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Issue 1,560: April 14, 2021
Top Stories

Featured Resources

Education and Training

Conferences and Meetings

Immunization PSAs from the Archive


Top Stories

ACIP will meet today, April 14, following FDA and CDC's joint call to pause use of Janssen COVID-19 Vaccine (Johnson & Johnson) to assess relationship with a rare and serious type of blood clot

CDC's Advisory Committee on Immunization Practices (ACIP) will hold an emergency meeting today, April 14, from 1:30–4:30 p.m. (ET). This meeting follows the FDA and CDC jointly calling for a pause in use of Janssen COVID-19 Vaccine (Johnson & Johnson) while the relationship between Janssen’s vaccine and a rare type of blood clot is investigated further and according to the FDA and CDC joint press release:

to ensure that the health care provider community is aware of the potential for these adverse events and can plan for proper recognition and management due to the unique treatment required with this type of blood clot.

The FDA and CDC announced in their April 13 joint press release that six women between age 18 and 48 years in the United States have developed a rare disorder involving blood clots 6–13 days after a single dose of the Janssen vaccine. During this time, 6.8 million American adults received this vaccine. According to the FDA and CDC joint press release:
In these cases, a type of blood clot called cerebral venous sinus thrombosis (CVST) was seen in combination with low levels of blood platelets (thrombocytopenia)…Treatment of this specific type of blood clot is different from the treatment that might typically be administered.

FDA and CDC are assembling and analyzing additional data. The FDA Emergency Use Authorization (EUA) Fact Sheets for recipients and healthcare personnel are being revised to describe the risk.
People who have received the Janssen vaccine and who develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination should contact their healthcare provider. As always, healthcare professionals should report all adverse events to the Vaccine Adverse Event Reporting System at

CDC’s ACIP will convene by webinar today, April 14, from 1:30–4:30 p.m. (ET) to review these six cases and other available data.

No registration is required to watch the live ACIP meetings or listen via telephone. Opportunities for public comment are described at the website.

Watch the virtual ACIP meeting

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National Infant Immunization Week is April 24–May 1; prepare using CDC's 2021 digital media toolkit

National Infant Immunization Week (NIIW), April 24–May 1, highlights the importance of protecting infants from vaccine-preventable diseases and celebrates the achievements of immunization partners. This year, because of the pandemic, it’s critical to ensure that families stay on track for their children’s routine checkups.

Since 1994, hundreds of U.S. communities have joined together during NIIW to celebrate the critical role vaccination plays in protecting our children, communities, and public health. Giving babies and toddlers the recommended vaccinations by age two is the best way to protect them from 14 serious childhood diseases.

Save time by using CDC's 2021 NIIW Digital Media Toolkit to plan and implement your organization's NIIW activities. The toolkit includes updated logos, sample social media content, social graphics, and key messages. Please share them, using the hashtag #ivax2protect. 

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CDC reports nearly 80% of teachers, school staff, and childcare workers received at least one COVID-19 vaccine dose by March 31, 2021

On April 6, CDC announced that nearly 80% of Pre-K-12 teachers, school staff, and childcare workers received at least their first shot of COVID-19 vaccine by the end of March. A portion of the media statement appears below. 

...On March 2, President Biden directed all states to make Pre-K-12 teachers, school staff, and childcare workers eligible for vaccination and prioritized vaccinations for them within the Federal Retail Pharmacy Program during the month of March. Following the directive, the number of states where these essential workers were eligible increased by more than 50 percent. Many jurisdictions made significant efforts, including holding school-specific vaccination events, that contributed to the success of this national endeavor, in addition to the prioritization within the pharmacy program.

More than 2 million teachers, school staff, and childcare workers were vaccinated through the Federal Retail Pharmacy Program during the month of March. Additionally, 5–6 million were vaccinated through their state programs through the end of March....

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Spring cleaning! With all the changes in COVID-19 vaccination over the last 4 months, make sure you are using the most recent document versions

COVID-19 vaccinations have been underway for 4 months now. April is a good time to assure that the Fact Sheets, standing orders, screening forms, training and reference materials, summaries on walls or refrigerator doors, and other memory aids are the most recent versions of these documents. Over the last 4 months, key documents have been revised several times. Be sure your staff and your patients benefit from the most recent updates.

