Public health agency for Snohomish County
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Immunization Information
Disease prevention is the key to public health. In the United States, rates of vaccine preventable diseases are at or near record lows. Vaccines are responsible for the control of many infectious diseases that were once common in this country, including polio, measles, diphtheria, pertussis (whooping cough), rubella (German measles), mumps, tetanus, and Haemophilus influenzae type b (Hib).
Medical Provider Information
Vaccination has proven to be the most effective way to control the spread of vaccine preventable diseases. Health care providers are a trusted source of vaccine information for parents and the Vaccine Preventable Disease Program works to provide up-to-date information on frequently changing immunization recommendations.
The Vaccine Preventable Disease Program is committed to ensuring that parents, health care providers, and local public health agencies work together to increase immunization rates for children, adolescents, adults in Snohomish County.
Immune Booster Newsletter
A quarterly newsletter with information for medical providers and staff in Snohomish County with information on events, vaccine updates, school requirements, immunization schedules, and publications.
Volume 05, Issue 03 (4)
October 2010
Volume 05, Issue 02 (4)
July 2010
Volume 05, Issue 01 (4)
February 2010
Volume 04,Issue 04 (4)
September 2009
Volume 04,Issue 03 (4)
July 2009
Volume 04,Issue 02 (4)
May 2009
Volume 04,Issue 01 (4)
February 2009
Volume 03,Issue 04 (4)
November 2008
Volume 03,Issue 03 (4)
August 2008
Volume 03,Issue 02 (4)
June 2008
Medical Provider Resources
List of Resources:
  1. Assessment, Feedback, Incentives, and Exchange (AFIX)  web
    Assessment, Feedback, Incentives, and Exchange (AFIX)
  2. Billing Codes for State-Supplied Vaccines(WA DOH)  web
    Information about CPT Codes & Coordinating Product Names for Current Vaccines Supplied for Children less than 19 years of age through the DOH State Immunization Program
  3. CHILD Profile  web
    Washington State's Health Promotion and Immunization Registry system designed to help ensure our children receive the preventive care they need
  4. Guide to Contraindications to Vaccinations (CDC)  web
    Recommendations and Guidelines: Guide to Vaccine Contraindications and Precautions
  5. MMWR Morbidity and Mortality Weekly Report  web
    MMWR Morbidity and Mortality Weekly Report
  6. NFID National Foundation for Infectious Disease  web
    NFID National Foundation for Infectious Disease
  7. Plain Talk About Childhood Immunizations (Booklet)  web
    Plain Talk About Childhood Immunizations (Booklet)
  8. Provider seasonal influenza vaccine order form (DOH 348-118)  file
    Provider seasonal influenza vaccine order form (DOH 348-118)
  9. Provider vaccine order form (DOH 348-015)  file
    Provider vaccine order form (DOH 348-015)
  10. Vaccine Information for the Public and Health Professionals (IAC)  web
    Source: Immunization Action Coalition
  11. Vaccine Management: Recommended Storage and Handling  web
    Vaccine Management: Recommended Storage and Handling
  12. Vaccine Safety: Providers Role  web
    Vaccine Safety: Providers Role
  13. Vaccine Storage and Handling Toolkit  web
    Interactive Education
  14. Vaccines & Immunizations (CDC)  web
    Information about Vaccines & Immunizations
  15. Vaccines and Immunizations For Specific Groups of People (CDC)  web
    Information about Vaccines that are recommended for specific groups of people
  16. Vaccines For Children (VFC) Status Screening (WA DOH)  web
    Information about Vaccine Supply and Distribution by WA DOH
  17. VAERS Reporting On-line  web
    Vaccine Adverse Event Reporting System (VAERS)
  18. Washington State Local Health Departments/Districts Map(DOH)  web
    List of Health Department/Districts in Washington State
  19. You Call the Shots  web
    Interactive Education
Parent Information
Parents are always concerned about the health and safety of their children and they take many steps to protect them. Vaccines work to safeguard children from illnesses and death caused by vaccine preventable infectious diseases.
Vaccines protect children by helping their bodies acquire immunity to fight serious, and potentially, deadly diseases. This prevents once-feared diseases from occurring. With high immunization rates in a community, it also provides protection for those that cannot be vaccinated.
