1. Role of the pharmacist in vaccination
Social mobilisation & communication
Vaccination advocacy, communication & social mobilisation
Monitoring and evaluation
Reporting accurate statistics
Vaccine safety & pharmacovigilance
Adverse events following immunisation
Immunisation administration
Safe administration practices
Promotion of immunisation
Communication about immunisation services & campaigns
Vaccine logistics & cold chain
Supply chain & cold chain management
Role of the pharmacist in vaccination

2. Heat sensitivity Freeze sensitivity Least sensitive Most sensitive
Vaccines to the left of the line are NOT damaged by freezing
Most sensitive
Heat sensitivity
Freeze sensitivity
OPV
Measles
MMR
BCG
Hib
Rabies
Yellow
fever
Influenza
IPV
DTaP
Hexavalent
Rotavirus
HPV
Pneumo
PS-PCV
T, DT, dT
HepB
Freeze dried
Liquid, no adjuvant
Liquid, with alum
adjuvant
Vaccine formulation

3. Symbol
Explanation
Stage
The inner square is lighter than the outer circle. If the expiry date has not passed. USE the vaccine. I
As time passes the inner square is still lighter than the outer circle. If the expiry date has not passed, USE the vaccine. II
Discard point: The colour of the inner square matches that of the outer circle. DO NOT USE the vaccine
III
Beyond the discard point: Inner square is darker than the outer circle. DO NOT USE the vaccine. IV

4. 2. Shake Control and Suspect Vials vigorously
Suspect Vial: Freeze sensitive vaccine exposed to ≤0˚C
3. Control Vial immediately appears granular and not uniform
4. Control Vial: Clears fast and thick sediment forms quickly -
DO NOT USE
3. Suspect Vial immediately appears cloudy and uniform
4. Suspect Vial: Clears gradually and sediment forms slowly -
SAFE TO USE
1. Create Control Vial: Freeze and thaw vaccine from same batch
5-30 minutes later