City Health Information
Volume 32 (2013) New York City Department of Health and Mental Hygiene No. 3; 11-18



Influenza Prevention and Control, 2013-2014
  • Vaccinate everyone aged 6 months and older against influenza as early as possible.
  • Give inactivated vaccine to all pregnant women in any trimester.
  • Get your flu vaccination as soon as vaccine becomes available and ensure that your staff does the same.



Begin vaccinating all your eligible patients as soon as vaccine is distributed and continue through the spring until the vaccine expires. See Box 7 for important information on prebooking, obtaining, storing, and administering vaccine and record-keeping.


Obtaining vaccine:

Safe storage and handling:

  • Influenza vaccines MUST be stored correctly to ensure full potency. View the CDC web-based vaccine storage and handling module, "You Call the Shots," for updated recommendations on storage and handling and see sample safety and storage checklist (PDF).
  • Store vaccines in a standard household-size refrigerator with a separate freezer compartment. Do not store with food, beverages, or clinical specimens. Maintain refrigerator temperature of 35° to 46° Fahrenheit (2° to 8° Celsius) and log temperature twice daily with a certified, calibrated thermometer.
  • Place "Do Not Unplug" signs next to electrical outlets for the refrigerator and freezer, along with emergency contact information in case of power failure.
  • If vaccines are exposed to temperatures outside the recommended range, call the vaccine manufacturer to see whether they may still be used.

Vaccination forms:

Administering vaccine:

  • IIV is administered intramuscularly in the deltoid area of the upper arm at a 90° angle.
  • Choose needle size for intramuscular vaccine based on patient's weight—use a longer needle for heavier patients. The needle should be long enough to penetrate the muscle mass and prevent vaccine from seeping into subcutaneous tissue, but not long enough to reach the underlying bone (48).
  • LAIV is administered intranasally.
  • Intradermal vaccine is administered with a prefilled microinjection syringe in the deltoid area of the upper arm.


  • As required by federal law, document all vaccinations in patients' electronic or paper medical record, including the VIS edition date and date the VIS was given to the patient or parent/guardian.
  • If a Vaccine Refusal Form is signed, include it in medical record.
  • Also record vaccinations given outside your facility; some electronic medical records can do this, but if not, use the (Vaccine Administration Record for Adults) or a preventive services flow sheet to document vaccinations.
  • The Citywide Immunization Registry (CIR) is an electronic central record-keeping system that tracks immunizations of people vaccinated in New York City and securely maintains immunization records.
    • You must report all vaccinations given to children <19 years to the CIR within 2 weeks of administration.
    • You may report vaccinations given to people aged ≥19 years if you have the patient's verbal consent. Written documentation of consent is no longer required.
    • Encourage adult patients to participate in the CIR to ensure future availability of their vaccination records.
    • For further information or to register with the CIR, visit Citywide Immunization Registry or call 347-396-2400.

PDF version of Box 7

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