CDC Thimerosal Key Points (11)
CDC Thimerosal Key Points
Certificate of Immunization Status (CIS) Forms – All languages (11)
Certificate of Immunization Status (CIS) Forms – All languages
Certificate of Immunization Status - English (CIS form) (11)
Certificate of Immunization Status Form English Version
Certificate of Immunization Status – Spanish (CIS form) (11)
Certificate of Immunization Status Form Spanish Version
CHILD Profile is Washington State's Health Promotion and Immunization Registry system giving you important health and safety information you need for your child (11)
CHILD Profile is Washington State's Health Promotion and Immunization Registry system giving you important health and safety information you need for your child
Children and over-the-counter medicines (11)
Children and over-the-counter medicines
Immunization Information for Teens and College Students (11)
Immunization Information for Teens and College Students
Immunization Schedules for all Ages (11)
Immunization Schedules for all Ages
Immunization-Considering Exemptions? (Russian) brochure (11)
SHD Brochure: Immunization-Considering Exemptions (Russian)
Immunization-Considering Exemptions? (Spanish) brochure (11)
SHD Brochure: Immunization-Considering Exemptions (Spanish)
Immunization-Considering Exemptions?(English) brochure (11)
SHD Brochure: Immunization-Considering Exemptions (English)
Instant Childhood Immunization: Schedule for Children six years and younger (11)
Instant Childhood Immunization: Schedule for Children six years and younger
Keeping track of your child’s immunizations (11)
SHD Brochure: Tips for tracking down your child’s previous immunizations
Parents, before you sign the exemption form (English) brochure (11)
SHD Brochure: Parents, before you sign the exemption form (English)
Parents, before you sign the exemption form (Russian) brochure (11)
SHD Brochure: Parents, before you sign the exemption form (Russian)
Parents, before you sign the exemption form (Spanish) brochure (11)
SHD Brochure: Parents, before you sign the exemption form (Spanish)
Plain Talk About Childhood Immunizations (Booklet) (11)
Plain Talk About Childhood Immunizations (Booklet)
Teens & Tweens still need vaccines (11)
Teens & Tweens still need vaccines
The Parents' Guide to Childhood Immunizations is a 68-page booklet introducing parents to the 14 childhood diseases and the 10 vaccines that can protect children from them (11)
The Parents' Guide to Childhood Immunizations is a 68-page booklet introducing parents to the 14 childhood diseases and the 10 vaccines that can protect children from them
Vaccine Requirements For School Age Children (11)
Information about vaccine requirements for school age children from Washington Department of Health (DOH)
Vaccines For Children (VFC) Program-Parent Information (11)
Vaccines For Children (VFC) Program-Parent Information

School Information
To attend school or licensed child care in Washington State, each child must present a signed Certificate of Immunization Status (CIS) form showing proof of immunization per the Washington Department of Health requirements. An initiation of a schedule of immunization can be requested if immunizations are needed to complete the requirements. A medical exemption, OR personal or religious exemption can be requested.
Immunization Coverage of Students within Snohomish County Schools
Background: Washington State law requires schools to report the immunization status of their student bodies every year to the Washington State Department of Health (DOH) by November 1st. The immunization information is reported by schools via a school immunization reporting form on the DOH’s website (titled “Required School Status Report Form”). After the school immunization data is compiled, the DOH sends it to SHD officials. Once the data is received, SHD explores and analyzes the immunization status of schools and school districts within Snohomish County. Multiple tables and maps are produced from the analysis to assist in communicating the immunization status of Snohomish County K-12 students to school officials, health care providers, and other interested community members. Below is a list of tables and maps produced.
Tables [ School Yr. ]
List of Tables:
Maps [ School Yr. ]
Entry Level (K or 1st Grade) Students
All Students (K – 12th Grade)
Notes About the Data:
When viewing the tables and maps there are a few caveats about the data that should be taken into consideration:
  • Schools obtain the immunization status of their student body through parent reporting. Parents use the “Certificate of Immunization Status” form to document the immunizations that their children have received. However, there is no requirement to verify this information with health care provider records.
  • Each school is responsible for reporting the immunization status of their student body to the WA DOH. Due to resource constraints, the WA DOH does not follow up with each school in the state to assure reporting has occurred. Although SHD public health officials follow up with schools within Snohomish County that did not report by the annual due date, a number of schools within Snohomish County still fail to report to the WA DOH each year.
To contact Snohomish Health District about the school immunization data and/or maps, please send an e-mail to immun.info@snohd.org.
School FOCUS Newsletter
Information for school nurses and administrators in Snohomish County with information on events, vaccine updates, school requirements, immunization schedules, and publications.
