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cdc-main" role="main" aria-label="Main Content Area"> <section class="cdc-page-title-bar cdc-page-offset noindex"> <time class="cdc-page-title-bar__item cdc-page-title-bar__item--date" datetime="2024-08-02 04:00:00"> August 2, 2024 </time> </section> <div class="cdc-page-title cdc-page-offset syndicate "> <ul class="breadcrumbs"> </ul> <h1>About VISs</h1> </div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-blurb summary-list" data-section="cdc_generic_summary"> <div class="dfe-section__header"> <h2>Key points</h2> </div> <div class="dfe-section__content"> <ul class="nested-list"> <li class="level-1">A Vaccine Information Statement (VIS) allows vaccine recipients/legal representatives to understand vaccine benefits and risks.<ul> </ul> </li> <li class="level-1">Learn the different methods and places VISs are provided to patients.<ul> </ul> </li> </ul> <div class="dfe-section__nav hide" id="dfe-section__nav"> <div class="dfe-section__nav__header" id="dfe-section__nav__header"> </div> <div class="dfe-section__nav-links" id="dfe-section__nav-links"> </div> </div> </div> <div class="dfe-section__image" id="page-summary-image"> <figure class="dfe-image dfe-image__large"><div class="image-container calculated-ratio-16-9 aspect-ratio-16-9"><img src="/vaccines/hcp/current-vis/images/vis-clipboards.png" alt="Images of VIS statements." title="vis-clipboards.png"></div></figure> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_generic_section_1"> <a class="onThisPageAnchor" id="cdc_generic_section_1-whats-a-vis" name="What's%20a%20VIS?" title="What's a VIS?"><!-- --></a><h2>What's a VIS?</h2> <p>A VIS or Vaccine Information Statement is a document, produced by CDC, that informs vaccine recipients – or their parents or legal representatives – about the benefits and risks of a vaccine they are receiving.</p> <p><a href="/vaccines/hcp/vis/downloads/vis-history.pdf" class="" target="_blank">Read about the evolution and history of Vaccine Information Statements<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a>.</p> </div> <div class="dfe-section" data-section="cdc_generic_section_2"> <a class="onThisPageAnchor" id="cdc_generic_section_2-viss-are-required-by-law" name="VISs%20are%20required%20by%20law" title="VISs are required by law"><!-- --></a><h2>VISs are required by law</h2> <p>All vaccine providers, public or private, are required by the National Vaccine Childhood Injury Act (NCVIA – <a href="https://www.govinfo.gov/content/pkg/USCODE-2010-title42/pdf/USCODE-2010-title42-chap6A-subchapXIX-part2-subpartc-sec300aa-26.pdf" target="_blank" class="tp-link-policy" rel="noreferrer" data-domain-ext="gov">42 U.S.C. § 300aa-26<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span><span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>) to give the appropriate VIS to the patient (or parent or legal representative) prior to every dose of specific vaccines.</p> <p>The appropriate VIS must be given <strong>prior</strong> to the vaccination, and must be given prior to <strong>each dose</strong> of a multi-dose series. It must be given <strong>regardless of the age</strong> of the recipient.</p> </div> <div class="dfe-section" data-section="cdc_generic_section_3"> <a class="onThisPageAnchor" id="cdc_generic_section_3-ways-to-give-a-vis" name="Ways%20to%20give%20a%20VIS" title="Ways to give a VIS"><!-- --></a><h2>Ways to give a VIS</h2> <ul class="nested-list"> <li class="level-1">Paper copies of the VIS can be printed and given to patients prior to vaccination.<ul> </ul> </li> <li class="level-1">Permanent, laminated office copies may be given to patients to read prior to vaccination.<ul> </ul> </li> <li class="level-1">Patients may view VISs on a computer monitor or other video display.