COVID-19 Vaccine Reporting Requirements

COVID-19 Vaccine Reporting Requirements

Florida Department of Health, Emergency Rule 64DER20-43, Florida Administrative Code,
requires all enrolled COVID-19 vaccine providers to report vaccination data in Florida
SHOTS within 24 hours of administration
. The following data elements are required when reporting:

(1) Administered at location: facility name/ID         (12) MVX (manufacturer)      
(2) Administered at location: type                           (13) Recipient address      
(3) Administration address (including county)        (14) Recipient date of birth      
(4) Administration date                                           (15) Recipient name      
(5) CVX (Product)                                                   (16) Recipient sex      
(6) Dose number                                                    (17) Sending organization      
(7) IIS recipient ID                                                  (18) Vaccine administering provider suffix      
(8) Recipient race                                                   (19) Vaccine administering site (on the body)      
(9) Recipient ethnicity                                             (20) Vaccine expiration date      
(10) IIS vaccination event ID                                  (21) Vaccine route of administration      
(11) Lot number: unit of use and/or unit of sale      (22) Vaccination series complete   

Access a step-by-step guide on how to enter HERE.  Please contact the Florida
SHOTS Help Desk via email at [email protected] or telephone at 877-888-7468, Option 2 
if you have any questions regarding COVID-19 vaccine reporting.