Vaccine Storage Temperature Log For Refrigerator And Freezer - Fahrenheit
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1
2
3
4Temperature Log for Refrigerator and Freezer — Fahrenheit
Month/Year:___________ Days 1–15
Completing this temperature log: Check the temperatures in both the freezer and the
temperature range. Follow these steps:
refrigerator compartments of your vaccine storage units at least twice each working day.
1. Store the vaccine under proper conditions as quickly as possible.
Place an “X” in the box that corresponds with the temperature and record the ambient
2. Temporarily mark exposed vaccine “do not use” until you have verified whether or
(room) temperature, the time of the temperature readings, and your initials. Once the
not the vaccine may be used.
month has ended, save each month’s completed form for 3 years, unless state or local
3. Call the immunization program at your state or local health department and/
jurisdictions require a longer time period.
or the vaccine manufacturer to determine whether the vaccine is still usable:
If the recorded temperature is in the shaded zone: This represents an unacceptable
(_____) _________________.
4. Document the action taken on the reverse side of this log.
Day of Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Staff Initials
Room Temp.
Exact Time
o
F Temp
am pm
am pm
am pm am pm
am pm
am pm am pm
am pm am pm am pm am pm am pm am pm am pm
am pm
o
>49
o
48
Take immediate
corrective
action if temperature is in shaded section*
o
47
o
46
o
45
o
44
o
43
o
42
o
41
o
40
Aim for 40°
o
39
o
38
o
37
o
36
o
35
o
34
o
Take immediate
corrective
action if temperature is in shaded section*
33
o
<32
o
>8
o
Take immediate
corrective
action if temperature is in shaded section*
7
o
6
o
5
o
4
o
<3
†
†
Some frozen vaccines must not be stored colder than -58
o
F. Check the Prescribing Information on
Adapted by the Immunization Action Coalition courtesy of the Michigan Department
of Community Health and the California Department of Health Services.
the vaccine manufacturer’s website for specific storage temperature instructions.
• Item #P3039F (8/11)
Technical content reviewed by the Centers for Disease Control and Prevention, August 2011.
Distributed by the Immunization Action Coalition • (651) 647-9009 • • •
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