Immunization Clinical Resources

The resources here supplement the BC Immunization Manual (Chapter 2: Immunization) in the BC Communicable Disease Control Manual.

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Go to the BC Immunization Manual

Program updates & Q&As

 

These updates and Q&A documents support immunization service providers in British Columbia. The material is supplementary, and should be used as a complement to, the guidelines in the Communicable Disease Control Manual, Chapter 2: Immunization.

​​The Q&A documents include the date of production. New information that reaches the public domain after the date of production is not incorporated. Practitioners must take responsibility for ensuring they have the most recent knowledge and are using the most recent guidelines relating to the situation with which they are dealing.

 

COVID-19 Immunization Program Q&A for Immunization Providers

​​​​​This Q​&A​ provides general information about COVID-19 vaccines. Refer to the BC Immunization Manual, Part 4 - Biological Products, COVID-19 vaccines​ for complete information on COVID-19 vaccines prior to vaccine administration. (October 2025)​​​

BC Infant Respiratory Syncy​tial Virus (RSV) Immunoprophylaxis Program

A health care provider Q&​A​ has been developed in collaboration with the BC Infant RSV Immunoprophylaxis Program to support the implementation of the Infant RSV Program. (December 2025)​

HPV Immunization Program updates

A health care provider Q​&A has been developed to support changes to the 9-valent human papillomavirus (HPV) vaccine immunization program. (July 2025, updated March 2026)​

​ Pneumococcal Conjugate Vaccine 20-Valent (PCV20) Immunization Program

A health care provider Q&A has been developed to support the introduction of the 20-valent pneumococcal conjugate vaccine, Prevnar 20™. (July 2025)

RNs/RPNs & autonomo​​us ordering of screening and diagnostic tests for the purpose of CD prevention and management

A Q&A has been developed to support implementation of RNs/RPNs autonomous ordering of select laboratory screening and diagnostic tests with the issuance of a Medical Services Plan (MSP) practitioner number for the purpose of communicable disease prevention and management. (November 2024)​

​Informed consent and disagreeing parents/guardians

This Q&A document was developed to support immunization providers when there is disagreement between Parents/Guardians who both have the authority to consent to their child's immunization.

​Vaccine Status Rep​​orting Regulation (VSRR)

Vaccine Status Reporting Regulation Information for Health Care Providers - Q&A (PDF, January 2020)

Seasonal influenza

 

Part 3 - Management of anaphylaxis in a non-hospital setting

Part 4 - Biological Products

Avian influenza vaccine​

​​Hepatitis A vaccine

HPV vaccines

INFANRIX vaccines

Influenza vaccines

MMRV vaccine

Meningococcal vaccine

Pneumococcal conjugate vaccine

Rotavirus vaccine

Tdap vac​​​​cine

Varicella vaccine

Immunization schedules

Routine schedules

Children and adults may benefit from additional vaccines that are not included in the BC routine immunization schedules. For more information, see:

For complete guidelines, see the BC Immunization Manual, Part 1: Immunization Schedules (PDF)

Immunization record cards

​Adverse events following immunization

For resources, see Adverse Events Following Immunization

For complete guidelines, see the BC Immunization Manual, Part 5: Adverse Events Following Immunization (PDF)

Informed consent for immunization

For resources, see Informed Consent for Immunization

For complete guidelines, see the BC Immunization Manual, Appendix A: Informed Consent for Immunization (PDF)

Vaccine administration

Injection sites

Intranasal route (Flumist vaccine only)

For complete guidelines, see the BC Immunization Manual, Appendix B: Administration of Biological Products (PDF)

Reducing immunization pain

For complete guidelines, see the BC Immunization Manual, Appendix D: Reducing Immunization Injection Pain‎ (PDF)

Immunization forms & letters

Immunization communication

Immunizer education videos


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