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Join the national education and grassroots campaign, “Made to Save,” working to save lives by increasing access and trust in the COVID-19 vaccines

A new national education and grassroots campaign, Made to Save, is working to save lives by increasing access to COVID-19 vaccines and to trusted information. The campaign’s purpose is to aid in vaccine equity and access in communities of color by empowering community-based organizations to run grassroots outreach programs. "Made to Save" is proud to partner with national, state, and local civic and public health organizations to increase access to and trust in the COVID-19 vaccines. 

You can join "Made to Save" for free at You can take action by attending training webinars.
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NEW! Order IAC’s “I Got My COVID-19 Vaccine” buttons and stickers

IAC now has “I Got My COVID-19 Vaccine” buttons and stickers available for purchase. Place them on lab coats, uniforms, jackets, lanyards, ID badges, or backpacks to show your confidence in COVID-19 vaccination.
Buttons: The bright yellow buttons have black and blue text and a metal pin that clasps on the back. Wear them to reassure your patients and remind those around you to protect themselves from COVID-19. Demonstrate your clinic-wide commitment by giving buttons to all vaccinated staff to wear. Packaging: Bag of 25 buttons. Dimension: 1.5" across. See Shop IAC: COVID-19 Vaccine Buttons and Stickers for quantity and pricing options.

Stickers: The bright yellow stickers are on a roll with an easy-peel-off back and have perforations between stickers to make them easy to tear off and share. Give away to COVID-19 vaccine recipients or vaccinated clinic staff! Packaging: Roll of 200 stickers. Dimension: 1.5" across. See Shop IAC: COVID-19 Vaccine Buttons and Stickers for quantity and pricing options.
Note: Through a separate program supported by CDC, public health departments and selected CDC nonprofit Vaccinate with Confidence campaign partners have been notified about how to receive limited supplies of these items at no cost.
For questions, call 651-647-9009 or email
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IAC Spotlight! Navigate quickly using the guide at the bottom or the Google search bar at the top of every web page

IAC makes it easy to navigate and search for what you need on In the gray bar at the top of every webpage, you will find a white Google search bar to aid in searching for what you are looking to find on At the bottom, you will find a "Guide to" The guide is an abbreviated table of contents––an alphabetical reference for popular sections of the website. Just click on a link to be redirected.


We hope the search bar and the "Guide to" make your navigation of our very large website much easier!

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Hot off the press and ready to ship! Order IAC’s laminated versions of CDC’s 2021 immunization schedules today!

IAC's laminated versions of the 2021 U.S. child/adolescent immunization schedule and the 2021 U.S. adult immunization schedule are available for order.

These schedules are ideal for use in any busy healthcare setting where vaccinations are given. Their tough coating can be wiped down, and they’re durable enough to stand up to a year's worth of use.
The child/adolescent schedule is eight pages (i.e., four double-sided pages) and the adult schedule is six pages (i.e., three double-sided pages), but both schedules fold down to a convenient 8.5" x 11" size.


With color coding for easy reading, our laminated schedules replicate the original CDC formatting, including the essential tables and notes.

1–4 copies: $7.50 each
5–19 copies: $5.50 each
20–99 copies: $4.50 each
100–499 copies: $4.00 each
500–999 copies: $3.50 each

For quotes on customizing or placing orders of 1,000 copies or more, call 651-647-9009 or email

Visit the Shop IAC: Laminated Schedules web page for more information on the schedules, to view images of all the pages, and to download the order form today!

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IAC enrolls four new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 11 previously honored institutions qualify for additional years' honors

The Immunization Action Coalition (IAC) is pleased to announce that four new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll, for a total of 532 honorees. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.

