Create Vaccine Request

Create Vaccine Request Screen

Purpose

The Create Vaccine Request Screen describes the display when a vaccine request is placed. It is used to enter vaccine orders into the system.

The following provides an explanation on how to create a vaccine request in your inventory. Read below to find out how to do so.

The Create Vaccine Request screen will be displayed, producing an information table for the Flu Season Event to be updated.

Type in the number of doses to be requested in the number of doses requested text box

Information Provided

Provider information Section - This section displays information that is specific to the for a provider organization as specified in the table below.

Field Name	Description
VFC PIN	This information displays at the top of the screen, this is the VFC PIN for the organization logged in.
Initiating Organization	This information displays the organization which is logged in.
Initiating User	Display the name of the delivery contact for the provider organization who submitted the order.
Organization Phone	Phone number tied to provider organization logged in.
Organization Fax	Displays the Fax number tied to provider organization logged in.
Request Date	This information displays the date order started.
Delivery Contact	Displays the name of the Delivery contact person for the provider organization logged in.
Delivery Address	Displays the Delivery Address for the provider organization logged in.
Delivery Days/Hours	Display the Delivery Days and Hours for the provider organization logged in.

Pre-Book Vaccines available for request section - This section will display the information for flu season event selected.

Column	Description
Event	All currently open vaccine events will display in drop down list.
Trade Name	This column displays the Trade name of the vaccine request.
Packaging	This column displays the Packaging information for of the vaccine.
Manufacturer	This column displays the manufacturers information of the vaccine request.
Type	This column displays the type of vaccine e.g. VFC, Flu Pool and Pandemic.
Prior Year Request	This column displays doses ordered during the previous year’s flu season.
Prior Year Received	This column displays doses received displays all available units per package for NDC Codes.
Prior Season Administered	This column displays doses given displays all available units per package for NDC Codes.
Prior Season Wasted/Expired	This column displays doses that are: Expired, Spoilage reported by Provider, Lost or damaged in transit to Provider, Failure to store properly upon receipt by Provider Refrigeration failure reported, Lost or unaccounted for in Provider inventory,Other – Not Usable, reported by Provider.
Suggested Order Quantity	This column displays the quantity of doses given in previous year’s flu season (Prior Season Admin) plus 10%, rounded up to nearest package size.
Minimum Order Quantity	This column displays the smallest order that can be placed based on NDC screen calculations (units per package x doses per unit).
# Doses Requested	This column displays the quantity of doses that can be requested by the provider.

Note: When the “Event drop down list” is selected, the rows for pre-bookable vaccines will display based on the NDCs “Available for Prebooking.

Command Button Functionality

Command Button	Description
	Clicking the Submit Vaccine Request button will save the vaccine request information if filled out correctly and display the Vaccine Request Status Page.
	Clicking on the Vaccine Request Status button displays the status of the Vaccine screen.
	Clicking the Cancel button will display the previous screen the user was on.