2018-2019 NAVY INFLUENZA VACCINATION AND REPORTING POLICY:
R 181847Z OCT 18
FM CNO WASHINGTON DC
INFO CNO WASHINGTON DC
PASS TO OFFICE CODES:
INFO CNO WASHINGTON DC//DNS//
MSGID/GENADMIN/CNO WASHINGTON DC/DNS/OCT//
SUBJ/2018-2019 NAVY INFLUENZA VACCINATION AND REPORTING POLICY//
REF/D/DOC/32 CFR PART 199.21/1DEC2016//
NARR/REF A IS THE DODI 6025.19 INDIVIDUAL MEDICAL READINESS ADDRESSING
RESPONSIBILITIES AND PROCEDURES FOR MONITORING AND ON INDIVIDUAL MEDICAL
READINESS. REF B IS THE DEFENSE HEALTH AGENCY
2018-2019 SEASONAL INFLUENZA VACCINATION PROGRAM GUIDANCE. REF C IS THE
ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS MEMO MANDATING DEPARTMENT
OF DEFENSE (DOD) CIVILIAN HEALTH CARE PERSONNEL INFLUENZA IMMUNIZATIONS. REF
D IS 32 CFR PART 199.21, CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED
/TRICARE: TRICARE PHARMACY BENEFITS PROGRAM.// POC/CDR CAROLYN REIMANN/FALLS
CHURCH VA/(703) 681-9120/EMAIL:
RMKS/1. Influenza or "flu" has the potential to adversely impact Navy force
readiness and mission execution. The Centers for Disease Control and
Prevention estimates influenza has resulted in between approximately 9.2
million and 35.6 million illnesses; between 140
,000 and 710,000 hospitalizations; and between 12,000 and 56,000 deaths
2. Influenza Vaccination and Reporting
a. Influenza Disease Prevention. Vaccination is the primary method to
reduce risk of influenza by enhancing force immunity.
Maintaining a clean work environment, good hygiene practices, and managing
workforce exposure (e.g., social distancing, teleworking, and sick leave) are
effective methods to reduce the risk of spreading influenza.
b. Influenza Vaccine. The 2018-2019 Department of Defense (DoD)
influenza season vaccine supply will be comprised of injectable vaccines.
Intranasal vaccine will not be provided through the central ordering process,
but it will be available by special request.
c. Influenza Vaccine Priority. U.S. Navy ships and fleet assets have
been identified by the DoD as a vaccine priority group for the 2018-2019
d. Influenza Vaccine Ordering. The Vaccine Information and Logistics
System (VIALS) is the online requisition system for seasonal influenza
vaccine. VIALS tracks requisitioned vaccine electronically via Military
Standard Requisitioning and Issuing Procedure (MILSTRIP) from requisition to
receipt. Navy influenza vaccine is centrally funded. The VIALS Web site is
common access card enabled:
e. Influenza Vaccine Shipping. All commands will verify their correct
shipping address and point of contact information in VIALS to ensure prompt
delivery. To ensure receipt is available on the receiving end, the shipping
schedule is Monday and Friday to Outside the Contiguous United States
locations and Monday through Wednesday to Contiguous United States locations.
The Defense Logistics Agency Troop Support Medical (DLA-TSM) does not ship on
holidays or weekends and will only ship on Thursdays on a case-by-case basis.
f. Influenza Vaccine Integrity
(1) Temperature Monitors. All Influenza vaccine shipments include
All monitors must be returned to the DLA-TSM cold chain office after receipt
per the included instructions and shipping materials.
(a) No Alarm Status. The vaccine is ready for immediate use.
(b) Alarmed Status. Do not administer vaccine. Suspend use of
the vaccine and place in a refrigerator. Return the temperature monitor,
along with the completed instruction sheet, to DLA-TSM for vaccine
g. Influenza Vaccine Exercise. Previous influenza seasons have been
used to exercise and evaluate mass vaccination scenarios. These coordinated
mass vaccination campaigns provide rapid and efficient vaccinations to
protect the maximum number of susceptible persons. Process improvements are
made to delivery and reporting procedures based on lessons learned.
h. Influenza Vaccination Compliance
(1) Navy Military Personnel. The seasonal influenza vaccination is
mandatory for all DoD uniformed personnel who are not medically or
administratively exempt, per references (a) and (b). Any refusal to receive
the influenza vaccine will constitute a failure to obey a lawful order and
may be punishable under the Uniform Code of Military Justice and/or result in
administrative action. Prior to receiving the influenza vaccine, Navy Active
and Reserve Component personnel will have access to healthcare providers to
address questions or concerns with influenzavaccination. Commands must
consult with the servicing Staff Judge Advocate General for additional
guidance on influenza vaccination non-compliance.
