Vaccine Storage and Handling Resources

Resources for vaccine storage, shipment, and monitoring
Courtesy of Graham Barden MD FAAP and Robin Warner MD FAAP

A directory of the vaccine storage resources on this site

Powerpoint presentation on best practices in vaccine storage.

How many linear inches do you need to store each VFC vaccine?

Choosing a size and style of refrigerator

Keep vaccines from freezing during transport

Freezer setup with probe sensor

2D Barcoding Guidance

Refrigerators, Freezers, and Vaccine Storage (AAP)

Data Loggers and Vaccine Monitoring (AAP)

Safe Vaccine Transport (AAP)

Disaster Planning (AAP)

Posters for vaccine storage and administration errors (AAP)

Pedialink CME course: Vaccine Storage and Handling

Graph of Power-Off 26 cu ft refrigerator with glass door and foil bubble wrap taped tightly to front of door. Shows that 20 half-liter frozen water bottles can yield 13-15 hours of “hang-time” during a power outage despite having a glass door. Bottles are on top shelf. Solid door unit would keep much longer. 30 bottles would have done better. Demonstrates how hard it is to passively cool glass door refrigerators!

Picture of test 26 cu ft refrigerator with glass door and foil bubble wrap completely taped on edges with packing tape.

Comparison of using CFWB (Conditioned Frozen Water Bottles) instead of Gel Packs for safely transporting refrigerated (NOT Varivax!) vaccines in a thick walled Styrofoam cooler. The CFWB are now recommended by NIST and the CDC, since they are predictable to NEVER be below DC, thus not a freeze risk when in with vaccines. Gel Packs are not able to be reliably “conditioned” and can freeze less than DC thus being dangerous.

PlexiGlas “door” made to hep do inventory on a solid door refrigerator. Covers door opening and allows stock to be counted without losing “cold”! Door can actually be open indefinitely without significant warming.

“Extra” shelf made from closet shelving from home improvement store laid down over lots of pre-chilled water bottles. In units with compressor on bottom, the bottom can be the warmest part of the refrigerator. If so, foil bubble wrap can be placed first then the water bottles then the shelf. Test with temp probe over-night to prove safety.

Melting point test demonstrations.

  1. DataLoggerIceMeltingPointTest: Graph of Data Logger showing Ice Melting Point (IMP) test data
  2. IceMeltPointInfographic: “How To” simply do an Ice Melting Point Test
  3. IceMeltingPointTestDuringVFCInspection: Power Point Presentation for doing IMP during VFC Inspection
  4. MeltingPointTest: Additional Power Point on doing an IMP

Several sheets demonstrating different “passive cooling” of refrigerators with water mass and frozen water bottles. It shows that cold water mass does not keep refrigerators cool during power outages except briefly (<30 minutes.) Also shows results of "Shelter In Place" experiments using CFWB as passive cooling.

Safely packing 72 quart fishing cooler for “Sheltering In Place” using CFWB for safe passive cooling.

Encouragement to replace dangerous combo refrigerators (Freezer-On-Top)

Demonstrates prolonged safe transport of vaccines in a thick walled cooler using Conditioned Frozen Water Bottles (CFWB) as passive cooling. (Always include Data Logger temp probe with transports!)

22 page document discussing overall considerations for upgrading vaccine storage.

Paper focuses on power outage considerations and considerations in picking an automatic stand-by generator.

Vaccine storage posters (AAP)