Clinical Recommendations: Moderna Monovalent COVID-19 Vaccine Expiry
Moderna monovalent vaccines for individuals aged 6+ years will not be available after early April due to product expiration. Ordering for these products will close today, Friday, March 10 at 5PM in myCAvax. For further information, see the COVID Call Center communication.
CDC guidance allows for mixing of vaccine brands if the original vaccine product is unavailable. No VAERS reporting is required. Equivalent alternative monovalent options include the following: - Pfizer pediatric (5 years -11 years, orange cap)
- Pfizer adolescent/adult (12+ years, gray cap)
- Novavax (12+ years, royal blue cap)
Bivalent Moderna vaccine is not recommended as a primary series dose at this time.
For patients 6 years of age and older starting a Moderna monovalent series now:
- Inform patients that a different age-appropriate monovalent vaccine brand will be administered for dose #2 based on lack of monovalent Moderna supply
- Provide opportunity to choose an alternate product for dose #1.
For patients 6 years of age and older who started a Moderna monovalent primary series and return for dose #2 after monovalent Moderna vaccine supply is exhausted:
- Inform patients that that a different age-appropriate monovalent vaccine brand will be administered for dose #2 based on lack of monovalent Moderna supply.
For children 6 years - 11 years: Only Pfizer monovalent vaccine is available.
For people 12 years and older: Novavax and Pfizer vaccines are available.
Resources:
Preparing for Possible Power Outages
California may soon experience severe rainstorms, wind, and power outages in some areas, which can impact vaccine management and storage. Providers should plan ahead using the following guidance:
Create an emergency vaccine management component to your vaccine management plan.
Your facility’s storage and handling standard operating procedures (SOPs) should include instructions for accessing your vaccine storage units when the building is closed, with a building map/diagram and locations of:
- Spare batteries
- Flashlights
- Keys
- Locks
- Circuit breakers
- Emergency transport equipment and materials
Establish an agreement with a nearby clinic to store vaccines if your power goes out. This is a good idea even if you have a generator!
Do not open the storage unit unless you are packing the vaccines for transport!
- Continue to monitor the temperatures of the storage unit
- Record room temperature (if possible) and the temperature inside the unit as soon as the power goes out.
- Record minimum and maximum temperatures reached inside the unit during the outage.
Equipment for Power Outages:
Make sure you have extra qualified vaccine transport containers and digital data loggers on-hand to store or transport the vaccine in the event of a power outage.
- Just as importantly, make sure the components of your transport containers are frozen and ready to go!
- See CDC's instructions on using frozen water bottles to pack vaccines (for emergencies only)
Make sure you have other items to pack vaccine, like bubble wrap, cardboard, etc.
After a Power Outage:
Resources:
Upcoming English and Spanish Webinars on Talking with Parents about COVID-19 Vaccines for Infants and Toddlers
Próximo Talleres en Ingles y Español: Hablando con los Padres Harceca de las Vacunas contra el COVID-19 para Bebés y Niños Pequeños.
Please join Emma Olivera, MD, FAAP, to discuss talking with parents about COVID-19 vaccines for infants and toddlers. This webinar will be offered in Spanish on Friday, March 17, 2023 and in English on Friday, March 24, 2023.
Únase a Emma Olivera, MD, FAAP, para un taller sobre cómo hablar con los padres sobre las vacunas contra el COVID-19 para bebés y niños pequeños. Este taller se ofrecerá en español el viernes, 17 de marzo, 2023, y en inglés el viernes, 24 de marzo, 2023.
Webinar in Spanish | Taller en español:
Hablando con los Padres Sobre las Vacunas contra el COVID-19 para Bebés y Niños Pequeños
Cuando: viernes, 17 de marzo, 12:00PM-1:00PM
¡Registrate aquí!
Webinar in English:
Talking with Parents about COVID-19 Vaccines for Infants and Toddlers
When: Friday, March 24 at 12:00PM-1:00PM
Register here!
