REPORTING A TEMPERATURE EXCURSION (VFC)

• General description (i.e., what happened?) • Estimated length of time between event and last documented reading of storage temperature in acceptable range (36o to 46oF [2° to 8°C] for refrigerator; -58º to 5ºF [-50° to -15°C] for freezer) • At the time of the event, what else was in the storage unit? For example, were there water bottles in the refrigerator and/or frozen coolant packs in the freezer? • Prior to this event, have there been any storage problems with this unit and/or with the affected vaccine? • Include any other information you feel might be relevant to understanding the event.

• When were the affected vaccines placed in proper storage conditions? • Who was contacted regarding the incident? (For example, supervisor, VFC Program, manufacturer—list all.) • IMPORTANT: What did you do to prevent a similar problem from occurring in the future?

• What happened to the vaccine? • Was it able to be used? If not, was it returned to the distributor?