(2) Navy Civilian Personnel. Mandatory influenza vaccination is a
condition of employment for all civilian healthcare personnel providing
direct patient care in DoD medical treatment facilities (MTF), per reference
Influenza vaccination is mandatory for all civilians where it is written in
their position description as a condition of employment. Other Navy civilian
personnel are highly encouraged to receive influenza vaccinations.
(3) TRICARE Beneficiaries. Reference (d) authorizes retail network
pharmacies to administer the seasonal influenza vaccine. TRICARE
beneficiaries may receive influenza vaccinations with no co-pay at authorized
retail network pharmacies. Beneficiaries are encouraged to contact the
pharmacy regarding age restrictions as some pharmacies do not administer the
influenza vaccine to individuals younger than 18 years of age.
i. Influenza Vaccination Reporting. Active and Reserve Component Navy
force vaccination administration compliance will be monitored via the Medical
Readiness Reporting System (MRRS). Designated command personnel will access
MRRS to track their personnel to ensure compliance.
(1) Shore-based commands will request access to MRRS based on their
unit identification code by submitting a system access authorization request
available at: https://mrrs.dc3n.navy.mil/mrrs (note: MRRS Web address is
Point of contact: MRRS program office and e-mail: firstname.lastname@example.org
(800)537-4617 / (504) 697-7070 / DSN: 647-7070.
Ship-based commands may utilize Navy Medicine Online (NMO) or Shipboard Non-
Tactical Automated Data Processing Automated Medical System (SAMS) to
(2) Commands must ensure that documentation of influenza vaccine
administration is coded to accurately reflect the type of vaccine given,
whether injectable or nasal.
(3) Afloat units will enter influenza immunizations into the
Shipboard Automated Medical System/Theater Medical Information Program for
subsequent transfer to MRRS.
(4) All personnel who receive the vaccination from a retail network
pharmacy must provide documentation of vaccination to their command no later
than the next duty or drill day to ensure compliance is appropriately
recorded in their electronic health records and MRRS.
(5) Vaccination Timeline
(a) Active duty units have 72 hours (three business working days)
following receipt of the vaccine to document, administer, and report
vaccination. The 72-hour requirement begins immediately only if the
temperature monitor is in "no alarm" status upon receipt; if in "alarmed"
status the timed requirement begins once/if the vaccine is cleared for use by
DLA-TSM. If the 72 hour requirement cannot be met, unit situation reports
will be submitted to the respective Immediate Superior in Command and Type
Commanders. Situation reports are not required if the temperature monitor is
in alarmed status and the unit is awaiting disposition from DLA-TSM.
(b) As Reserve Component Command schedules vary, shipment dates
must be coordinated to arrive the week of a drill weekend. Units have one
drill weekend following receipt of the vaccine to document, administer, and
report vaccination if the temperature monitor is in a "no alarm" status. If
in "alarmed" status, the timed requirement begins once/if the vaccine is
cleared for use by DLA-TSM.
(6) Per paragraph 2.i, uniformed member compliance must be tracked in
MRRS. If desired, installations and MTFs may also use the Navy Family
Accountability and Assessment System (NFAAS) to conduct a Pandemic Influenza
response exercise in conjunction with the seasonal influenza vaccine program.
j. Navy Goals and Performance Standards
(1) To ensure force medical readiness before peak influenza season,
all Navy operational units and MTFs will administer the 2018-2019 influenza
vaccination to exceed the 90 percent vaccination goal by 15 December 2018 for
Active and Reserve Components. Complete vaccine access will be provided for
all Navy family (includes dependents, other beneficiaries, and Department of
the Navy civilians). Active coordination between command leadership, public
affairs officers, and medical personnel is necessary to achieve success.
(2) Influenza Vaccination Performance Standards. The following goals
will be monitored:
(a) Navy VIALS reports 100 percent of shipped vaccine received
onboard by fleet and Navy units by 1 December 2018.
(b) MRRS reports 90 percent of Active and Reserve Component
vaccinated by 15 December 2018. Commands will coordinate with the servicing
MTF to align command-wide vaccinations with Navy vaccination goals. Medical
personnel at servicing MTFs will promptly report vaccinations in MRRS.
3. Released by Mrs. Steffanie B. Easter, Director, Navy Staff.//