Vaccine Storage Temperature Log (Fahrenheit)
Location of Unit:__________________________ Month/Year:________________
Site Name: ______________________________ PIN: _______________________
• Fill in the minimum and maximum temperatures in the morning (if you have that
information).
• Take immediate action on any temperature you find in the shaded area!
• If the temperature in your refrigerator/freezer is not on the grid or is in a shaded area,
mark the vaccine in question and do not use it until you’ve called the Minnesota
Immunization Program, 800-657-3970 or 651-201-5522.
• If the vaccine has gotten too warm or too cold, you will not be able to distinguish viable
from nonviable vaccine by looking at it.
• Keep these monthly temperature logs for three years.
• Check temperatures twice a day!
• Complete this log by marking the:
33 Time of day the temperatures were checked (both am and pm).
33 Initials of the staff person recording the temperature.
33 An “X” in the box that corresponds with the current temperature/time of day.
• If the temperature is in the too warm or too cold row, write the actual temperature in
the box; do not use an X.
Days 1-15
Day of Month
Time
of day
Staff Initials
Example
am
pm
8
00
SK
3
1
am
2
pm
am
3
pm
am
am
5
pm
am
6
pm
am
7
pm
am
8
pm
am
9
pm
am
10
pm
am
11
pm
am
12
pm
am
13
pm
am
14
pm
am
15
pm
am
pm
15
JM
Refrigerator - Aim for 40°F
Min / Max
4
pm
42° / 45°
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Too warm!
47° or
46°
Store at 35°– 46°F. Aim for 40°F!
45°
X
X
44°
43°
42°
41°
40°
39°
38°
37°
36°
Too cold!
35° or
Freezer - Aim for 0°F
Min / Max
3° / 4°
/
/
Store at 5°F or
6° or
/
/
/
/
/
Too warm!
5°
4°
X
X
3°
OTHER
Too cold!
-58° or
Immunization Program
800-657-3970, 651-201-5503
www.health.state.mn.us/immunize Page 1 of 2
ID# 52504 (7/16)
Vaccine Storage Temperature Log (Fahrenheit)
Location of Unit:__________________________ Month/Year:________________
Site Name: ______________________________ PIN: _______________________
• Check temperatures twice a day!
• Complete this log by marking the:
• Fill in the minimum and maximum temperatures in the morning (if you have that
information).
• Take immediate action on any temperature you find in the shaded area!
• If the temperature in your refrigerator/freezer is not on the grid or is in a shaded area,
mark the vaccine in question and do not use it until you’ve called the Minnesota
Immunization Program, 800-657-3970 or 651-201-5522.
• If the vaccine has gotten too warm or too cold, you will not be able to distinguish viable
from nonviable vaccine by looking at it.
• Keep these monthly temperature logs for three years.
33 Time of day the temperatures were checked (both am and pm).
33 Initials of the staff person recording the temperature.
33 An “X” in the box that corresponds with the current temperature/time of day.
• If the temperature is in the too warm or too cold row, write the actual temperature in
the box; do not use an X.
Days 16-31
Day of Month
Time
of day
16
am
17
pm
am
18
pm
am
19
pm
am
20
pm
am
21
pm
am
22
pm
am
23
pm
am
24
pm
am
25
pm
am
26
pm
am
27
pm
am
28
pm
am
29
pm
am
30
pm
am
31
pm
am
pm
Staff Initials
Refrigerator - Aim for 40°F
Min / Max
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Too warm!
47° or
46°
Store at 35°– 46°F. Aim for 40°F!
45°
44°
43°
42°
41°
40°
39°
38°
37°
36°
Too cold!
35° or
Freezer - Aim for 0°F
Min / Max
/
/
/
/
/
/
/
Too warm!
6° or
Store at 5°F or
/
5°
4°
3°
OTHER
Too cold!
-58° or
Immunization Program
800-657-3970, 651-201-5503
www.health.state.mn.us/immunize
Page 2 of 2
ID# 52504 (7/16)