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Immunization Healthcare Division


Note: To see the latest COVID-19 vaccine content for Department of Defense (DOD) health care personnel,
sorted by date, check "What's New" below.



Tool Kit

The Ninth Edition of the Immunization Tool Kit (ITK) is now available in print exclusively for health care personnel within the Department of Defense. The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. DOD health care personnel can:

Social-media rumors about anthrax vaccine and VA disability ratings are unfounded. Click here for important information regarding anthrax vaccine safety

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

See our calendar of upcoming events

What's New

The following content has been updated within the last 30 days:

Document What's changed Date Posted 
Tetanus-Diphtheria-Pertussis The information paper Tetanus, Diphtheria and Pertussis Diseases and Vaccines has been updated throughout. June 6, 2023
IHD COVID-19 Vaccine Resource Center for Health Care Personnel
The DHA Form 207, COVID-19 Vaccine Screening and Immunization Documentation, Version 25 is now available for use. Previous versions are obsolete.
June 1, 2023
Vaccine Storage and Handling A document has been added with a summary of multidose vaccine vials and beyond-use dates. May 26, 2023
Standing Orders

The standing order for Hepatitis A Vaccine (Adult) has been updated to clarify ages in the dosing schedule.

May 26, 2023
Standing Orders

The standing orders for administering COVID-19 vaccine have been updated with new graphics from the CDC:

May 25, 2023
Standing Orders

The following standing orders have been updated throughout:

May 23, 2023
Meningococcal The information paper Meningococcal Disease and Meningococcal Vaccine has been updated throughout. May 17, 2023
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following has been updated to remove guidance for the use of Janssen COVID-19 vaccine as it is no longer available in the U.S.:

May 15, 2023
Vaccine Information Statements (VIS)

The following VISs have been updated. Providers are encouraged to begin using these updated VISs immediately, but stocks of the previous editions may be used until exhausted:

May 15, 2023
Immunization Tool Kit (ITK)

The Immunization Tool Kit Ninth Edition has been updated with the following errata sheets to correct minor typos:

May 15, 2023
IHD COVID-19 Vaccine Resource Center for Health Care Personnel

The following documents from the CDC have been updated: 

May 12, 2023
Standing Orders

The standing orders for administering meningococcal vaccine have been consolidated and updated throughout:

May 11, 2023
Important Announcement

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) offers two recurring in-person and virtual 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.

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


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 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

Download the Joint Regulation Immunization PDF  So booklet cover 2022Download the Standing Orders booklet PDF  Download the Electronic Immunization Tool Kit PDF

Downlad the IHD Vaccine Storage and Handling Guide PDF  View the General Best Practices Guidelines for Immunizations (CDC) PDF  Pink Book 14th Edition  View the CDC Yellow Book for International Travel PDF

You also may be interested in...

DODI 6205.02 DOD Immunization Program


Establishes policy, assigns responsibilities, and provides procedures to establish a uniform DoD immunization program, in accordance with the authority in DoDD 6200.04 and DoD Instruction (DoDI) 1010.10.

Guidance for the DoD Influenza Vaccination Program (IVP)


Implements instructions, assigns responsibilities, and prescribes procedures for the DOD Northern Hemisphere (NH) and Southern Hemisphere (SH) Seasonal influenza vaccination program.

Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases

  • Identification #: Army Regulation 40–562 BUMEDINST 6230.15B AFI 48–110_IP CG COMDTINST M6230.4G
  • Date: 10/7/2013
  • Type: Instructions
  • Topics: Immunization Healthcare Division

Guidance on Medications for Prophylaxis of Malaria 13-002


This document provides guidance and best practices for the chemoprophylaxis (use of medication to prevent malaria) of Service members serving in malaria endemic regions.

Clinical Policy for the Administration of the Anthrax Vaccine Adsorbed


Department of Defense Guidance Regarding Thimerosal Containing Vaccines


This memo provides guidance regarding the use of vaccines containing Thimerosal.

DoD Directive 6205.03: DoD Immunization Program for Biological Warfare Defense


Establishes policy, assigns responsibilities, and prescribes procedures for members of the DoD against validated biological warfare threats, and prioritization of research, development, testing, acquisition, and stockpiling of biological defense vaccines under reference.

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Last Updated: June 07, 2023
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