<ul> </ul> </li> <li class="level-1">Patients may read the VIS on their phone or other digital device by downloading the pdf file from CDC's website.<ul> </ul> </li> <li class="level-1">Patients may be given a copy of a VIS during a prior visit, or told how to access it through the internet, so they can read it in advance. These patients must still be offered a copy to read during the immunization visit, as a reminder.<ul> </ul> </li> </ul> <p><em>Patients must still be offered a copy of the VIS to take away following the vaccination. The patient may decline.</em></p> </div> <div class="dfe-section" data-section="cdc_generic_section_4"> <a class="onThisPageAnchor" id="cdc_generic_section_4-where-to-get-viss" name="Where%20to%20get%20VISs" title="Where to get VISs"><!-- --></a><h2>Where to get VISs</h2> <p>CDC maintains a current English language VIS for each vaccine. You and your patients can</p> <ul class="nested-list"> <li class="level-1">View and display the web page<ul> </ul> </li> <li class="level-1">Download and print the PDF file<ul> </ul> </li> <li class="level-1">Import the RTF (text) file into an electronic system<ul> </ul> </li> <li class="level-1">View on a smartphone, tablet or other web-accessible mobile device<ul> </ul> </li> </ul> </div> <div class="dfe-section" data-section="cdc_generic_section_5"> <a class="onThisPageAnchor" id="cdc_generic_section_5-translations" name="Translations" title="Translations"><!-- --></a><h2>Translations</h2> <p>VISs have been translated into about 40 languages. These can be found on the website of CDC's partner, <a href="https://www.immunize.org/vis/" class="ce-selection tp-link-policy" rel="noreferrer" data-domain-ext="org">immunize.org<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>. Not every VIS has been translated into every language.</p> </div> <div class="dfe-section" data-section="cdc_generic_section_6"> <a class="onThisPageAnchor" id="cdc_generic_section_6-other-provider-responsibilities" name="Other%20provider%20responsibilities" title="Other provider responsibilities"><!-- --></a><h2>Other provider responsibilities</h2> <p>In addition to distributing VISs, as described above, providers are required to record specific information in the patient's medical record (which can include an electronic medical record), or in a permanent office log:</p> <ul class="nested-list"> <li class="level-1">The edition date of the VIS (found on the back at the right bottom corner).<ul> </ul> </li> <li class="level-1">The date the VIS is provided (i.e., the date of the visit when the vaccine is administered).<ul> </ul> </li> <li class="level-1">The office address and name and title of the person who administers the vaccine.<ul> </ul> </li> <li class="level-1">The date the vaccine is administered.<ul> </ul> </li> <li class="level-1">The vaccine manufacturer and lot number.<ul> </ul> </li> </ul> <p>Providers may add the name, address, and contact information of their practice to an existing VIS, but may not make any substantive changes.</p> <p>In addition to providing a VIS to patients to read, you can</p> <ul class="nested-list"> <li class="level-1">read it to them,<ul> </ul> </li> <li class="level-1">provide a videotaped version,<ul> </ul> </li> <li class="level-1">give additional printed material,<ul> </ul> </li> </ul> <p>or help recipients understand the disease and vaccine in any other way.</p> <p>Always offer the patient an opportunity to ask questions about the vaccine you are giving them.