Issue 02, Volume 01, 2010 (4)
August 2010
Issue 01, Volume 01, 2009 (4)
August 2009
List of Parent Information:
CDC Thimerosal Key Points (11)
CDC Thimerosal Key Points
Certificate of Immunization Status (CIS) Forms – All languages (11)
Certificate of Immunization Status (CIS) Forms – All languages
Certificate of Immunization Status - English (CIS form) (11)
Certificate of Immunization Status Form English Version
Certificate of Immunization Status – Spanish (CIS form) (11)
Certificate of Immunization Status Form Spanish Version
CHILD Profile is Washington State's Health Promotion and Immunization Registry system giving you important health and safety information you need for your child (11)
CHILD Profile is Washington State's Health Promotion and Immunization Registry system giving you important health and safety information you need for your child
Children and over-the-counter medicines (11)
Children and over-the-counter medicines
Immunization Information for Teens and College Students (11)
Immunization Information for Teens and College Students
Immunization Schedules for all Ages (11)
Immunization Schedules for all Ages
Immunization-Considering Exemptions? (Russian) brochure (11)
SHD Brochure: Immunization-Considering Exemptions (Russian)
Immunization-Considering Exemptions? (Spanish) brochure (11)
SHD Brochure: Immunization-Considering Exemptions (Spanish)
Immunization-Considering Exemptions?(English) brochure (11)
SHD Brochure: Immunization-Considering Exemptions (English)
Instant Childhood Immunization: Schedule for Children six years and younger (11)
Instant Childhood Immunization: Schedule for Children six years and younger
Keeping track of your child’s immunizations (11)
SHD Brochure: Tips for tracking down your child’s previous immunizations
Parents, before you sign the exemption form (English) brochure (11)
SHD Brochure: Parents, before you sign the exemption form (English)
Parents, before you sign the exemption form (Russian) brochure (11)
SHD Brochure: Parents, before you sign the exemption form (Russian)
Parents, before you sign the exemption form (Spanish) brochure (11)
SHD Brochure: Parents, before you sign the exemption form (Spanish)
Plain Talk About Childhood Immunizations (Booklet) (11)
Plain Talk About Childhood Immunizations (Booklet)
Teens & Tweens still need vaccines (11)
Teens & Tweens still need vaccines
The Parents' Guide to Childhood Immunizations is a 68-page booklet introducing parents to the 14 childhood diseases and the 10 vaccines that can protect children from them (11)
The Parents' Guide to Childhood Immunizations is a 68-page booklet introducing parents to the 14 childhood diseases and the 10 vaccines that can protect children from them
Vaccine Requirements For School Age Children (11)
Information about vaccine requirements for school age children from Washington Department of Health (DOH)
Vaccines For Children (VFC) Program-Parent Information (11)
Vaccines For Children (VFC) Program-Parent Information
List of Additional Information:
Immunization Manual for Schools, Preschools, and Child Care Facilities (11)
This manual will help staff who serve on the immunization frontline at schools, preschools, and child care facilities.
Immunization Regulations – Codes of Washington State (11)
Regulations governing immunizations are the revised code of Washington or state laws, and the Washington Administrative Code, which explains how the law must be implemented.
School Immunization Status Reporting (11)
Washington State law requires schools, preschools, and child care centers to complete and file an Immunization Status Report every year by November 1.

Vaccine Information Statements (VIS)
Vaccine Information Statements (VIS) explain both the benefits and the risks of certain vaccines. Federal law requires that a VIS be provided before each dose of these vaccines to the recipient, their parent, or legal representative.
Vaccines For Children (VFC) – Bluebook
An informative manual for participating medical providers detailing: storage & handling, schedules, vaccine administration, resource materials, status screening, and CHILD Profile.
Section 1 - Storage and Handling of Vaccines
Section 2 - State Supplied Vaccine Information
Section 3 - Schedules for Immunizations
Section 4 - Vaccine Administration
Section 5 - Vaccine Adverse Events and Notifiable Conditions
Section 6 -Immunization Resource Materials and Websites
Section 7 –Thermometer Certification
Section 8 – Vaccine for Children (VFC) Status Screening
Section 9 – Vaccine Coordinator Responsibilities & Forms
Section 10 – Immune Booster Newsletter
The Immune Booster Newsletter is listed under Medical Provider Information section above.
Section 11 – CHILD Profile Information



Last Reviewed and updated 3/24/2011