Immunization Materials Order Form
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Your answer to question 1 (Zip) must be a valid ZIP Code.
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Your answer to question 1 (Phone) must be a valid U.S. or Canadian Phone Number.
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Immunization Materials for the Public
Are Your Kids Ready and When to get Vaccines
, 2 page flyer
Easy to read charts for parents to show immunizations needed by age and for enrolling in child care, early childhood programs, and school in Minnesota.
Available online at:
www.health.state.mn.us/people/immunize/basics/kids.html
English - ID# 52799 (limit 20)
Hmong - ID# 52948 (limit 20)
Russian - ID# 52949 (limit 20)
Somali - ID# 52950 (limit 20)
Spanish - ID# 53669 (limit 20)
Vietnamese - ID# 53412 (limit 20)
Your answer to question 2 (English - ID# 52799 (limit 20)) must be a whole number.
Your numeric answer for question 2 (English - ID# 52799 (limit 20)) does not fall within the range of 0 to 20.
Your answer to question 2 (Hmong - ID# 52948 (limit 20)) must be a whole number.
Your numeric answer for question 2 (Hmong - ID# 52948 (limit 20)) does not fall within the range of 0 to 20.
Your answer to question 2 (Russian - ID# 52949 (limit 20)) must be a whole number.
Your numeric answer for question 2 (Russian - ID# 52949 (limit 20)) does not fall within the range of 0 to 20.
Your answer to question 2 (Somali - ID# 52950 (limit 20)) must be a whole number.
Your numeric answer for question 2 (Somali - ID# 52950 (limit 20)) does not fall within the range of 0 to 20.
Your answer to question 2 (Spanish - ID# 53669 (limit 20)) must be a whole number.
Your numeric answer for question 2 (Spanish - ID# 53669 (limit 20)) does not fall within the range of 0 to 20.
Your answer to question 2 (Vietnamese - ID# 53412 (limit 20)) must be a whole number.
Your numeric answer for question 2 (Vietnamese - ID# 53412 (limit 20)) does not fall within the range of 0 to 20.
Keep Them Safe! Vaccinate
, brochure
Brochure for parents of newborns to provide reliable information on immunizations.
English - ID# 53365 (limit 100)
Somali - ID# 53395 (limit 100)
Spanish - ID# 53396 (limit 100)
Your answer to question 3 (English - ID# 53365 (limit 100)) must be a whole number.
Your numeric answer for question 3 (English - ID# 53365 (limit 100)) does not fall within the range of 0 to 100.
Your answer to question 3 (Somali - ID# 53395 (limit 100)) must be a whole number.
Your numeric answer for question 3 (Somali - ID# 53395 (limit 100)) does not fall within the range of 0 to 100.
Your answer to question 3 (Spanish - ID# 53396 (limit 100)) must be a whole number.
Your numeric answer for question 3 (Spanish - ID# 53396 (limit 100)) does not fall within the range of 0 to 100.
Minnesota Immunization Record Card
or "Gold Card," wallet card
Wallet-sized card for parents and adults to write in immunization dates.
(Note: this item is being discontinued.)
ID# 53887 (limit 1 pack of 100 cards)
Your answer to question 4 (ID# 53887 (limit 1 pack of 100 cards)) must be a whole number.
Your numeric answer for question 4 (ID# 53887 (limit 1 pack of 100 cards)) does not fall within the range of 0 to 1.
My chickenpox vaccine protects my friend
, 2.25 x 8.5 bookmark
Bookmark with a message supporting chickenpox vaccine.
ID# 56628 (limit 1 pack of 25 bookmarks)
Your answer to question 5 (ID# 56628 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 5 (ID# 56628 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
My whooping cough vaccine protects my baby
, 2.25 x 8.5 bookmark
Bookmark with a message supporting whooping cough vaccine.
ID# 56630 (limit 1 pack of 25 bookmarks)
Your answer to question 6 (ID# 56630 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 6 (ID# 56630 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Protect those you love. Immunize.
(Pregnant woman), 2.25 x 8.5 bookmark
Bookmark with a message supporting immunizations.
ID# 56632 (limit 1 pack of 25 bookmarks)
Your answer to question 7 (ID# 56632 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 7 (ID# 56632 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
My influenza vaccine protects my son
, 2.25 x 8.5 bookmark
Bookmark with a message supporting influenza vaccine.
ID# 56629 (limit 1 pack of 25 bookmarks)
Your answer to question 9 (ID# 56629 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 9 (ID# 56629 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Protect those you love. Immunize.
(Grandma), 2.25 x 8.5 bookmark
Bookmark with a message supporting immunizations.
