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Guidelines on stock records for immunization programme - Path

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Step 1<br />

When vaccine c<strong>on</strong>signments arrive at a storage point their details are checked<br />

and recorded.<br />

All details of each c<strong>on</strong>signment must be checked and recorded in the <strong>stock</strong> register.<br />

(In the case of internati<strong>on</strong>al shipments, see also Annex 1 <strong>on</strong> checking vaccine<br />

shipments <strong>on</strong> arrival.)<br />

The details to be recorded include:<br />

• type of vaccine<br />

• presentati<strong>on</strong> (vial size)<br />

• quantity received (doses)<br />

• vaccine manufacturer<br />

• manufacturing batch or lot number or numbers (there may be more than <strong>on</strong>e<br />

batch or lot in a c<strong>on</strong>signment)<br />

• expiry date <strong>for</strong> each batch<br />

• status of temperature m<strong>on</strong>itoring indicators - VVM, cold chain m<strong>on</strong>itor (CCM),<br />

freeze indicators and electr<strong>on</strong>ic data loggers <strong>on</strong> arrival of the c<strong>on</strong>signment.<br />

In c<strong>on</strong>signments of freeze-dried vaccine, each shipment should always arrive with<br />

the correct quantity of diluent <strong>for</strong> rec<strong>on</strong>stituting the vaccine when it reaches the<br />

user. For such shipments, the following details must also be checked and recorded<br />

<strong>for</strong> the accompanying diluent:<br />

• type of diluent (i.e. type of vaccine with which it is to be used)<br />

• quantity received (doses)<br />

• diluent manufacturer<br />

• manufacturing batch or lot number or numbers (there may be more than <strong>on</strong>e<br />

batch or lot in a c<strong>on</strong>signment)<br />

• expiry date <strong>for</strong> each batch<br />

Step 2<br />

During the time that vaccine <strong>stock</strong>s are in storage their details and c<strong>on</strong>diti<strong>on</strong>s<br />

are checked.<br />

All vaccines and diluents have an expiry date, after which they must not be used.<br />

All <strong>stock</strong>s must be distributed well be<strong>for</strong>e their expiry date in order to allow sufficient<br />

time <strong>for</strong> them to pass through the distributi<strong>on</strong> system and reach the user.<br />

EEFO handling is safer than first-in-first-out (FIFO) handling. In general,<br />

when two batches of vaccine are delivered at different times, the sec<strong>on</strong>d to arrive<br />

has a later expiry date than the other. However, this is not always the case, particularly<br />

when vaccines are obtained from different sources. The expiry date should always<br />

be checked and the vaccine with the shortest shelf-life should be distributed first,<br />

even if it arrived last.<br />

WHO/IVB/06.12<br />

9

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