human Services. Texas Department of State Health Services. (2019) Immunization Information for Parents and the Public webpage.
- Texas Health and Human Services, Texas Department of State Health Services. (2019). Information for Providers – Texas Vaccines for Children.
- Texas Health and Human Services, Texas Department of State Health Services. (2019) Measles.
- Texas Health and Human Services, Texas Department of State Health Services. (2019) Measles 2019.
- Texas Health and Human Services, Texas Department of State Health Services. (2019) Mumps.
- Texas Health and Human Services, Texas Department of State Health Services. (2019) Pertussis Data.
- Texas Health and Human Services, Texas Department of State Health Services. (2019).Texas Vaccines for Children Program – Immunizations Unit.
- Texas Family Code, Section 32.1011 of Subchapter B, Chapter 32, defines specific circumstances when teenage parents can legally consent to their own immunizations.
- Texas Family Codes Chapter 151, 153, Chapter 32 §32.002, and Chapter 32 §32.102, and Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter C state the requirements that Texas Vaccine for Children providers must provide on the risks and benefits associated with each vaccine.
- Texas Medicaid Provider Procedure Manual website.
- Texas Vaccines for Children and Adult Safety Net manual. The manual provides educational and procedural information, including:
- Vaccine ordering and accountability.
- Vaccine storage and handling.
- Immunizations: Guidelines and general recommendations.
- Immunization Requirements: School laws.
- ImmTrac2: Immunization tracking.
- Forms and literature.
- Vaccine Information Statements (VIS).
- Vaccine Adverse Event Reporting System (VAERS).
- Vaccine safety information.
- Other resources.
- The Dallas Morning News. Johnson County Mumps Outbreak is Worst Texas Has Seen in Years. December 5, 2016. Accessed January 2020.
- The Texas Observer. In Texas, Three More Measles Cases and Four New Anti-Vaccine Bills. March 18, 2019. Accessed 2020.
- The Texas Tribune. Texas Investigating Highly Contagious Whooping Cough at State Capitol. March 25, 2019. Accessed 2020.
- The Texas Tribune. Texas Vaccine Exemption Rates: Look up Your District or Private School. August 13, 2019. Accessed January 2020.
- U.S. Department of Health and Human Services. News Release: With End of New York Outbreak, United States Keeps Measles Elimination Status. HHS Press Office. October 4, 2019.
- U.S. Department of Health & Human Services. Vaccines & Immunizations. National Vaccine Advisory Committee (NVAC).
- U.S. Department of Health & Human Services. Vaccines & Immunizations. Reports & Recommendations.
Vaccine Resources
- Information for health-care providers on the DSHS Immunization Branch home page.
- The CDC’s Education & Training for Health Professionals web page.
- The CDC’s Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book) web page containing the most recent edition (13th Edition 2015) and supplement (2017).
- The AAP’s Immunization website.
- The Immunization Partnership website.
- Immunization Action Coalition website.
Section 3: Admin
istration Contraindications and Precautions
- Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine Preventable Diseases (The Pink Book, CDC 2015), Appendix A: Schedules and Recommendations download detailing recommendations for immunizing people with primary and secondary immune deficiencies (2018).
- Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine Preventable Diseases (The Pink Book, CDC 2015), Appendix D: Vaccine Safety. The Vaccine Adverse Event Reporting System (VAERS) (2017).
- Centers for Disease Control and Prevention. (2019) Vaccine Information Statements (VISs) webpage.
- Centers for Disease Control and Prevention. (2020) Vaccine Information Statements (VISs). Current VISs webpage.
- Centers for Disease Control and Prevention. (2019) Vaccine Information Statements (VISs) Instructions for Using VISs webpage.
- Centers for Disease Control and Prevention. (2019) Vaccine Recommendations and Guidelines of the ACIP. Contraindications and Precautions webpage.
- Centers for Disease Control and Prevention. (2020) Vaccine Safety webpage.
- Infectious Diseases Society of America (IDSA) guidelines (2013) for vaccinations of immunocompromised patients webpage. Clinical Practice Guideline for Vaccination of the Immunocompromised Host and related corrections to the guidelines.
