Surveillance for Weekly HCP & Resident Vaccination
Weekly Influenza Vaccination Data Reporting
Long-term care facilities can track weekly influenza vaccination data for residents and healthcare personnel (HCP) through NHSN. This optional reporting can help facilities monitor influenza vaccination coverage during the influenza season.
All Data Collection Forms are Print-only
- Weekly Influenza Vaccination Summary Form for Residents at LTCFs (57.148) – September 2020 pdf icon[PDF – 100 KB]
- Weekly Influenza Vaccination Summary Data Form for Healthcare Personnel at LTCFs (57.149) – November 2020 pdf icon[PDF – 150 KB]