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Issue 1,691: May 3, 2023
Top Stories Pages and Handouts
Vaccine Information Statements
Featured Resources
Notable Publications
Upcoming Events
Top Stories updates the standing orders template for administering pneumococcal vaccines (PCV15, PCV20, and PPSV23) to adults

Many healthcare facilities simplify vaccination through the use of standing orders. has made important updates to its Standing Orders for Administering Pneumococcal Vaccines (PCV15, PCV20, and PPSV23) to Adults. This is based upon updated guidance published in CDC’s 2023 Recommended Immunization Schedule for Adults. This includes the option to administer PCV20 to adults age 65 and older who completed vaccination with PCV13 and PPSV23 at least 5 years earlier.

Recommendations have been displayed in four tables separated by age and health status. In addition, a QR code now links to the online version of the document. Be sure you are following the latest recommendations.


Related Links

Back to top updates “Ask the Experts: Vaccine Recommendations” web page’s popular Ask the Experts: Vaccine Recommendations web page was recently updated. Now is a good time to refresh your understanding with a quick review of this short section on the general topic of vaccine recommendations.’s Ask the Experts main page leads you to 30 web pages on various topics with more than 1,200 common or challenging questions and answers about vaccines and their administration.’s team of experts includes Kelly L. Moore, MD, MPH (team lead), Carolyn B. Bridges, MD, FACP, and Iyabode Beysolow, MD, MPH.

Related Link

  • Ask the Experts main page with more than 1,200 questions and answers
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National Nurses Week is May 6–12 and School Nurse Day is May 10; thanks America’s nurses for their role in delivering and advocating for vaccination

National Nurses Week runs from May 6 through May 12. May 10 is designated School Nurse Day. is proud to recognize all nurses and to join the National Association of School Nurses (NASN) in recognizing the dedicated school nurses who help keep schools a safe and healthful learning environment. School nurses bridge health care and education, provide care coordination, and advocate for quality student-centered care, including vaccination.

Acknowledge and celebrate school nurses as critical educators and vaccination champions by spreading the word across your social media channels today by using the SND2023 logo, social media tools, and the hashtag #SND2023 with your posts on May 10.

Related Links

IZ Express keeps 54,000+ readers up to date on what’s new in vaccines each week; invite your colleagues to subscribe!

Encourage your coworkers to subscribe to IZ Express so they get all the news that matters to vaccinators in their own inbox each Wednesday. IZ Express, the weekly e-newsletter produced by, alerts 54,000+ readers to the week’s important vaccine developments. IZ Express also features:

  • Educational materials from, CDC, AAP, and others
  • Newly posted Vaccine Information Statements and their translations
  • Notices about online and in-person educational opportunities, many offering free continuing education credit


We appreciate you as a subscriber! Thank you for helping us spread the latest vaccine news.

Spotlight: Check out's "Clinic Tools" main page's Clinic Tools main page compiles resources from, CDC, and other organizations containing practical, “how-to” information about providing vaccinations in a medical office or non-traditional setting. This page can be found by selecting the “Clinic Tools” tab in the middle of the blue banner atop every web page.

In the left-hand column, you will find links to’s web pages:

The right-hand column features resources from partners, including CDC’s vaccine recommendations, “General Best Practice Guidelines for Immunization,” and The Epidemiology and Prevention of Vaccine-Preventable Diseases (“The Pink Book”).

Visit the Clinic Tools main page on

Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination. Pages and Handouts updates “Shingles (Zoster): Questions and Answers” recently updated its 2-page handout Shingles (Zoster): Questions and Answers to incorporate information about vaccination of adults age 19 and older who are immunocompromised as a result of treatment or disease. 

Related Links posts seven translations of handouts for parents on how to care for children after vaccinations

When possible, it is important to provide vaccine information in the language your patient prefers. Seven translations of's popular handout After the Shots . . . What to Do If Your Child Has Discomfort are now available for healthcare providers to print and use with patients whose preferred language is not English. Translations include:'s most recent update to "After the Shots . . . What to Do If Your Child Has Discomfort" includes a space for listing recommended medication, dosage charts for acetaminophen and ibuprofen (page 2), and a QR code linking users to the PDF of the current document. 