- Texas Health and Human Services. Texas Department of State Health Services. (2019) Immunization Literature & Forms webpage containing online order form for immunization related publications.
- Texas Health and Human Services. Texas Department of State Health Services. (2020) Vaccine Information Statements (VIS) – Immunization Unit webpage.
- The National Academies of Sciences Engineering Medicine. (2011) Health and Medicine Division. Adverse Effects of Vaccines: Evidence and Causality.
- U.S. Department of Health and Human Services. Vaccine Adverse Event Reporting System (VAERS) webpage.
Section 4: Administration Techniques
- California Department of Public Health. Immunization Branch. Immunization Site Map downloads:
- Sample Infant Immunization Site Map (page 1)
- Sample Toddler Immunization Site Map (page 2)
- Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine-Preventable Diseases. Epidemiology and Prevention of Vaccine-Preventable Diseases. The Pink Book: Course textbook – 13th Edition (2015 and 2017 supplement).
- Centers for Disease Control and Prevention. (2019) Healthcare Providers/Professionals. Administer the Vaccine(s) webpage.
- Centers for Disease Control and Prevention. (2019) Healthcare Providers/Professionals. Administer the Vaccine(s) download Administering Vaccines: Dose, Route, Site, and Needle Size.
- Centers for Disease Control and Prevention. (2015) Vaccine Safety. Fainting (Syncope) webpage.
- Centers for Disease Control and Prevention. (2018) Vaccine Safety. Multiple Vaccines and the Immune System webpage.
- Centers for Disease Control and Prevention. (2019) Vaccines for Your Children. How to Hold Your Child During Vaccination webpage.
- Centers for Disease Control and Prevention. (2019) Vaccines for Your Children. Make Shots Less Stressful webpage.
- Texas Department of State Health Services. “Giving All the Doses” Poster Stock #11-12155 downlaod.
- Texas Department of State Health Service. “How to Administer Injections” Poster Stock # 6-27P (available in English and Spanish) download.
- Texas Health and Human Services. Texas Department of State Health Services. (2019) Immunization Literature & Forms webpage containing online order form for immunization related publications.
Section 5: Vaccine Storage and Handling
- Andrew T. Kroger. Make No Mistake: Vaccine Administration, Storage, and Handling 6-minute video - Medscape - Jun 27, 2011.
- Centers for Disease Control and Prevention offers extensive online training for proper vaccine storage and handling on its Vaccines & Immunizations Vaccine Storage and Handling web page. You Call the Shots is an interactive, web-based module of learning opportunities, self-test practice questions, reference and resource materials, and an extensive glossary.
- Centers for Disease Control and Prevention. (2019) Vaccine Storage and Handling Toolkit offers detailed information about maintaining the safety and efficacy of vaccines.
- Texas Health and Human Services. Texas Department of State Health Services. Vaccine Storage & Handling – Texas Vaccines for Children webpage.
- Texas Vaccines for Children (TVFC) program offers a nine-chapter Storage & Handling video series to help health-care providers stay up to date on the latest standards for handling its vaccine supplies.
- U.S. Department of Health and Human Services. Office of Inspector General. (2012) Vaccines for Children Program: Vulnerabilities in Vaccine Management report webpage.
- Section 6: Using ImmTrac2 to Serve Texas Children and Adolescents
- Texas Health and Human Services. Texas Department of State Health Services. (2020) Forms and Documents webpage provides forms, including consent forms and other documents useful for providers.
- Texas Health and Human Services. Texas Department of State Health Services. (2020) ImmTrac2 Registry Home webpage.
- Texas Family Code, Section 32.1011 of Subchapter B, Chapter 32, defines specific circumstances when teenage parents can legally consent to their own immunizations.
- Texas Health and Safety Code 161.00735(h)(1)(2) lists the required items a provider administering a vaccine must record in a medical record. It also states that ImmTrac2 is allowed to share information with other states in case of emergency or disaster evacuation purposes.
- To participate in ImmTrac2, access and complete the online ImmTrac2 Site Agreement. There is an online provider registration module on that website, and you may also contact the ImmTrac2 Customer Support line at 800-348-9158.