This guidance document is for health care providers. It offers an approach to managing COVID-19 vaccines that are administered in a manner that differs from the recommendations of the manufacturer as authorized by Health Canada and/or the National Advisory Committee on Immunization (NACI). These are referred to as vaccine administration errors or deviations. This document builds on guidance developed by:
We also received input from the Canadian Immunization Committee and NACI.
For complete NACI advice, please see the following:
There is limited evidence to guide the management of these situations. This document provides guidance only. Note that provincial and territorial protocols may differ from this guidance document. Clinical judgment is necessary for making appropriate decisions regarding vaccine administration errors and deviations, and may result in management decisions that differ from those outlined in this guidance.
Note also that this document is used only to manage errors or deviations that have already occurred. In order to prevent errors or deviations from occurring, please follow the product monographs and recommendations from NACI Statements and Publications when administering COVID-19 vaccines. Note that criteria used to assess international travellers at the border may differ from this document as they are intended for different purposes.
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