ID# 56631 (limit 1 pack of 25 bookmarks)
Your answer to question 10 (ID# 56631 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 10 (ID# 56631 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Fight the Flu
, 2.25 x 8.5 bookmark
Bookmark with four "Fight the Flu" messages on one side and who to call with questions on the back. Local city or county public health can add their contact information.
Available online at:
www.health.state.mn.us/diseases/flu/basics/fightflu/index.html
(additional languages also available online)
English - ID# 52570 (limit 1 pack of 25 bookmarks)
Hmong - ID# 52571 (limit 1 pack of 25 bookmarks)
Somali - ID# 52676 (limit 1 pack of 25 bookmarks)
Spanish - ID# 52677 (limit 1 pack of 25 bookmarks)
Your answer to question 11 (English - ID# 52570 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 11 (English - ID# 52570 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Your answer to question 11 (Hmong - ID# 52571 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 11 (Hmong - ID# 52571 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Your answer to question 11 (Somali - ID# 52676 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 11 (Somali - ID# 52676 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Your answer to question 11 (Spanish - ID# 52677 (limit 1 pack of 25 bookmarks)) must be a whole number.
Your numeric answer for question 11 (Spanish - ID# 52677 (limit 1 pack of 25 bookmarks)) does not fall within the range of 0 to 1.
Immunization Materials for Health Care Providers
Perinatal Hepatitis B Prevention Pocket Guide: Pediatric Providers
Pocket guide to assist pediatric health care providers with recommended strategies to prevent perinatal transmission of hepatitis B.
Available online at:
www.health.state.mn.us/diseases/hepatitis/b/perinatal/pocketped.html
ID# 53799 (limit 25)
Your answer to question 12 (ID# 53799 (limit 25)) must be a whole number.
Your numeric answer for question 12 (ID# 53799 (limit 25)) does not fall within the range of 0 to 25.
Perinatal Hepatitis B Prevention Pocket Guide: Prenatal Providers
Pocket guide to assist prenatal health care providers with recommended strategies to prevent perinatal transmission of hepatitis B.
Available online at:
www.health.state.mn.us/diseases/hepatitis/b/perinatal/pocket.html
ID# 55966 (limit 20)
Your answer to question 13 (ID# 55966 (limit 20)) must be a whole number.
Your numeric answer for question 13 (ID# 55966 (limit 20)) does not fall within the range of 0 to 20.
Pregnancy and Vaccination Pocket Guide
Pocket guide to assist health care providers with immunization recommendations for pregnant women.
Available online at:
www.health.state.mn.us/people/immunize/hcp/bestpractices.html
ID# 53463 (limit 20)
Your answer to question 14 (ID# 53463 (limit 20)) must be a whole number.
Your numeric answer for question 14 (ID# 53463 (limit 20)) does not fall within the range of 0 to 20.
Meningococcal Vaccination Pocket Guide
(printed copies currently unavailable)
Quick reference guide for health care providers with information on the meningococcal ACWY and meningococcal B vaccines, including age and risk indications.
Available online at:
www.health.state.mn.us/people/immunize/hcp/bestpractices.html
In process of update, will be available to order when ready.
Your answer to question 15 (In process of update, will be available to order when ready.) must be a whole number.
Your numeric answer for question 15 (In process of update, will be available to order when ready.) does not fall within the range of 0 to 0.
Adult Pneumococcal Vaccination Pocket Guide
Pocket guide to assist health care providers in determining who should receive a pneumococcal vaccination and when.
Available online at:
www.health.state.mn.us/people/immunize/hcp/bestpractices.html
ID# 53131 (limit 20)
Your answer to question 16 (ID# 53131 (limit 20)) must be a whole number.
Your numeric answer for question 16 (ID# 53131 (limit 20)) does not fall within the range of 0 to 20.
Recommended Adult Immunization Schedule
, 6 pg trifold brochure
Charts and notes for health care providers to use in determining vaccinations needed for adults. This immunization schedule is for adults age 19 or older, approved the Advisory Committee on Immunization Practices (ACIP).
Available online at:
www.health.state.mn.us/people/immunize/hcp/bestpractices.html
ID# 53454 (limit 50)
Your answer to question 17 (ID# 53454 (limit 50)) must be a whole number.
Your numeric answer for question 17 (ID# 53454 (limit 50)) does not fall within the range of 0 to 500.
Recommended Childhood Immunization Schedule
, 8 pg booklet
Charts and notes for health care providers to use in determining vaccinations needed for children. This immunization schedule is for children and adolescents birth through 18 years, approved the Advisory Committee on Immunization Practices (ACIP).
Available online at:
www.health.state.mn.us/people/immunize/hcp/bestpractices.html
ID# 53453 (limit 50)
Your answer to question 18 (ID# 53453 (limit 50)) must be a whole number.
