Instructions for Using the COVID-19 Vaccination Reporting Specification for Pharmacies

The COVID-19 Vaccination Reporting Specification (CVRS) defines the data elements needed for reporting vaccination administration data to CDC. The CVRS is meant to apply to a variety of reporters of vaccination administration data, but there are some pharmacy-specific data population requirements, which are described in this document.

  • Administered at location (admin_name)
    • For residents of long-term care facilities certified by CMS, enter
      • The facility’s CMS Certification number (CCN#)
        • Do NOT enter the name of the physical clinic or facility that reported the vaccination or refusal. Do NOT enter the name of the pharmacy that administered the dose.
      • Otherwise, please follow the guidance listed in the current CVRS specification for the description of which data should be populated in the data elements.
  • Recipient address data elements (recip_address_street, recip_address_street_2, recip_address_city, recip_address_county, recip_address_state,recip_address_zip)
    • Please follow the guidance listed in the current CVRS specification for the description of which data should be populated in the data elements.
    • Additionally, for residents of long-term care facilities, the recipient address should be:
      • The facility where the individual lives, and
      • Identical to the administration address.
  • Administration address data elements (admin_address_street, admin_address_street_2, admin_address_city, admin_address_county, admin_address_state, admin_address_zip)
    • Please follow the guidance listed in the current CVRS specification for the description of which data should be populated in the data elements.
    • Additionally, for residents of long-term care facilities, the administration address should be:
      • The facility where the individual lives, and
      • Identical to the recipient address.
    • ZIP code (admin_address_zip) is required.
  • VTrckS Provider PIN (vtrcks_prov_pin)
    • VTrckS Provider PIN is required for submission.
    • This should be the full 9-character Provider PIN available in both VTrckS and in your final Pharmacy Enrollment file from the IZ Data Lake (e.g., CV1654321).
    • In the Pharmacy Enrollment file, this field is called [loc_provider_pin].
  • Administered at location: type (admin_type)
    • Please follow the guidance listed in the current CVRS specification for the description of which data should be populated in the data elements.
    • Additionally:
      • If you are administering vaccinations at a long-term care facility, please note whether the vaccine was given to a resident or staff member using options 29–42 from the admin_type value set listed below.
      • If you are administering vaccinations at a pharmacy, please note whether the vaccination was given to a staff member or a person in the general population using options 43–46 from the admin_type value set listed below.
      • This is an updated value set that should be used when reporting vaccination administration records:

Locally Defined Value Set:

1 (Commercial vaccination service provider)

2 (Corrections/detention health services)

3 (Health center – community)

4 (Health center – migrant or refugee)

5 (Health center – occupational)

6 (Health center – STD/HIV clinic)

7 (Health center – student)

8 (Home health care provider)

9 (Hospital)

10 (Indian Health Service)

11 (Tribal health)

12 (Medical practice – family medicine)

13 (Medical practice – pediatrics)

14 (Medical practice – internal medicine)

15 (Medical practice – OB/GYN)

16 (Medical practice – other specialty)

17 (Pharmacy – chain)

18 (Pharmacy – independent)

19 (Public health provider – public health clinic)

20 (Public health provider – Federally Qualified Health Center)

21 (Public health provider – Rural Health Clinic)

22 (Long-term care – nursing home, skilled nursing facility, federally certified)

23 (Long-term care – nursing home, skilled nursing facility, non-federally certified)

24 (Long-term care – assisted living)

25 (Long-term care – intellectual or developmental disability)

26 (Long-term care – combination)

27 (Urgent care)

28 (Other)

29 (Long-term care facility resident – nursing home, skilled nursing facility, federally certified)

30 (Long-term care facility staff – nursing home, skilled nursing facility, federally certified)
31 (Long-term care facility resident – nursing home, skilled nursing facility, non-federally certified)

32 (Long-term care facility staff – nursing home, skilled nursing facility, non-federally certified)
33 (Long-term care facility resident – assisted living)

34 (Long-term care facility staff – assisted living)
35 (Long-term care facility resident – intellectual or developmental disability)

36 (Long-term care facility staff – intellectual or developmental disability)
37 (Long-term care facility resident – low-income senior housing)

38 (Long-term care facility staff – low-income senior housing)

39 (Long-term care facility resident – state veterans’ home)

40 (Long-term care facility staff – state veterans’ home)

41 (Long-term care facility resident – other)

42 (Long-term care facility staff – other)

43 (Pharmacy chain general population)

44 (Pharmacy chain staff)

45 (Pharmacy independent general population)

46 (Pharmacy independent staff)

UNK (Unknown)

Page last reviewed: December 4, 2020