Related Links updates Spanish version of “Protect Yourself from Hepatitis A and Hepatitis B . . . A Guide for Gay and Bisexual Men” recently updated the Spanish version of Protect Yourself from Hepatitis A and Hepatitis B . . . A Guide for Gay and Bisexual Men. This 2-page information sheet now includes the routine recommendation for hepatitis B vaccination of all adults younger than 60, and a QR code linking users to the PDF of the current document. 

View in Spanish.

Related Links

Back to top revises three medical management resources updated the following medical management resources. Changes include: 


Related Links

Back to top refreshes resources on declination, questions from parents, hepatitis, and finding old records recently updated five resources with light edits and the inclusion of a QR code in the footer that links to the online version of the document. Additional changes to the resources include:


Related Links

Recap: updated these clinic resources in March and April

IZ Express regularly summarizes’s new and updated educational materials. All materials are free to distribute. In recent weeks, updated these helpful materials: Materials for Clinicians Web Pages Printable Materials for Patients 

Related Links 

  • Handouts main page to see educational materials sorted by category 
  • Ask the Experts main page to access more than 1,200 questions answered by experts 
  • Clinic Tools main page and its eight subtopics 
  • Educational Materials for Patients and Staff—an alphabetical list of more than 230 ready-to-print staff educational materials and patient handouts 

Vaccine Information Statements

Recap: Sixty new Vaccine Information Statement translations released in March and April

With support from CDC, is working with partners to increase the number of Vaccine Information Statement (VIS) translations available. By providing vaccine recipients with information in a preferred language, you can increase their confidence in, and understanding of, vaccination. During March and April, VIS translations were posted in four languages: Bengali, Hmong, Pashto, and Thai
Sixty VIS translations were added to these 21 VIS pages: 

Related Links 

Featured Resources

May 19 is National Hepatitis Testing Day; use these resources to promote testing and encourage vaccination     

It's Hepatitis Awareness Month across the United States, and May 19 marks National Hepatitis Testing Day. Help shed light on the burden of viral hepatitis and encourage testing and vaccination according to CDC recommendations. Key facts:

  • Several viruses cause hepatitis. The most common types are hepatitis A, hepatitis B, and hepatitis C.
  • Chronic hepatitis B and hepatitis C are the leading causes of liver cancer in the United States
  • Both hepatitis A and hepatitis B are preventable with safe and effective vaccines

CDC published Universal Hepatitis B Vaccination in Adults Aged 19–59 Years: Updated Recommendations of the Advisory Committee on Immunization Practices—United States, 2022 on April 1, 2022 in MMWR. Hepatitis B vaccination is now recommended by CDC as shown:

  • All adults age 19 through 59 years and adults age 60 years and older with risk factors for hepatitis B infection should be vaccinated against hepatitis B
  • Adults age 60 years and older without known risk factors may also receive HepB

CDC continues to recommend routine hepatitis B vaccination for all infants and catch-up vaccination of children and teens younger than age 19 years.

Spread the word with graphics and posts on social media to promote Hepatitis Awareness Month and National Hepatitis Testing Day. CDC's social media toolkit is posted on its Hepatitis Awareness Month web page.

Related Links

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While supplies last! Laminated versions of CDC’s 2023 immunization schedules now shipping.'s laminated versions of the 2023 U.S. child and adolescent immunization schedule and the 2023 U.S. adult immunization schedule are in stock and shipping now. Order while supplies last. Once sold out, we will not print more until 2024.

While the schedules are available online from CDC at no cost,’s laminated schedules are ideal for use in any busy healthcare setting. Their tough coating can be wiped down, and they’re durable enough to stand up to a year of use.