Your numeric answer for question 18 (ID# 53453 (limit 50)) does not fall within the range of 0 to 500.
Vaccine Storage and Handling
Vaccine Storage Guide
, 2 pg flyer
Illustrated guide to vaccine storage temperatures and where and how to store vaccine in a refrigerator-only unit, freezer-only unit, and combination refrigerator/freezer unit.
Available online at:
www.health.state.mn.us/people/immunize/hcp/vaxhandling.html
ID# 53475 (limit 5)
Your answer to question 19 (ID# 53475 (limit 5)) must be a whole number.
Your numeric answer for question 19 (ID# 53475 (limit 5)) does not fall within the range of 0 to 5.
Vaccine Storage Temperature Log
, 25 sheets/pad
For facilities and clinics to use to record refrigerator and freezer temperatures in Celsius or Fahrenheit.
Available online at:
www.health.state.mn.us/people/immunize/hcp/bestpractices.html
Celsius - ID# 52503 (limit 10)
Fahrenheit -
ID# 52504 (limit 10)
Your answer to question 21 (Celsius - ID# 52503 (limit 10)) must be a whole number.
Your numeric answer for question 21 (Celsius - ID# 52503 (limit 10)) does not fall within the range of 0 to 10.
Your answer to question 21 (Fahrenheit - ID# 52504 (limit 10)) must be a whole number.
Your numeric answer for question 21 (Fahrenheit - ID# 52504 (limit 10)) does not fall within the range of 0 to 10.
Warning – Do Not Break Circuit or Unplug Refrigerator/Freezer
, 8.5 x 3.5 sticker
Stickers for facilities and clinics to use to affix to electrical outlets or electrical panels where storage units are plugged in.
ID# 53676 (limit 20)
Your answer to question 23 (ID# 53676 (limit 20)) must be a whole number.
Your numeric answer for question 23 (ID# 53676 (limit 20)) does not fall within the range of 0 to 20.
Do Not Unplug
, 4.25 x 4.25 sticker
Stickers for facilities and clinics to use to affix to electrical outlets where storage units are plugged in.
ID# 53682 (limit 20)
Your answer to question 24 (ID# 53682 (limit 20)) must be a whole number.
Your numeric answer for question 24 (ID# 53682 (limit 20)) does not fall within the range of 0 to 20.
Protect Your Vaccines
, 5 x 7 magnet
Magnet for facilities and clinics to use as a guide for storing vaccine and responding to out of range temperatures. Not available online.
ID# 80008 (limit 5)
Your answer to question 36 (ID# 80008 (limit 5)) must be a whole number.
Your numeric answer for question 36 (ID# 80008 (limit 5)) does not fall within the range of 0 to 20.
Minnesota Immunization Information Connection
Keeping Track of Vaccinations is Easier with MIIC
, 11 x 17 poster
Poster for use in health care settings, schools, and child cares.
ID# 53940 (limit 5)
Your answer to question 25 (ID# 53940 (limit 5)) must be a whole number.
Your numeric answer for question 25 (ID# 53940 (limit 5)) does not fall within the range of 0 to 5.
What Is MIIC? Easel
(See “What is MIIC? Pad” for tear-off tear off sheets that go with this easel)
Easel-back display for use in health care settings, schools, and child cares.
ID# 53462 (limit 10)
Your answer to question 26 (ID# 53462 (limit 10)) must be a whole number.
Your numeric answer for question 26 (ID# 53462 (limit 10)) does not fall within the range of 0 to 10.
What Is MIIC? Pad,
25 tear-off sheets per pad
(See “What is MIIC? Easel” for easel that goes with these tear-off sheets.)
Pads with tear-off sheets for easel-back poster. Basic information about MIIC and electronic immunization records for parents.
English - ID# 52524 (limit 5)
Spanish - ID# 53153 (limit 5)
Your answer to question 28 (English - ID# 52524 (limit 5)) must be a whole number.
Your numeric answer for question 28 (English - ID# 52524 (limit 5)) does not fall within the range of 0 to 5.
Your answer to question 28 (Spanish - ID# 53153 (limit 5)) must be a whole number.
Your numeric answer for question 28 (Spanish - ID# 53153 (limit 5)) does not fall within the range of 0 to 5.
Reporting Diseases
Disease Report Card ("Yellow Card") Form
Form for health care providers to report cases of most reportable infectious diseases in Minnesota residents to the Minnesota Department of Health.
Available online at:
www.health.state.mn.us/diseases/reportable/
ID# 53588 (limit 100)
Your answer to question 29 (ID# 53588 (limit 100)) must be a whole number.
Your numeric answer for question 29 (ID# 53588 (limit 100)) does not fall within the range of 0 to 100.
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