IAC’s Temperature Logs Updated for Your Use
IAC has updated its Celsius and Fahrenheit
temperature logs for refrigerators and freezers.
They’re ready for you to download, copy, and
use. All are CDC reviewed.
Refrigerator Temperature Logs
Celsius www.immunize.org/catg.d/p3037c.pdf
Fahrenheit www.immunize.org/catg.d/p3037f.pdf
C°
Temperature Log for Refrigerator – Celsius
Month /Year
DAYS 1–15
Facility Name
VFC PIN or other ID #
Page 1 of 3
Monitor temperatures closely!
Take action if temp is out of range – too warm (above 8ºC) or too cold (below 2ºC).
1. Writeyourinitialsbelowin“StaffInitials,”andnotethetimein“ExactTime.”
2. Recordtempstwiceeachworkday.
3. Recordthemin/maxtempsonceeachworkday–preferablyinthemorning.
4. Putan“X”intherowthatcorrespondstotherefrigerator’stemperature.
5.Ifanyout-of-rangetemp,seeinstructionstotheright.
6.Aftereachmonthhasended,saveeachmonth’slogfor3years,unlessstate/local
jurisdictionsrequirealongerperiod.
1. L abelexposedvaccine“donotuse,”andstoreitunderproperconditionsasquicklyaspossible.
Donotdiscardvaccinesunlessdirectedtobyyourstate/localhealthdepartmentand/orthe
manufacturer(s).
2. Recordtheout-of-rangetempsandtheroomtempinthe“Action”areaonthebottomofthelog.
3. Notifyyourvaccinecoordinator,orcalltheimmunizationprogramatyourstateorlocalhealth
departmentforguidance.
4. Documenttheactiontakenonthe“VaccineStorageTroubleshootingRecord”onpage3.
DayofMonth
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Freezer Temperature Logs
Celsius www.immunize.org/catg.d/p3038c.pdf
Fahrenheit www.immunize.org/catg.d/p3038f.pdf
15
StaffInitials
am
ExactTime
pm
am
F°
Min/MaxTemp
(sincepreviousreading)
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
Temperature Log for Refrigerator – Fahrenheit
Month /Year
DAYS 1–15
Facility Name
am
pm
am
pm
am
pm
am
pm
VFC PIN or other ID #
Page 1 of 3
temperatures
7˚C
acceptable
Danger! Temperatures above 8ºC are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!
Monitor temperatures closely!
Take action if temp is out of range – too warm (above 46ºF) or too cold (below 36ºF).
8˚C
1. Writeyourinitialsbelowin“StaffInitials,”andnotethetimein“ExactTime.”
1. Labelexposedvaccine“donotuse,”andstoreitunderproperconditionsasquicklyaspossible.
˚
˚
˚
˚
Temperature Log for Freezer – Celsius
C°
2. Recordtempstwiceeachworkday.
3. Recordthemin/maxtempsonceeachworkday–preferablyinthemorning.
4. Putan“X”intherowthatcorrespondstotherefrigerator’stemperature.
5.Ifanyout-of-rangetemp,seeinstructionstotheright.
6.Aftereachmonthhasended,saveeachmonth’slogfor3years,unlessstate/local
jurisdictionsrequirealongerperiod.
Month/ Year
Donotdiscardvaccinesunlessdirectedtobyyourstate/localhealthdepartmentand/orthe
manufacturer(s).
DAYS 1–15
2. R
ecordtheout-of-rangetempsandtheroomtempinthe“Action”areaonthebottomofthelog.
3. Notifyyourvaccinecoordinator,orcalltheimmunizationprogramatyourstateorlocalhealth
Monitor temperatures closely!
Aim for 5º
5 C
departmentforguidance.
1. Write your initials below in “Staff Initials,” and note the time in “Exact Time.”
4. Documenttheactiontakenonthe“VaccineStorageTroubleshootingRecord”onpage3.
4 C
2. Record temps twice each workday.
3. Record the min/max temps once each workday—preferably in the morning.
3 C
Day of Month
1
2
3
4
5
6
7
8
9
10
11
12 an “X” in13the row that
14corresponds
15 to the freezer’s temperature.
