COVID-19 Vaccine

COVID-19 Vaccine


The Utah Department of Health Immunization Program is working closely with the Centers for Disease Control and Prevention in supplying COVID-19 vaccine. Covid vaccine is now widely available throughout the state, please visit https://coronavirus.utah.gov/vaccine-distribution to see where vaccine is available nearest you.

As information is changing quickly, the Immunization Program will continue to update this page to assist in keeping healthcare providers and the public informed of COVID-19 vaccine updates.

COVID-19 Provider Interest

Interested in becoming a COVID-19 Vaccine facility?

Please review the below items.
Become a COVID Provider
Facility Enrollment Checklist
Required Data Elements for USIIS Reporting
CDC Agreement Requirements

If your facility is able to meet the requirements and checklist, providers should complete the below survey. A PDF of the questions can be found before entering the survey.

Please note: Not all providers will be eligible to administer the vaccine due to patent population, storage and supply. Additional resources will be made available to providers who do not qualify.
COVID-19 Provider Interest Survey (PDF)
COVID-19 Provider Interest Survey
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COVID-19 Provider Forms

COVID-19 Provider enrollment and miscellaneous forms.

These forms will update and additional forms will be made available as information is quickly changing.
Temperature Log C
Temperature Log F
Vaccine Management Plan
Off-Site Clinic Pre-Check
Off-Site Clinic Request Form
Emergency Vaccine Transport
Emergency Response Checklist

Vaccine Documents


Review vaccine product information on the CDC website:

https://www.cdc.gov/vaccines/covid-19/info-by-product/index.html

Resources for COVID-19 Providers


Ready-made materials that can be used to build confidence about COVID-19 vaccination among healthcare teams and other staff are available at CDC’s COVID-19 Vaccination Communication Toolkit for Medical Centers, Clinics, and Clinicians. Materials include:

  • A guide for building vaccine confidence within health systems, medical offices and clinics
  • Turn-key slide decks for immunization coordinators, the healthcare team and other healthcare personnel with information about COVID-19 vaccines, tips for building vaccine confidence, and tips for having effective vaccine conversations with patients
  • Posters, fact sheets, FAQs, and social media
  • Printable buttons/stickers for staff to wear once they’ve gotten their vaccine
  • A video describing how ACIP makes recommendations and advises CDC on the use of vaccines in our country