2018 Minnesota Vaccines for Children (MnVFC) Annual Report of the Number of Immunized Pediatric Patients

  • Submit this annual report each year by Nov. 30.
  • Ordering privileges may be suspended if this report is not submitted by Nov. 30. Make sure to complete all pages.
  • If you redistribute vaccine to satellite sites, submit one annual report that includes data from those sites.
  • If your site submits dose-level eligibility (DLE) information to MIIC, you can collect the count of pediatric patients using the “MnVFC Report” function in MIIC. See the MnVFC Reports in MIIC user guide on Vaccine Ordering and Management in MIIC.

Site Information (all fields are required to continue)
Select the one that best describes your facility.
25% Complete