4. Put
5. If any out-of-range temp, see instructions to the right.
2 C
Staff Initials
6. After each month has ended, save each month’s log for 3 years, unless state/local
Danger! Temperatures below 2ºC are too cold! Write
temps
room
the lines
and pm
call your
immediately!
am any
pmout-of-range
am pm am
pmandam
pmtemp
amonpm
am below
pm am
am state
pm or
amlocal
pmhealth
am department
pm am pm
amjurisdictions
pm am require
pm aam
pmperiod.
am pm
longer
Exact Time
Writeanyout-of-range
temps(above8ºC or
below 2ºC)here:
Min/Max Temp
Day of Month
(since previous reading)
Room Temperature
1
2
3
4
VFC PIN or other ID #
45˚F
temperatures
Take action if temp is out of range—too warm (above -15ºC) or too cold (below -50ºC).
1. Label exposed vaccine “do not use,” and store it under proper conditions as quickly as possible.
Do not discard vaccines unless directed to by your state/local health department and/or the
manufacturer(s).
2. Record the out-of-range temps and the room temp in the “Action” area on the bottom of the log.
3. Notify your vaccine coordinator, or call the immunization program at your state or local health
department for guidance.
4. Document the action taken on the “Vaccine Storage Troubleshooting Record” on page 3.
am
pm
44˚F
pm
am
5
pm
am
6
pm
am
7
pm
am
8
pm
am
9
pm
am
10
pm
am
11
pm
F°
Adapted with appreciation from California Department of Public Health
TechnicalcontentreviewedbytheCentersforDiseaseControlandPrevention
www.immunize.org/catg.d/p3037C.pdf • Item#P3037C(8/16)
41˚F
39˚F
38˚F
37˚F
36˚F
-15˚C
-16˚C
-17˚C
-18˚C
-19˚C
-20˚C
-21˚C
Danger! Temperatures below 36ºF are too cold! Write any out-of-range temps and room temp on the lines below and call your state or local health-22
department
immediately!
˚C
Write any out-of-range
temps (above 46ºF
or below 36ºF) here:
Room Temperature
If you have a vaccine storage issue, also complete “Vaccine Storage Troubleshooting Record” found on page 3.
-50˚C to -23˚C
12
pm
am
13
pm
am
14
pm
am
15
pm
am
pm
Temperature Log for Freezer – Fahrenheit
Month Year
DAYS 1–15
Facility Name
Take action if temp is out of range—too warm (above 5ºF) or too cold (below -58ºF).
1.
2.
3.
4.
5.
6.
1. Label exposed vaccine “do not use,” and store it under proper conditions as quickly as possible.
Do not discard vaccines unless directed to by your state/local health department and/or the
manufacturer(s).
2. Record the out-of-range temps and the room temp in the “Action” area on the bottom of the log.
3. Notify your vaccine coordinator, or call the immunization program at your state or local health
department for guidance.
4. Document the action taken on the “Vaccine Storage Troubleshooting Record” on page 3.
Write your initials below in “Staff Initials,” and note the time in “Exact Time.”
Record temps twice each workday.
Record the min/max temps once each workday—preferably in the morning.
Put an “X” in the row that corresponds to the freezer’s temperature.
If any out-of-range temp, see instructions to the right.
After each month has ended, save each month’s log for 3 years, unless state/local
jurisdictions require a longer period.
Day of Month
1
2
3
4
5
6
pm
am
pm
am
pm
am
pm
am
pm
am
Date: (see below)
Temp when discovered: 77ºF
Name: Nancy Nurse
Time: (see below)
Minimum temp: 38ºF
Comment (optional): temp is approx
at the time the problem was discovered
Maximum temp: 53ºF
at the time the problem was discovered
Time: (see below)
e
l
p
Description of Event (If multiple, related events occurred, list each date, time, and length of time out of storage.)
