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  Instructions for Use of Vaccine Information Statements (VIS)
Vaccine Information Statements

Vaccine Information Statements (VISs) are information sheets from the Centers for Disease Control and Prevention (CDC).  They explain to people who get vaccines, their parents, or their legal representatives both the benefits and risks of a vaccine.

Federal law requires that VISs be given to patients before certain vaccinations are given.  All providers of vaccines, both public and private sector, must give out Vaccine Information Sheets.

These VIS are available in English, Russian and Spanish.

DIPTHERIA TETANUS PERTUSSIS (DtaP) English Russian Spanish
HAEMOPHILUS INFLUENZAE (Hib) English Russian Spanish
HEPATITIS A English Russian Spanish
HEPATITIS B English Russian Spanish
INSTRUCTIONS FOR USE English Russian Spanish
MEASLES MUMPS RUBELLA (MMR) English Russian Spanish
MENINGOCOCCAL English Russian Spanish
PNEUMOCOCCAL CONJUGATE (PCV) English Russian Spanish
POLIO (IPV) English Russian Spanish
TETANUS DIPTHERIA (Td) English Russian Spanish
TETANUS DIPTHERIA PERTUSSIS English Russian Spanish
VARICELLA (Chicken Pox) English Russian Spanish

 
Instructions for Use of Vaccine Information Statements (VIS)

Required Use

1. Provide VIS when vaccination is given.

As required under the National Childhood Vaccine Injury Act (42 U.S.C. §300aa-26), all health care providers in the United States who administer to any child or adult any vaccine containing diphtheria, tetanus, pertussis, measles, mumps, rubella, polio, hepatitis A (use of hepatitis A VIS required effective July 1, 2006), hepatitis B, Haemophilus influenzae type b (Hib), trivalent influenza, pneumococcal conjugate, or varicella (chickenpox) vaccine shall, prior to administration of each dose of the vaccine, provide a copy to keep of the relevant current edition vaccine information materials that have been produced by the Centers for Disease Control and Prevention (CDC):

- to the parent or legal representative of any child to whom the provider intends to administer such vaccine,

and

- to any adult to whom the provider intends to administer such vaccine. (In the case of an incompetent adult, relevant VISs shall be provided to the individual’s legal representative.* If the incompetent adult is living in a long-term care facility, all relevant VISs may be provided at the time of admission, or at the time of consent if later than admission, rather than prior to each immunization.)

If there is not a single VIS for a combination vaccine, use the VISs for all component vaccines.

The materials shall be supplemented with visual presentations or oral explanations, as appropriate.

2. Record information for each VIS provided.

Health care providers shall make a notation in each patient's permanent medical record at the time vaccine information materials are provided indicating:

(1) the edition date of the Vaccine Information Statement distributed and

(2) the date the VIS was provided.

This recordkeeping requirement supplements the requirement of 42 U.S.C. §300aa-25 that all health care providers administering these vaccines must record in the patient's permanent medical record (or in a permanent office log):

(3) the name, address and title of the individual who administers the vaccine,

(4) the date of administration and

(5) the vaccine manufacturer and lot number of the vaccine used.