  • Length: Each schedule with appendices is 12 pages
  • Size: Standard 8.5” X 11” booklet format
  • Full Color: With color coding for easy reading, our laminated schedules replicate the original CDC formatting, including the essential tables and notes
  • Bonus: The adult schedule includes’s popular 1-page handout summarizing the dose, route, and needle length recommendations for all vaccines and recipients


Pricing for Each Schedule
$10.00: 1 copy
$  9.50 each: 2–4 copies
$  8.50 each: 5–19 copies
$  7.50 each: 20–99 copies
$  6.00 each: 100–499 copies 
$  5.00 each: 500–999 copies
$  4.00 each: 1,000–1,999 copies
$  3.25 each: 2,000+ copies

Visit Shop Laminated Schedules to view images of each page and order today!

For additional information, call 651-647-9009 or email

Related Links

Help reach more vaccinators through your social media networks. Follow us and share our posts featuring Ask the Experts questions and our clinical resources on Facebook, LinkedIn, Twitter, YouTube, and Instagram! has a social media program designed to highlight our educational resources for a new audience of vaccinators. Our social media channels now feature our most popular printable resources and Ask the Experts questions, as well as announcements important to frontline vaccinators. Please view and share our newest feature, Ask the Experts videos.


Like, follow, and share’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:

Explore the website to increase coverage for the MenACWY booster and other adolescent vaccinations's website promotes the importance of adolescent vaccination, including the recommended MenACWY vaccine booster dose at age 16. Many teens are behind on vaccines because of the pandemic, so vaccine outreach is more important than ever.

Materials on this colorful website for healthcare professionals incorporate the 2020 ACIP meningococcal vaccine recommendations and coverage statistics from CDC’s National Immunization Survey–Teen (NIS–Teen). One particularly popular resource on the site is the update Algorithm for MenACWY Immunization in Adolescents 11 through 18 Years of Age.


The website is divided into five easy-to-access sections:

The site also categorizes materials according to whether they are primarily of interest to providers, to adolescents, or to parents.

Visit and enjoy browsing (and deploying) its bountiful resources.

Related Links 

Notable Publications

“Effectiveness of Monovalent mRNA Vaccination in Preventing COVID-19–Associated Invasive Mechanical Ventilation and Death among Immunocompetent Adults during the Omicron Variant Period—IVY Network, 19 U.S. States, February 1, 2022—January 31, 2023” published in MMWR

CDC published Effectiveness of Monovalent mRNA Vaccination in Preventing COVID-19–Associated Invasive Mechanical Ventilation and Death among Immunocompetent Adults during the Omicron Variant Period—IVY Network, 19 U.S. States, February 1, 2022—January 31, 2023 on April 28 in MMWR. A portion of the summary appears below. 

Waning of monovalent mRNA COVID-19 vaccine effectiveness against COVID-19–associated hospitalization among adults is recognized; however, little is known about the durability of protection provided by these vaccines against COVID-19–associated invasive mechanical ventilation (IMV) and in-hospital death during the Omicron variant period. . . . 

Monovalent mRNA vaccination was 76% effective in preventing COVID-19–associated IMV and death <6 months after the last dose and remained 56% effective at 1–2 years. . . .

Monovalent mRNA COVID-19 vaccines provided substantial, durable protection against COVID-19–associated IMV and death. All adults should remain up to date with recommended COVID-19 vaccination to prevent critical outcomes of COVID-19.

Access the MMWR article in HTML or PDF.

Related Links

Upcoming Events

Virtual: NFID hosts webinar titled “Advances in Preventing and Treating Respiratory Syncytial Virus (RSV)” on May 4

National Foundation of Infectious Diseases (NFID) will host a webinar titled Advances in Preventing and Treating Respiratory Syncytial Virus (RSV), 1:00–2:00 p.m. (ET) on May 4. The interactive panel discussion will focus on the latest advances in preventing and treating RSV across the lifespan.  

There is no fee to participate in this activity, but pre-registration is required.

Register for the webinar.

An on-demand recording of the webinar will be available on May 5. 

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For more upcoming events, visit our Calendar of Events.

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.

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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

This page was updated on .