Clarifying gap between doses | Evaluation of Māori influenza and measles vaccination programme | MMR resources Good morning, Bay of Plenty vaccination providers We’ve had requests for clarification around the gap between first and second covid vaccination boosters. Please share the following advice with your vaccinators: To ensure the correct gap between first and second boosters, in line with the Director General’s Epidemic Notice, we have set the Book My Vaccine gap at 185 days. This allows for differences in the number of days in a month and for a day zero. The detecting failsafe is set at <180 days. If someone presents for their second booster at 179 days or earlier, please talk to them about why they are presenting early. If there are accessibility, equity or clinical reasons, it may be appropriate to vaccinate them early and we do want to facilitate this when it is needed. Ideally, in these situations you will first obtain a prescription, and many vaccinators have access to a prescriber (ask your provider if you are unsure). If this isn’t easily obtained, you can seek clinical advice from IMAC to help your decision making. Any early vaccination needs to have the risks clearly explained to the consumer and noted in the CIR. A failsafe warning is triggered whenever a person receives their second booster 179 days or earlier. Your notes help your District’s Quality Team assess the failsafe information and decide whether an incident has occurred or not. Gap between Pfizer boosters To help those at the frontline explain the gap between Pfizer doses, we’ve created a downloadable A3 poster that can be used in primary care settings. You can access the ‘Pfizer vaccination flowchart’ poster here.
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