Weekly HCP & Resident COVID-19 Vaccination
Long-term care facilities can track weekly COVID-19 vaccination data for residents and healthcare personnel (HCP) through NHSN.
Training
- New! Updates to Weekly COVID-19 Vaccination Data Reporting: Long-term Care Facilities – May 2022
- New! NHSN Event-Level Vaccination Forms: Office Hours and FAQs – June 2022
- NHSN Event-Level Vaccination Forms: Office Hours and FAQs – April 2022
- New! NHSN Event-Level COVID-19 Vaccination Forms – April 2022
- COVID19 Vaccination Data Refresher Training and Updates – February 2022
- Review of COVID-19 Vaccination Modules: Frequently Asked Questions and Data Entry – November 2021
- Updates to Reporting Weekly COVID-19 Vaccination Data – September 2021
- NHSN Quick Learn Demonstration: Reporting Weekly Cumulative COVID-19 Vaccination Data – May 2021
Data Collection Forms and Instructions
All Data Collection Forms are Print-only
- Weekly COVID-19 Vaccination Summary Form for Residents at LTCFs (57.218) [PDF – 194 KB] – May 2022
- Table of Instructions [PDF – 327 KB] – May 2022
- Weekly COVID-19 Vaccination Summary Form for Healthcare Personnel at LTCFs (57.219) [PDF – 208 KB] – May 2022
- Table of Instructions [PDF – 349 KB] – May 2022
CSV Data Import
- .CSV templates for Event Level COVID-19 Vaccination Forms for LTCF Residents and HCP [PDF – 171 KB] – May 2022
- .CSV templates for Event Level COVID-19 Vaccination Forms for LTCF Residents and HCP [PDF – 170 KB] – April 2022
.CSV Files for COVID-19 Vaccination Forms
LTCF Event-Level (Person-Level) HCP Templates and Examples
- .CSV File Template for LTCF HCP [XLS – 480 B] – May 2022
- Example .CSV File for LTCF HCP [XLS – 1 KB] – May 2022
- .CSV File Template for LTCF HCP [CSV – 1 KB] – April 2022
- Example .CSV File for LTCF HCP [CSV – 1 KB] – April 2022
LTCF Event-Level (Person-Level) Residents Templates and Examples
- .CSV File Template for LTCF Residents [XLS – 470 B] – May 2022
- Example .CSV File for LTCF Residents [XLS – 1 KB] – May 2022
- .CSV File Template for LTCF Residents [CSV – 1 KB] – April 2022
- Example .CSV File for LTCF Residents [CSV – 1 KB] – April 2022
LTCF Group Templates and Examples
- Uploading Group COVID-19 .CSV Data Files (10.1.1) [PDF – 939 KB] – May 2022
- Uploading Group COVID-19 .CSV Data Files (10.1.1) [PDF – 1 MB] – February 2022
- Uploading Group COVID-19 .CSV Data Files (10.0) [PDF – 1 MB] – September 2021
- Uploading Group COVID-19 .CSV Data Files (Pre 10.0) [PDF – 1 MB] – August 2021
Residents of LTCFs COVID-19 Vaccination Data
- CSV File Template (10.1.1) [XLS – 177 B] – May 2022
- Example CSV File (10.1.1) [XLS – 243 B] – May 2022
- CSV File Template (10.1.1) [CSV – 2 KB] – February 2022
- Example CSV File (10.1.1) [CSV – 2 KB] – February 2022
- CSV File Template (10.0 and Pre 10.0) [CSV – 2 KB] – August 2021
- Example CSV File (10.0) [CSV – 1 KB] – September 2021
- Example CSV File (Pre 10.0) [CSV – 2 KB] – August 2021
Healthcare Personnel of LTCFs COVID-19 Vaccination Data
- CSV File Template (10.1.1) [XLS – 442 B] – May 2022
- Example CSV File (10.1.1) [XLS – 559 B] – May 2022
- CSV File Template (10.1.1) [CSV – 3 KB] – February 2022
- Example CSV File (10.1.1) [CSV – 3 KB] – February 2022
- CSV File Template (10.0) [CSV – 3 KB] – September 2021
- Example CSV File (10.0) [CSV – 3 KB] – September 2021
- CSV File Template (Pre 10.0) [CSV – 2 KB] – August 2021
- Example CSV File (Pre 10.0) [CSV – 2 KB] – August 2021
Event-Level COVID-19 Vaccination Forms
- New! Event Level COVID-19 Vaccination Form Quick Reference Guide [PDF – 1 MB] – April 2022
Resources
- COVID-19 Vaccination Modules: Understanding Key Terms and Up to Date Vaccination – June 2022 [PDF – 327 KB]
- Operational Guidance for reporting HCP COVID-19 Vaccination Data – March 2022 [PDF – 300 KB]
- Tips for submitting HCP COVID-19 Vaccination Data – March 2022 [PDF – 250 KB]
- Monthly Combined Data Quality Checks – January 2022 [PDF – 1 MB]
- Facility Line Listing: All COVID-19 Vaccination Cumulative Summary Data – Additional or Booster Doses – January 2022 [PDF – 600 KB]
- Long Term Care Line Listing: All COVID-19 Vaccination Cumulative Detailed Data – Residents – January 2022 [PDF – 700 KB]
- Weekly COVID-19 Vaccination Reporting – Long Term Care Facility – January 2022 [PDF – 600 KB]
- Guidance to COVID-19 Module Data Entry Screen – May 2021 [PDF – 500 KB]
- Weekly COVID-19 Vaccination Data Reporting Guidance – December 2020 [PDF – 200 KB]
- Data Quality Alerts – July 2021 [PDF – 400 KB]
- Line Lists of COVID-19 Vaccination Data – February 2021 [PDF – 600 KB]
- Line Lists of COVID-19 Vaccination Data: Checking Create Dates – May 2021 [PDF – 500 KB]
- Bar Charts of COVID-19 Vaccination Data – February 2021 [PDF – 800 KB]
Page last reviewed: May 25, 2022
