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COVID-19 Vaccine

Moderna Bivalent Booster Ordering Resumed

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

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

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.

COVID Vaccine Expiration Dates

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
Moderna
Novavax
  • Novavax lot/expiration date lookup tool
  • Does not have BUDs 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 BUDs 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

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

Bivalent Pfizer and Moderna Booster Vaccines Now Available for Ordering

Bivalent Pfizer and Moderna Booster Vaccines Now Available for Ordering

Providers can now sign into Philavax to place your orders. Orders are due by Wednesday at 5pm.Please note: bivalent vaccine orders will ship sometime after Labor Day. No vaccines will be delivered on Labor Day. Monday.com ordering, partial orders, will not be available until the week after Labor Day. Please do not place Monday.com orders for bivalent vaccines at this time.

Bivalent Pfizer and Moderna Boosters Are Coming

Bivalent Pfizer and Moderna Boosters Are Coming

On June 30, 2022, the U.S. Food and Drug Administration (FDA) advised manufacturers seeking to update their COVID-19 vaccines to add an Omicron BA.4/5 spike protein component to the current vaccine composition to create a bivalent booster vaccine. Pending potential FDA Emergency Use Authorizations (EUAs) for new bivalent COVID-19 boosters developed by Pfizer-BioNTech and Moderna in or around September 2022, CDC’s Advisory Committee on Immunization Practices (ACIP) will convene to discuss potential recommendations. Administration of any new bivalent COVID-19 boosters can begin only after CDC’s official recommendations.What We Know So Far:
  • Pre-ordering for both Pfizer and Moderna bivalent boosters will begin on Monday, August 22, 2022, and close Wednesday, August 24, 2022, at 5pm.
    • Sites should plan to manage necessary freezer/refrigerator space as well as inventory/ordering to avoid waste when developing their overall fall vaccine plans.
  • These bivalent formulas can only be used for boosters for individuals who have completed their primary series.
  • Bivalent boosters will include a BA.4/5 valence specifically.
  • The original Pfizer and Moderna vaccine formulas should only be used for primary series vaccinations once the bivalent products arrive.
    • As the cap colors/borders will be the same for bivalent boosters and the original formulas, sites will need to be mindful of packaging/labeling to differentiate the two products.
  • Delivery will begin after Labor Day – date TBD.
  • ACIP will meet to make official recommendations about vaccine intervals and dosing schedules.
  • EUAs for these two bivalent products are not yet available.
  • It is expected that at least one bivalent vaccine for children ages 11 years and younger may be authorized within a short time following the authorization(s) of bivalent vaccines for people ages 12 years and older.
Pfizer Bivalent Booster
Age: 12+ – pendingShips: Ultra-cold on dry iceStorage: Ultra-cold – until manufacture expiration date             Fridge – 10 weeksDoses per vial: 6Cap color: GreyMinimum Order Quantity: 300 doses (5 boxes)Moderna Bivalent BoosterAge: 18+ – pendingShips: FrozenStorage: Frozen – until manufacture expiration date             Fridge – 30 daysDoses per vial: 5Cap color: BlueMinimum Order Quantity: 100 doses (2 boxes)

Full CDC Vaccination Record Cards

Full CDC Vaccination Record Cards

Vaccination record cards for many recipients of COVID-19 vaccines are now full, especially for those who are over 50 and/or immunocompromised. If a vaccination card is full, the CDC recommends that a second card be completed, and the two cards stapled together. Encourage the patient to photograph both cards in case the two become separated, if possible. Both cards should be presented when vaccination history is required for travel, employment, or any other purpose requiring official, universally recognized documentation. Patients should bring both cards to future vaccination appointments for verification of vaccination history.


When a Vaccination Record Card is Full:
  • Complete a new card for the patient
  • Staple both cards together
  • Encourage the patient to photograph both cards in case they become separated
  • Bring both cards to future vaccination appointments
Providers are supplied with CDC vaccination cards as part of the ancillary kits in a 1:1 dose/card ratio. Many providers are reporting an abundant supply of CDC vaccination cards. Please utilize your current supply of vaccination cards to support distribution of a second card to those that need them. If your site has any concerns about your vaccination card supply, please reach out to PDPH.

Partner to Hold Vaccine Clinics!

Partner to Hold Vaccine Clinics!

Dear COVID-19 Vaccine Providers,

PDPH is experiencing an uptick in community organizations requesting vaccine at events.

If you have not signed up already and are interested in being partnered with a community organization to provide them COVID-19 vaccine at events, please sign up using the link below.

Thank you to all providers that are currently signed-up to be matched with Philadelphia-based organizations who are seeking COVID-19 vaccine for their community members. If you have already filled out the survey, there is no need to fill it out again.

Fill out our vaccine provider capacity survey!

In the event that PDPH has an organization seeking a vaccine provider, you will be contacted by PDPH to confirm your interest in partnering to hold the clinic before any contact information is shared.

Thank you for keeping Philadelphia safe and healthy. If you have any questions, please email vaccines@phila.gov.

Novavax Vaccine Available for Limited Ordering

Novavax Vaccine Available for Limited Ordering

On Tuesday, the CDC endorsed the Advisory Committee on Immunization Practices’ (ACIP) recommendation that the Novavax COVID-19 vaccine be used as an option for adults ages 18 years and older.Some key information:
  • Novavax is the first COVID-19 protein subunit vaccine that the CDC has recommended for use in the United States.
  • ACIP’s vote—which follows the U.S. Food and Drug Administration (FDA)’s emergency use authorization—is for the use of the Novavax COVID-19 vaccine for adults ages 18 and older as a two-dose primary series.
    • This recommendation is for all adults, including those who are moderately or severely immunocompromised.
    • Individuals who receive Novavax are not eligible for any boosters at this time.
  • Allocations of Novavax will be limited.
    • Participating Federal Retail Pharmacies will be eligible to receive Novavax.
Ordering:
  • Ordering for Novavax will open up on Monday 7/25/22.
    • The minimum order quantity is 100 doses. Partial, Monday.com, ordering is not currently available.  
  • Presently, we are expected to receive only one allocation of Novavax vaccine for our providers to order against. As this initial allocation will be limited and jurisdictions will need to manage first and second doses with it, orders will be prioritized and restricted. Placing an order for Novavax does not guarantee a shipment.
Storage and Handling:
  • Novavax is a two-dose COVID vaccination series, given as a 0.5ml IM injection three weeks apart.
  • It is stable at refrigeration only, currently for up to nine months.
    • Initial shipments are set to expire sometime in February 2023.
    • There will be a website available to search expiration dates by lot number.
    • No expiration information will be printed on the vials
  • Once punctured, the vial needs to be discarded within 6 hours.
To review the EUA/Fact Sheet information for Novavax, please visit the FDA webpage: Novavax COVID-19 Vaccine, Adjuvanted | FDA