64DER21-9 COVID-19 Vaccine Reporting Requirements
All health care practitioners licensed under Chapters 458, 459 or 464, F.S., and all other enrolled COVID-19 vaccine providers, must report the following vaccination data elements in Florida SHOTS within 72 hours of administration to an individual of any dose of a COVID-19 vaccine that has Emergency Use Authorization from the Food and Drug Administration.
(1) Administered at location: facility name/ID
(2) Administered at location: type
(3) Administration address (including county)
(4) Administration date
(5) CVX (Product)
(6) Dose number
(7) IIS recipient ID
(8) Recipient race
(9) Recipient ethnicity
(10) IIS vaccination event ID
(11) Lot number: unit of use and/or unit of sale
(12) MVX (manufacturer)
(13) Recipient address
(14) Recipient date of birth
(15) Recipient name
(16) Recipient sex
(17) Sending organization
(18) Vaccine administering provider suffix
(19) Vaccine administering site (on the body)
(20) Vaccine expiration date
(21) Vaccine route of administration
(22) Vaccination series complete
Rulemaking Authority 381.003(2), 381.0031(8), 381.005(3) FS. Law Implemented 381.0011(3), (4), 381.003(1), 381.0031, 381.005(1) FS. History - New .