</p> <p><strong>VISs for these vaccines are required</strong> under the NCVIA, as of March 2013:</p> <ul class="nested-list"> <li class="level-1">Diphtheria, tetanus and pertussis containing vaccines (DTaP, DT, Td, and Tdap)<ul> </ul> </li> <li class="level-1"><em>Haemophilus influenzae</em> type b (Hib)<ul> </ul> </li> <li class="level-1">Hepatitis A<ul> </ul> </li> <li class="level-1">Hepatitis B<ul> </ul> </li> <li class="level-1">Human Papillomavirus (HPV)<ul> </ul> </li> <li class="level-1">Influenza (both Inactivated and Live, Intranasal vaccines)<ul> </ul> </li> <li class="level-1">MMR<ul> </ul> </li> <li class="level-1">MMRV<ul> </ul> </li> <li class="level-1">Meningococcal<ul> </ul> </li> <li class="level-1">Pneumococcal Conjugate (PCV)<ul> </ul> </li> <li class="level-1">Polio<ul> </ul> </li> <li class="level-1">Rotavirus<ul> </ul> </li> <li class="level-1">Varicella<ul> </ul> </li> </ul> <p>VISs also exist for vaccines that are <strong>not</strong> covered by the NCVIA. CDC encourages healthcare providers to use these whenever they give one of these vaccines, but they <strong>must</strong> be used when the vaccine is purchased under CDC contract. The legal basis for this is not the NCVIA, but a "Duty to Warn" clause in CDC's vaccine contracts.</p> <p>These vaccines are:</p> <ul class="nested-list"> <li class="level-1">Adenovirus (Military Use Only)<ul> </ul> </li> <li class="level-1">Anthrax<ul> </ul> </li> <li class="level-1">Cholera<ul> </ul> </li> <li class="level-1">COVID-19<ul> </ul> </li> <li class="level-1">Dengue<ul> </ul> </li> <li class="level-1">Japanese Encephalitis (Ixiaro)<ul> </ul> </li> <li class="level-1">Mpox<ul> </ul> </li> <li class="level-1">Pneumococcal Polysaccharide<ul> </ul> </li> <li class="level-1">Rabies<ul> </ul> </li> <li class="level-1">Respiratory Syncytial Virus (RSV)<ul> </ul> </li> <li class="level-1">Shingles<ul> </ul> </li> <li class="level-1">Tick-borne Encephalitis (TBE)<ul> </ul> </li> <li class="level-1">Typhoid<ul> </ul> </li> <li class="level-1">Yellow Fever<ul> </ul> </li> </ul> </div> <div class="dfe-section" data-section="cdc_generic_section_8"> <a class="onThisPageAnchor" id="cdc_generic_section_8-related-pages" name="Related%20Pages" title="Related Pages"><!-- --></a><h2>Related Pages</h2> <p>See the <a href="/vaccines/hcp/about-vis/faq.html" class="">FAQ page</a> if you did not find what you need to know on this page.</p> <p><a href="/vaccines/hcp/about-vis/instructions.html" class="">Instructions for using VISs</a></p> </div> </div> <div class="cdc-dfe-body__right page-right-rail"> <aside class="page-right-rail__static noindex" role="complementary"> <div class="on-this-page " data-sid=""> <h2 class="on-this-page__heading"> On This Page </h2> <div class="card-body"> <ul> <li><a href="#cdc_generic_section_1-whats-a-vis">What's a VIS?</a></li> <li><a href="#cdc_generic_section_2-viss-are-required-by-law">VISs are required by law</a></li> <li><a href="#cdc_generic_section_3-ways-to-give-a-vis">Ways to give a VIS</a></li> <li><a href="#cdc_generic_section_4-where-to-get-viss">Where to get VISs</a></li> <li><a href="#cdc_generic_section_5-translations">Translations</a></li> <li><a href="#cdc_generic_section_6-other-provider-responsibilities">Other provider responsibilities</a></li> <li><a href="#cdc_generic_section_8-related-pages">Related Pages</a></li> </ul> </div> </div> </aside> <aside class="page-right-rail__dynamic noindex" role="complementary"> <div data-related-nav></div> </aside> </div> </div> <div data-journey-next></div> <section class="container page-mobile-bar"> <time class="page-mobile-bar__item page-mobile-bar__item--date" datetime="2024-08-02 00:00:00"> August 2, 2024 </time> </section> <div class="page-content-sources noindex"> <div class="page-content-sources__header"> <a data-action="summary" class="collapsed" href="#content-sources" role="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="content-sources" data-cs-toggle="">Sources</a> <a data-action="print" href="#print" class="d-none d-md-block" aria-label="print this page" 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