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Visit the 2019-2020 Seasonal Influenza Resource Center

Frequently Asked Questions (FAQ) about the current measles outbreak
and MMR vaccine policy and recommendations

A recent social-media rumor about anthrax vaccine and VA disability ratings is unfounded. Click here for important information regarding anthrax vaccine safety.

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) supports Department of Defense (DoD) immunization programs and provides clinical consultative services, educational support, and training resources for the entire DoD family. To learn more, visit our:

What's New

The following documents have been updated within the past 30 days:

Important Announcement

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) announces two new, recurring in-person training opportunities: the two-day Immunization Lifelong Learners Course (ILLC) and the one-day Immunization Lifelong Learners Short Course (ILLSC). Individual courses will be announced here when they are opened for registration. These courses are designed to ensure health care personnel are trained in vaccine policy, vaccine safety, and effectiveness based on national and DoD guidelines. They replace the former Standards for Quality Immunization Practices Course (SQIPC) and the Immunization Program Leaders Course (IPLC), which will no longer be offered. These new courses are recommended for any health care personnel working with immunizations.

Continuing education will be available for these activities. See our Immunization Lifelong Learners Course or Short Course pages for more details and for listings of each course.

Document What's changed Date Posted 
Vaccine Information Statements (VIS)

The following VIS have been updated:

August 15, 2019
Potentially Compromised Temperature-Sensitive Medical Products (PC-TSMP) Worksheet
The PC-TSMP worksheet has been updated with new product and pricing information, as well as questions about storage location and additional event types.
August 14, 2019
Vaccine Storage and Handling
Documents have been added with tips on setting up freezers and refrigerators for vaccine storage, as well as safeguarding your power supply to avoid disruption.
August 14, 2019
Neurologic Dysfunction Following Vaccination
A clinical algorithm for diagnosis and treatment of neurologic adverse events after immunization.
August 14, 2019
Pediatric and Adult Influenza Screening and Immunization Documentation A form for screening both children and adults for contraindications to receiving influenza vaccine for the 2019-2020 season.
August 12, 2019
Influenza Vaccine Product List and Age Groups 2019-20 A list of available influenza vaccines for the 2019-20 flu season, along with age indications and other product specifications.
August 7, 2019
Vaccine Package Inserts
The following influenza vaccine package inserts have been updated for the 2019-2020 influenza season: Fluad and Fluarix Quadrivalent. August 2, 2019
Vaccine Recommendations by AOR Requirements updated for U.S. European Command (USEUCOM). August 1, 2019
MMQC-19-2260 Yellow Fever Vaccine (YF-VAX) Quarterly Reporting August 1-10, 2019

Effective immediately, quarterly reporting of on-hand yellow fever vaccine stock is required instead of monthly reporting. The current reporting window is August 1-10, 2019.

July 31, 2019
DHA-IHD Information Papers The Influenza Infection and Influenza Vaccines and Vaccinia Immune Globulin Intravenous (Human) (VIGIV) information papers have been updated throughout. July 29, 2019
General Best Practice Guidelines for Vaccine Administration Updated guidance from the Advisory Committee on Immunization Practices on administering vaccines to patients of all ages, including administration of smallpox vaccine. July 25, 2019
Smallpox Disease and Smallpox Vaccine
This information paper has been updated with new guidance on drawing vaccine from the vial during administration to avoid potential contamination. July 25, 2019
Vaccine Package Inserts The following influenza vaccine package inserts have been updated for the 2019-2020 influenza season: Afluria, FluBlok, FluMist, FluLaval, and Fluzone Quadrivalent. July 24, 2019


A premier, responsive, patient centered organization promoting excellence in immunization health care practice and policy for service members and beneficiaries.


Support Force Health Protection and Readiness, and the Military Health System (MHS) by developing and promoting programs and services that enhance immunization effectiveness, safety, and acceptability. Provide evidence based solutions that improve immunization health care through policy implementation guidance, strategic communication, education, training, and clinical services worldwide.

Immunization Resources

Joint Regulation screenshot   Storage and Handling 2017 cover     
Best Practices Immunization Cover  CDC Pink Book cover   Yellow Book 2020

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Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year


Immunization programs conduct annual kindergarten vaccination assessments to monitor school-entry vaccination coverage for all state-required vaccines. Median vaccination coverage was 94.3% for 2 doses of measles, mumps, and rubella vaccine; 95.1% for the state-required number of doses of diphtheria and tetanus toxoids and acellular pertussis vaccine; and 93.8% for 2 doses of varicella vaccine.

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Say ‘Shoo’ to the flu with TRICARE

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Advice for healthy older adults: Get the new shingles vaccine

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Immunization University and Project Immune Readiness Certificate Retrieval Instructions


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Army Medicine in thick of war on antibiotic-resistant bacteria

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Antibiotics not the answer for common cold

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Navy Lt. Jessica Miller, a certified nurse midwife in Naval Hospital Jacksonville’s pregnancy Integrated Practice Unit, assesses a patient. A key education initiative for the Defense Health Agency Immunization Healthcare Branch involved outreach to new parents or soon-to-be parents to address any questions or concerns they have about vaccines recommended during pregnancy, infancy or childhood. (U.S. Navy photo by Jacob Sippel)

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Surveillance Snapshot: Influenza Immunization among U.S. Armed Forces Healthcare Workers, August 2012 – April 2017

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This snapshot of a five-year surveillance period (August 2012 – April 2017) details influenza immunization compliance among the active component healthcare personnel of the Army, Navy, and Air Force.

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