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  • Alex Lipovtsev

SDOH Provides Important Information About Administering Moderna Vaccine

December 20, 2020

New York State Department of Health (SDOH) issued a High Advisory with important information about administering Moderna COVID-19 vaccine and updated Pfizer COVID-19 vaccine forms.

This Advisory contains the following information and forms:

  • Moderna EUA stakeholder letter signed by Dr. Zucker (Pg. 1)

  • Moderna EUA letter of authorization (Pg. 2)

  • Non-Patient-specific standing order for Moderna COVID-19 Vaccine (Pg. 11)

  • Updated Non-Patient-specific standing order for Pfizer COVID-19 Vaccine (Pg. 17)

  • Moderna fact sheet for providers administering vaccine (Pg. 24)

  • Moderna fact sheet for recipients and caregivers (Pg. 46)

  • A guidance document reminding and informing vaccine administers of their obligations when reporting the New York State Immunization Information System (NYSIIS) and the City Immunization Registry (CIR) (Pg. 51)

  • Instructions on the newly developed COVID-19 Vaccine Form, which providers should encourage all patients to complete before receiving the vaccine (Pg. 52)

  • An UPDATED template COVID-19 Immunization Screening and Consent Form (Pg. 56)

  • A screening checklist for health care providers for COVID-19 Vaccine (Pg. 58)


Download Guidance Packet:

SDOH Vaccination Guidance and Forms Mode
Download • 1.91MB


SDOH also previously issued guidance on Moderna Vaccine Storage and Handling. The guidance addresses ancillary supply and personal protective equipment delivery, handling and storage, vaccine characteristics, training resources, and reporting.

Download Guidance:

Download PDF • 279KB

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