Title: VFC Coordinator
am
9
pm
am
10
pm
am
11
pm
am
12
pm
am
13
pm
am
14
pm
am
15
pm
am
pm
Use this form to document any unacceptable vaccine storage event, such as exposure of refrige
˚
A fillable troubleshooting record (i.e., editable pdf) can als
˚
Use this form to document any unacceptable vaccine storage event, such as exposure of refrigerated vaccines to temperatures that are outside the manufacturers' recommended storage ranges.
A fillable troubleshooting record (i.e., editable pdf) can also be found at www.immunize.org/clinic/storage-handling.asp
Temp when discovered: 45ºF
8
pm
(since previous reading)
If you have a vaccine storage issue, also complete “Vaccine Storage Troubleshooting Record” found on page 3.
Vaccine Storage Troubleshooting Record (check one) □Refrigerator □Freezer
Date: (see below)
am
TechnicalcontentreviewedbytheCentersforDiseaseControlandPrevention
www.immunize.org/catg.d/p3037F.pdf•Item#P3037F (8/16)
Danger! Temperatures above 5ºF are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!
5 F
Adapted with appreciation from California Department of Public Health
4 F
3˚F
2˚F
1˚F
˚
If multiple, related events occurred,
˚
see Description of Event below. ˚
Person Completing Report
pm
Min/Max Temp
Date & Time of Event
Room Temperature
7
Vaccine Storage Troubleshooting Rec
am
Immunization Action Coalition Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org
Storage Unit Temperature
Page 1 of 3
Monitor temperatures closely!
Exact Time
Room Temperature
distributed by the
Date & Time of Event
VFC PIN or other ID #
Staff Initials
Write any out-of-range
temps (above -15ºC
or below -50ºC) here.
Adapted with appreciation from California Department of Public Health
Immunization Action Coalition Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org
If multiple, related events occurred,
see Description of Event below.
am
Danger! Temperatures above -15ºC are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local
/ health department immediately!
43˚F
Aim for 40 º 40˚F
action
am
Min/Max Temp
F Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org
42˚Paul,
Immunization Action Coalition Saint
acceptable
pm
(since previous reading)
action acceptable temperatures
distributed by the
am
Exact Time
46˚F
•
•
•
•
•
•
Page 1 of 3
Facility Name
Staff Initials
Danger! Temperatures above 46ºF are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!
If you have a vaccine storage issue, also complete “Vaccine Storage Troubleshooting Record” found on page 3.
action a c c e p t a b l e t e m p e r a t u r e s
action
6˚C
Date: 6/24/13
General description (i.e., what happened?)
Estimated length of time between event & last documented reading of storage temperature in acceptable range (36o to 46oF [2o to 8oC] for refrigerator; -58º to 5ºF [-50o to -15oC] for freezer)
Inventory of affected vaccines, including (1) lot #s and (2) whether purchased with public (for example, VFC) or private funds (Use separate sheet if needed, but maintain the inventory with this troubleshooting record)
At the time of the event, what else was in the storage unit? For example, were there water bottles in the refrigerator and/or frozen coolant packs in the freezer?
Prior to this event, have there been any storage problems with this unit and/or with the affected vaccine?
Include any other information you feel might be relevant to understanding the event.
0 F
-1 F
Technical content reviewed by the Centers for Disease Control and Prevention
www.immunize.org/catg.d/p3038C.pdf • Item #P3038C (8/16)
Storage Unit Temperature
Room
Temp when discovered: 45ºF
Temp
at the time the problem was discovered
at the
-2 F
-3˚F
-4˚F
-58˚F to -5˚F
Write any out-of-range
temps (above 5ºF
or below -58ºF) here.
Room Temperature
Minimum temp: 38ºF
If you have a vaccine storage issue, also complete “Vaccine Storage Troubleshooting Record” found on page 3.
Maximum temp: 53ºF
Comm
Adapted with appreciation from California Department of Public Health
distributed by the
Description of Event (If multiple, related events occurred, list each date, time, and length of time
•
•
•
•
•
•
Immunization Action Coalition Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org
Technical content reviewed by the Centers for Disease Control and Prevention
www.immunize.org/catg.d/p3038F.pdf • Item #P3038F (8/16)
General description (i.e., what happened?)
