COVID-19 Vaccination Provider Enrollment, Vaccine Request, and Resources

• Vaccine requests
• Enrollment
• Resources
• Community vaccination program
• Reporting adverse reactions
• Patient education

Weekly Vaccine Requests

Providers must make a new request each week in order to receive vaccine. Request both first and second doses. Second doses are not sent automatically.

• Vaccine Redistribution: For redistribution, please use the vaccine transfer form below.
  Vaccine transfers are approved on a case by case basis. Vaccine should be ordered directly through MIIX unless there is an extenuating circumstance
• Vaccine Transfer Form
  Please allow time for this process to be approved
• Order via MIIX
  for at least 100 doses of Moderna, 100 doses of Janssen*, 100 doses of pediatric Pfizer (ages 5 to 11), or 300 doses of adult (ages 12 and up) Pfizer vaccine.
  Delivery: Moderna vaccine orders usually arrive in 1-2 days, and Pfizer orders in 3 days. See the ordering cadence below
  * Note: The FDA has limited Janssen COVID-19 vaccine use to certain patients. More information

Vaccine Ordering Cadence

Pfizer Vaccine

Moderna/Janssen Vaccine

* Cadence can be offset by backorders.

Provider Enrollment

• Provider Enrollment Agreement
• Redistribution Agreement PDF
• Provider Toolkit PDF
• Other documents

If your facility plans to administer COVID-19 vaccine, you must enroll as a COVID-19 provider.
For a healthcare personnel or healthcare facility to receive and administer vaccine priority groups, including healthcare staff, you must be enrolled as a COVID-19 vaccine provider.

Individual healthcare providers and personnel do not have to be enrolled as COVID-19 vaccine providers to be vaccinated against COVID-19.

COVID-19 Community Vaccination Program

MSDH is offering funding from the CDC to ensure greater equity and access COVID-19 vaccine by those disproportionately affected by COVID-19. MSDH needs the assistance of enrolled immunization providers to administer COVID-19 vaccination within their local communities. Populations that have been disproportionately affected by COVID-19 include, but are not limited to:

• People in racial and ethnic minority groups
• People living in rural communities
• People who are underinsured or uninsured
• Communities with high social vulnerability index

• Requirements and enrollment application

Vaccine Resources

Letters of authorization, facts sheets and resources for providers and recipients.

• Pfizer
• Moderna
• Janssen
• General resources

Planning and Training

• MSDH Provider Training Toolkit: A complete guide for providers
• COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operations (CDC)
• Video: Introductory meeting for COVID-19 vaccination providers
• COVID-19 Vaccine Training Module CDC
• COVID-19 Vaccination Training Programs for Healthcare Professionals Public Health Foundation

Reporting Adverse Reactions (VAERS)

The preferred way to submit an adverse reaction report to the CDC's Vaccine Adverse Event Reporting System (VAERS) is with their online form.

• Submit an online report to VAERS
  The online VAERS Report must be completed and submitted in the same 20-minute session; it cannot be saved and edited at a later time.

Alternate method:

• Download a PDF form to submit
  This writeable PDF form can be downloaded and completed electronically on your own time.
• Submit a completed PDF form
  Submit a writeable PDF that you have completed offline.

Patient Education

• COVID-19 Vaccination Communication Toolkit for Medical Centers, Clinics, and Clinicians CDC
• How to talk to your patients about COVID-19 vaccination CDC
• Benefits of Getting a COVID-19 Vaccine CDC
• How COVID-19 Vaccines Work CDC
• Facts and Misconceptions about COVID-19 Vaccines CDC
• Frequently Asked Questions about COVID-19 Vaccination CDC
• Pfizer vaccine fact sheet for recipients PDF
• Moderna vaccine fact sheet for recipients PDF
• Janssen vaccine fact sheet for recipients PDF