  • Bethesda Hospital East, Boynton Beach, FL (90%)
  • Colorado Plains Medical Center, Fort Morgan, CO (96%)
  • Community Hospital, Grand Junction, CO (92%)
  • Jackson Hospital, Montgomery, AL (93%)

One institution is being recognized for a second year:

  • Overlake Medical Center and Clinics, Bellevue, WA (92%)

Three institutions are being recognized for a third year:

  • Central Vermont Medical Center, Berlin, VT (93%)
  • Franciscan Health Hammond, Hammond, IN (93%)
  • Valley View Hospital, Glenwood Springs, CO (93%)

Four institutions are being recognized for a fourth year:

  • CarolinaEast Medical Center, New Bern, NC (92%)
  • Crozer Chester Medical Center, Upland, PA (92%)
  • RAF Lakenheath, Brandon, England (91%)
  • Sterling Regional Medical Center, Sterling, CO (97%)

One institution is being recognized for a fifth year:

  • Denver Health Medical Center, Denver, CO (93%)

Finally, two institutions are being recognized for a sixth year:

  • Georgetown Community Hospital, Georgetown, KY (94%)
  • Joint Base Elmendorf-Richardson Hospital, Anchorage, AK (94%)

The Honor Roll now includes 532 birthing institutions from 44 states, Puerto Rico, Guam, and an overseas U.S. military base. One hundred twenty-one institutions have qualified for 2 years, 72 institutions have qualified three times, 42 institutions have qualified four times, 25 institutions have qualified five times, 21 institutions have qualified six times, seven institutions have qualified seven times, two institutions have qualified eight times and one institution has qualified nine times.

The Honor Roll is a key part of IAC’s major initiative urging the nation’s hospitals to Give Birth to the End of Hep B. Hospitals and birthing centers are recognized for attaining high coverage rates for administering hepatitis B vaccine at birth and meeting specific additional criteria. The initiative urges qualifying healthcare organizations to apply for the Hepatitis B Birth Dose Honor Roll online.

To be included in the Hepatitis B Birth Dose Honor Roll, a birthing institution must have: (1) reported a coverage rate of 90% or greater, over a 12-month period, for administering hepatitis B vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.

Honorees are also awarded an 8.5" x 11" color certificate suitable for framing and their acceptance is announced to IAC Express’s approximately 52,000 readers.

Please visit the Hepatitis B Birth Dose Honor Roll web page that lists these institutions and their exceptional efforts to protect infants from perinatal hepatitis B transmission.

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IAC experts called on by news media

With vaccines in the news so much lately, journalists have sought out IAC experts to communicate the intricacies of running a quality vaccination program. Our insights have helped explain vaccines to the public and policy makers. We want to help them understand the complex work vaccinators do. We've reached mass markets and local stations, across the U.S. and overseas, via print, radio, television, blogs, and more. Here is a selection of our recent citations:

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Not-to-miss immunization articles in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.

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Featured Resources

In IAC’s “Video of the Week,” Dr. Swift of the Mayo Clinic highlights key facts about the Janssen COVID-19 Vaccine (Johnson & Johnson)

In this informative Mayo Clinic Insights video, Melanie Swift, MD, MPH, explains how the Janssen COVID-19 Vaccine (Johnson & Johnson), an adenovirus-vector vaccine, is built. She explains that only one dose is needed and that this vaccine is very effective, especially considering it was studied in places where variant viruses were circulating.


Visit the whole collection at the VOTW archive.

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IAC’s website can help you excel at mass vaccination clinics

The Immunization Action Coalition’s website assists you in finding ideas for developing your own mass vaccination clinics. Mass vaccination efforts will continue to be useful for expediting COVID-19 vaccination now, as well as other vaccinations in the future.

Many of the documents were written in the pre-pandemic era and will need modification to ensure that additional protections, such as social distancing and personal protective equipment, help safeguard against COVID-19 transmission.

In addition, IAC's archived, full-length webinar (1 h. 46 min.) highlighting best practices and offering practical information for conducting a successful mass vaccination clinic, Mass Vaccination Clinics: Challenges and Best Practices, can be viewed on
If you have a resource to suggest for the website, please send a message to
The webinar and the new website are supported by a medical education grant from Seqirus.

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Vaccinated against COVID-19? Encourage your friends to follow your lead by adding IAC’s “I Got My COVID-19 Vaccine” Facebook profile photo frame!

Share your excitement about COVID-19 vaccination and inspire your friends! When you have received your COVID-19 vaccine, add IAC's new "I Got My COVID-19 Vaccine" Facebook photo frame to liven up your profile picture!

You can obtain the frame in two ways:

Together we can end the COVID-19 pandemic!

