Influenza Information & Forms for Community Vaccine Providers

Information on this page is for Community Vaccine Providers (CVPs) at Island Health.

For more information, please read our Frequently Asked Questions for visitors to hospitals and health-care facilities, and Influenza Protection Policy.

Influenza seasonal update and flu vaccine eligibility criteria 2020-2021

Product	Intended Age Group	Product Presentation
Fluviral® (Trivalent)	18 years of age or older May be used in children 6 months-17 years of age if a quadrivalent influenza vaccine is unavailable	Multi-dose vial
Agriflu® (Trivalent)	18 years of age or older May be used in children 6 months-17 years of age if a quadrivalent influenza vaccine is unavailable	*Pre-filled syringe
FluMist® (Quadrivalent)	Eligible individuals 2-17 years of age (inclusive) Not approved for use in those younger than 2 years or older than 59 years	Intranasal
FluLaval® Tetra (Quadrivalent)	Eligible children 6 months to 17 years of age (inclusive) including those with contraindications to LAIV-Q	Multi-dose vial
FluZone® Quadrivalent (Quadrivalent)	Eligible children 6 months to 17 years of age (inclusive) including those with contraindications to LAIV-Q	*Pre-filled syringe
Fluad® (Trivalent)	Individuals 65 years of age and older	*Pre-filled syringe This vaccine will not be available at public health clinics.
Fluzone® High- Dose (Trivalent)	Individuals 65 years of age and older living in long-term care and assisted living facilities	*Pre-filled syringe This vaccine will not be available for CVPs to order and will not be available at public health clinics

*Pre-filled syringes take up approximately 10 times as much fridge space as multi-dose vials.

PUBLICLY FUNDED VACCINE ORDER FORM - Order other vaccines that may be given at the same time (e.g. tetanus/diphtheria, pneumococcal)

First order: request only vaccine you need for the first two weeks
Subsequent orders: place as needed, include Number of Doses on Hand with each order.
Vaccine inventory: Community Vaccine Providers are expected to report their flu vaccine inventory weekly.
- Subsequent orders will not be filled if inventory has not been updated within the last 7 days. See CVP Inventory Poster for inventory reporting directions.
- Public will be able to view some CVP inventory information on the Island Health website, so they know where to access vaccine in the community.
If holding a large flu immunization clinic: note on Flu Vaccine Order Form the clinic date and expected doses needed.
Influenza vaccine will be distributed based on available supply. If an ordered vaccine is no longer available, an equivalent product will be supplied.
If no vaccine product is available or a substitution is not acceptable, orders will not be back-filled. Submit another order for additional vaccine or a different available product.

Vaccine available for distribution

Immunization Information for Healthcare Professionals includes vaccine storage and handling, cold chain failure procedures, etc.

Reporting Forms
Report of Publicly Funded Influenza Immunization: Children 6 months to 18 years
Fax completed form to local health unit weekly

Recording Sheet
Influenza Recording Sheet: Adults (19 years and older)
Recording Sheet for CVP use only

Adverse events following immunization: BCCDC information and form
Outbreaks: suspected and confirmed outbreaks should be reported within 24 hours to the Communicable Disease Program:
- South Island: 1-866-665-6626
- Central Island: 1-866-770-7798
- North Island: 1-877-887-8835