Influenza Information & Forms for Community Vaccine Providers

Influenza Information and 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.

•    Publicly funded influenza vaccines available this year include: Fluviral®, Agriflu®, FluLaval® Tetra and Fluzone® Quadrivalent.
•    Please note that FluMist® will not be available in Canada for the 2019/20 influenza season.
•    For your first order, please request only the vaccine you need for the first two weeks. Place subsequent orders as needed, including Number of Doses on Hand with each order. 
•    If you are holding a large flu immunization clinic, please note this on the Flu Vaccine Order Form by including expected doses needed and the flu clinic date. We ask this in order to ensure all CVPs have equitable access to vaccines early in the season.
•    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, we will not back-fill orders. Please submit another order for an additional vaccine or a different product when it is available.
•    Fluviral®, Agriflu®, FluLaval® Tetra and FluZone® Quadrivalent will be available for distribution the week of October 7. Note that Agriflu® and FluZone® Quadrivalent come in a preloaded syringe and require about 10 times more space than multidose vials.
•    Fluzone® Quadrivalent and FluLaval® Tetra are available for pediatric patients.  
•    Please note that Fluzone® Quadrivalent will be available in limited quantities as many CVPs will attempt to order them as they prefer prefilled syringes.

This season's influenza and vaccine


Order and manage vaccines

Influenza and Pneumococcal Vaccine Order Forms for Community Vaccine Providers

South Island - Greater Victoria, Sooke, Saanich and Outer Gulf Islands

Central Island - Duncan, Cowichan Valley, Nanaimo, Parksville, Qualicum Beach, Port Alberni, and Tofino

North Island - Alert Bay, Campbell River, Comox Valley, Gold River, Hornby Island, Port Hardy, Port McNeill, Quadra Island and Woss


Reporting and Recording

Adverse event reporting: information and form

Report 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

Influenza Vaccine Usage Reporting Forms for Community Vaccine Providers

Reporting forms from all vaccine community providers are due by January 10, 2020.

South Island - Greater Victoria, Sooke, Saanich and Outer Gulf Islands

Recording forms

Children 6 months to 18 years - Fax completed form to local health unit weekly
Adults (19 years and older)

Reporting form

Physicians and other vaccine providers 

Central Island - Duncan, Cowichan Valley, Nanaimo, Parksville, Qualicum Beach, Port Alberni and Tofino

Recording forms

Children 6 months to 18 years - Fax completed form to local health unit weekly
Adults (19 years and older) 

Reporting form

Physicians and other vaccine providers

North Island - Alert Bay, Campbell River, Comox Valley, Gold River, Hornby Island, Port Hardy, Port McNeill, Quadra Island and Woss

Recording forms

Children 6 months to 18 years - Fax completed form to local health unit weekly
Adults (19 years and older)

Reporting form

Physicians and other vaccine providers


Follow diagnosis and treatment guidelines

Follow influenza activity in your community and globally

Learn more

General Immunization information for Health Professionals

Contacts

Public Health Units
Medical Health Officers

Digital Toolkit

Flu poster 
Digital signage (vimeo link)

News & Events

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