Estimated length of time between event & last documented reading of storage temperature in acceptable
Inventory of affected vaccines, including (1) lot #s and (2) whether purchased with public (for example, V
At the time of the event, what else was in the storage unit? For example, were there water bottles in the re
Prior to this event, have there been any storage problems with this unit and/or with the affected vaccine?
Include any other information you feel might be relevant to understanding the event.
At 8 am on Monday (6/24/13) morning when clinic opened , identified 4 temperature excursions over the weekend in refrigerator with readings
as high as 54°, 50°, 49° & 53°F in primary vaccine storage unit #1. Recordings taken every 15 min on calibrated digital data logger overnight.
Data logger probe in glycol located in middle of refrigerator with vaccines.
m
a
x
Total time out of range: approximately 3 hrs — maximum temp 53°F (see attached document of continuous temp readings)
Inventory of vaccines: see attached
Water bottles in refrigerator door. No vaccine stored in freezer. No problems with storage unit prior to Saturday night. Thunderstorms in area over
weekend may have affected power.
Action Taken (Document thoroughly. This information is critical to determining whether the vaccine might still be viable!)
• When were the affected vaccines placed in proper storage conditions? (Note: Do not discard the vaccine. Store exposed vaccine in proper conditions and label it “do not use” until after you can discuss with your
state/local health department and/or the manufacturer[s].)
• Who was contacted regarding the incident? (For example, supervisor, state/local health department, manufacturer—list all.)
• IMPORTANT: What did you do to prevent a similar problem from occurring in the future?
E
Additional
Tool clinic opened , identified
At 8 am on Monday (6/24/13)
morning when
as high as 54°, 50°, 49° & 53°F
in
primary
storage unit
#1. Reco
Vaccine Storagevaccine
Troubleshooting
Record:
Data logger probe in glycol located in middle of refrigerator with vaccine
Vaccines currently stored appropriately at 40ºF. Refrigerator and vaccines labeled "Do Not Use ."
My State Immunization Program contacted at 8:30 am. Spoke with Victor Vaccine . Provided Victor with details of event and list of vaccines.
Vaccine to remain quarantined until we hear back from Victor.
Called electric company and confirmed 2 short power outages during weekend .
Checked refrigerator seals  called refrigerator maintenance company to replace seals.
Checked plug on unit  placed tape over plug to prevent inadvertent dislodging. Plan to purchase plug guard .
Plan to follow up with Immunization Program on data loggers with alarms that could be sent to coordinator and back-up phones.
Results
• What happened to the vaccine? Was it able to be used? If not, was it returned to the distributor? (Note: For public-purchase vaccine, follow your state/local health department instructions for vaccine disposition.)
Late on Monday, I talked with Victor regarding continued use of vaccine . Victor had checked with manufacturers which confirmed that vaccine is
acceptable for use . He told me that vaccine could therefore be removed from quarantine . I discussed the entire situation with Susie Supervisor and
Dr. Director (clinic medical director) who agreed that we could put vaccine back in use .
distributed by the
Immunization Action Coalition Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org
www.immunize.org/catg.d/p3041.pdf
Total time out of range: approximately 3 hrs — maximum temp 53°F (see
Inventory of vaccines: see attached
Technical content reviewed by the Centers for Disease Control and Prevention
www.immunize.org/catg.d/p3041.pdf • Item #P3041 (8/16)
Immunization Action Coalition Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org
Water bottles in refrigerator door. No vaccine stored in freezer. No problem
weekend may have affected power.
Action Taken (Document thoroughly. This information is critical to determining whether the vaccine
• When were the affected vaccines placed in proper storage conditions? (Note: Do not discard the vaccine.
NEEDLE TIPS • December 2016 • Immunization Actionstate/local
Coalition health
• (651)
647-9009and/or
• www.immunize.org
• www.vaccineinformation.org department
the manufacturer[s].)
17
• Who was contacted regarding the incident? (For example, supervisor, state/local health department, man
• IMPORTANT: What did you do to prevent a similar problem from occurring in the future?