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Education and Training 

Indiana Immunization Coalition hosts webinar, “Working Together to Eliminate Cervical Cancer,” on April 28; CE available 

The Indiana Immunization Coalition will host a webinar titled Working Together to Eliminate Cervical Cancer from 3:00–4:00 p.m. (ET) on April 28. Learn about a courageous woman's mission to raise awareness about cervical cancer in the last months of her life. Rebecca Perkins, MD, MSc, and Kristin Oliver, MD, MHS, who co-chair the National HPV Roundtable, will identify strategies to help raise the HPV vaccination rates to lower cancer rates in men and women. CME, CNE, and CPE will be offered. 
Register for the webinar.

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Conferences and Meetings

Watch virtual ACIP meeting on May 5; submit request to make an oral comment

A live, virtual meeting of the Advisory Committee on Immunization Practices (ACIP) will be held on May 5. The draft agenda is posted and features rabies and dengue vaccine discussions. No registration is required to watch the live ACIP meeting or listen via telephone. Opportunities for public comment are described on the website.

Related Link

  • ACIP gateway page for recordings and content from previous meetings, as well as information about future meetings

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Register for Vaccine Virtual Days 2021 global conversation on April 27–28

The Vaccine Virtual Days 2021 global scientific conversation will be held April 27–28 with leading experts in vaccines, sponsored by GlaxoSmithKline. View the agenda, developed by an independent scientific committee of global vaccine experts. Topics include:

  • Global rollout of the various COVID-19 vaccines
  • Adult vaccination: not another casualty of the pandemic
  • Vaccine confidence
  • UNICEF immunization agenda 2030: reach all for a lifetime
  • The attributes of current and new vaccine technologies
  • COVID-19: different perspectives
  • A view into the future of infectious disease prevention
  • Vaccine questions on your mind: ask the experts

This event will be presented live and then archived for on-demand viewing, available in English and 7 other languages: French, German, Italian, Mandarin, Portuguese, Russian, and Spanish. Sessions start at 1:00 p.m. (CET), 7:00 a.m. (ET), or 4:00 a.m. (PT).

Register for the free event

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ImmunizeAR hosts 2021 HPV Summit on May 14; CE available
ImmunizeAR and the Arkansas Cancer Coalition will host 2021 HPV Summit from 9:00 a.m.–4:30 p.m. (CT) on May 14. Medical and dental professionals will collaborate on ways to increase awareness about cancer prevention and the benefits of HPV vaccination. View the agenda.

There are two ways to attend the 2021 HPV Summit: virtually or in-person in Little Rock. In-person tickets are limited to allow for social distancing.

There is a fee to register for the event, with 5.75 hours of CE for nurses, physicians, pharmacists, physician assistants, and dental professionals offered. There is a student/audit option for those who don’t need CE.

Register for the event.

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Immunization PSAs from the Archive

In this heart-breaking PSA from 2000 by Alabama Department of Public Health, a baby with pertussis reminds us to be wary of the disease and not the vaccine
In this heart-breaking public service announcement
(PSA) developed in 2000 by the Alabama Department of Public Health, a baby with pertussis struggling to breath reminds us that the disease is much worse than potential health risks from vaccination. This PSA is part of a collection curated by vaccine expert William L. Atkinson, MD, MPH.

Previous PSAs featured in “From the Archives” are available when viewing this Vimeo video.

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About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue.

IAC Express is supported in part by Grant No. 6NH23IP922550 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC.

IAC Express Disclaimer
ISSN: 1526-1786

Our mailing address:
Immunization Action Coalition
2550 University Avenue West, Suite 415 North
Saint Paul, MN 55114

About IZ Express

IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of and do not necessarily represent the official views of CDC.

IZ Express Disclaimer
ISSN 2771-8085

Editorial Information

  • Editor-in-Chief
    Kelly L. Moore, MD, MPH
  • Managing Editor
    John D. Grabenstein, RPh, PhD
  • Associate Editor
    Sharon G. Humiston, MD, MPH
  • Writer/Publication Coordinator
    Taryn Chapman, MS
    Courtnay Londo, MA
  • Style and Copy Editor
    Marian Deegan, JD
  • Web Edition Managers
    Arkady Shakhnovich
    Jermaine Royes
  • Contributing Writer
    Laurel H. Wood, MPA
  • Technical Reviewer
    Kayla Ohlde

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