Flu Vaccine Distribution

We distribute flu vaccine only to providers who agree to certain guidelines about to whom they will administer the vaccine and how and when to report usage. Please review the Program Guidelines below for all information on participation and if you are interested in joining our program, call us at 510-267-3230.

For providers who have already been contacted by us with their allocation information, please follow the links below to review the participation guidelines.

For online form submission, follow these links:
Program Guidelines and Usage Agreement – Due August 20, 2021
Clinic Schedule Form – Due September 10, 2021
Simple Inventory - Due November 12, 2021
First Usage Report - Due January 28, 2022
Second Usage Report - Due June 3, 2022

Additional Useful Forms not for submission:
Vaccine Screening Form English | Spanish | Chinese
Transporting Refrigerated Vaccines
Refrigerator Set-Up for Vaccine Storage
Injectable Flu Vaccine Information Statement (VIS): English | Spanish

For more information about seasonal flu please go to Frequently Asked Influenza (Flu) Questions: 2021-2022 Season

CDC Vaccine Storage and Handling Toolkit
Vaccine Eligibility Guidelines IMM-1142
Vaccination Guidance During a Pandemic – Centers for Disease Control and Prevention
Don’t Wait to Vaccinate Campaign – California Immunization Coalition
Other Resources from California Department of Public Health


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