Wyoming Immunization Unit

VACCINE PROGRAM


Vaccine Program Information/Resources:

Vaccine Eligibility Table   (7/01/11)

Vaccine Replacement Policy   (November 2011)

WyVIP Providers in Wyoming by County (clickable map)

Vaccines Currently Available through WyVIP  (3/05/12)

Vaccine Storage and Handling

Vaccination Adverse Event Reporting System (VAERS )

Sample Eligibility Screening Form   NEW  (4/19/13)


VFC/WyVIP Provider Training Series:

Monthly Reporting   (1/07/13)

Vaccine Orders   (1/07/13)

Vaccine Transfers  NEW (4/10/13)

Vaccine Returns    (1/07/13)

Short-Dated Vaccine   NEW (4/10/13)

Wasted Vaccine    (1/07/13)

Borrowing Vaccine    NEW (4/10/13)

Quick Reference: Provider Reports Table  NEW (4/10/13


VFC/WyVIP Provider Reports:
 

Vaccine Return Form   (2/01/13)

Short-Dated Vaccine Transfer Request   (3/28/13)

Borrowed Vaccine Report   (2/01/13)

Vaccine Incident Summary Report   (1/11/13)

Vaccine Temperature Log   (1/07/13)

Vaccine Contact Checklist  (1/07/13)


Special Forms:

Vaccine Coordinator Checklist  NEW  (04/10/13)

Provider Withdrawal Form   (1/07/13)

Special Clinic Justification Form  NEW  (4/10/13)

*Current Inventory Form  NEW  (4/10/13)

*Doses Administered Form  

*Vaccine Request Form   NEW  (4/10/13)

  

                    Contacts  

Jude Serrano
Vaccine Program Specialist
307-777-2413
jude.serrano1@wyo.gov

LaChel May
Provider Relations Administrative Assistant
307-777-8503 or 307-777-7952
lachel.may@wyo.gov

Fax temperature logs to:
307-777-3615



2013 Official State Holidays

Jan. 1

New Year’s Day

Jan. 21

Equality Day

Feb. 18

President’s Day

May 27

Memorial Day

July 4

Independence Day

Sept. 2

Labor Day

Nov. 11

Veterans Day

Nov. 28

Thanksgiving

Dec. 25

Christmas

* These documents are no longer accepted for monthly reporting or vaccine orders and should only be used when directed to do so by the Immunization Unit. Manual monthly reports and vaccine requests using these forms is not acceptable.