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Immunization Clinical Resources

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

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.

COVID-19 Immunization Program

A health care provider Q&A page has been created specifically for the COVID-19 immunization program. The Q&A document includes general information about COVID-19 vaccines and questions and answers specific to the vaccines currently in use in BC.

Tdap Vaccination During Pregnancy

Beginning November 2020, Tdap (tetanus, diphtheria and pertussis) vaccine will be provided free to people who are pregnant in every pregnancy. Vaccination is recommended at 27-32 weeks of gestation but it may be given from 13 weeks up to the time of delivery. The aim of this new program is to protect newborn infants in BC from severe outcomes related to pertussis infection. It is anticipated that Tdap vaccine will be provided mainly by prenatal care providers including family doctors and midwives, but can also be provided by specialty prenatal care service providers and by community-based pharmacists, or at the local health unit at adult immunization clinics.

Vaccine Status Reporting Regulation (VSRR)

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

Part 3 - Managament of Anaphylaxis in a Non-Hospital Setting

Part 4 - Biological Products

COVID-19 Vaccine
Hepatitis A vaccine
HPV vaccines
INFANRIX vaccines
Influenza vaccines
MMRV vaccine
Meningococcal vaccine
Pneumococcal conjugate (PCV13) vaccine
Rotavirus vaccine
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 

Immunization record cards

MSP billing codes

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

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 

Vaccine administration

Injection sites

Intranasal route (Flumist vaccine only)

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

Immunization forms & letters

Immunization communication

Immunizer education videos

SOURCE: Immunization Clinical Resources ( )
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