Storage Condition +2 to +8 °C:

What TO Do:

• Ensure that all vaccines and diluents are kept in their original secondary packaging and are clearly labeled.
• Whenever possible, keep both vaccine and diluent in the same refrigeration unit.
• Monitor and record the temperature more frequently (>2x/day).
• Investigate any fluctuation of temperature and correct the root cause as soon as possible.
• Use a labeled container or tray for loose unopened vaccine vials to facilitate inventory.
• Follow the “first manufacture/expiry, first out” principle:
• Use first the vaccine with earlier manufacturing/expiry date and/or darker VVM (if available) to minimize wastage.
• Record and discard all wastage of vaccines immediately according to national guidelines.
• Review and update contingency plan in case of power failure, equipment breakdown, or cold chain breach.

Storage Condition +2 to +8 °C:

What NOT to Do:

• Do not return opened vaccine vials to the cold chain. Discard them according to existing standard operating procedures.
• Never put vaccines in contact with or close to the evaporator plate in the refrigerator.
• Since heat/freeze sensitivity information is not fully known, keep vaccine vials in the middle section, especially if the refrigeration unit has a freezer compartment, to avoid freezing the vaccine.
• Do not keep reconstituted vaccines for more than 6 hours after opening or after the end of an immunization session, whichever comes first – this may change once vaccine stability information is available.