COVID-19 - As Ontario reopens, learn about public health and workplace safety measures. Learn about the COVID-19 vaccination and service disruptions.

Become a COVID-19 Vaccine Administration Site

Order vaccine

If you're an approved COVID-19 vaccination administration site, complete the COVID-19 vaccine order form.
To become a vaccine site, complete the steps below.

How you can support COVID-19 vaccinations

Physicians and primary care providers have an important role to play in building vaccine confidence among patients.

Research shows that some individuals who are typically accepting of vaccines have unique concerns about COVID-19 vaccines, leading them to refuse or delay vaccination. According to a recent study, at least two-thirds of Canadians think it's very important for their health care provider to explain possible vaccine side effects and rare reactions, effectiveness and safety of the COVID-19 vaccines.

Research by the Ontario Medical Association shows that physicians are the most trusted source of public health advice, trusted by 86 per cent of all Ontarians when asked about COVID-19 vaccines.

Preparing to administer COVID-19 vaccines in your office

A successful vaccine rollout strategy is dependent on many providers administering vaccine. To continue readiness and capacity among primary care providers to administer vaccine locally, we're continuing to welcome and onboard more practices.

Start by watching the COVID-19 Vaccine Onboarding Webinar.

When you're ready to proceed, email our team to indicate interest in becoming an approved COVID-19 vaccine site, then familiarize yourself with our five onboarding steps.

Onboarding steps

  • Step 1: Complete COVaxON training with OntarioMD

    To become a vaccine site, your office must be able to complete all data entry and administration associated with entering information into the COVaxON system. Complete COVaxON training for primary care practices.

    OntarioMD also has job aids available on their website, which would give you step-by-step instructions.

    The training course provided is COVaxON Primary Care Workflow Training. The training provides an overview of the COVaxON system specifically tailored to what you as a primary care partner are responsible for within the system. The training is approximately one hour in length. There are both live and recorded sessions available.

    Public Health - COVaxON Overview

    Niagara Region Public Health's COVax Support Team outlines what is required locally from our Primary Care partners. Watch the COVax training provided by Niagara Region Public Health.

  • Step 2: Familiarize yourself with the planning resources and COVID-19 vaccine-relevant information

    The Ministry of Health has created COVID-19 vaccine-relevant information and planning resources for health care providers, which includes sections on general immunization documents for immunizers and patients. They have also made available a COVID-19 Vaccine Clinic Operations Planning Checklist to support in planning.

    Review the COVID-19 vaccine pre-screening assessment tool for health care providers. This document is intended for health care providers who will be administering COVID-19 vaccines.

    COVID-19 vaccine information

  • Step 3: Submit office information to Public Health for creating a "Vaccine Event" for your clinic

    All staff who will be using COVax will need to be registered into one of the following profiles:

    • Site staff (client search, check in / out)
    • PCP vaccinator (client search, check in / out, dose administer, adding extra doses / wastages)

    Add your staff information to the COVax registration information. This document needs to be completed and submitted to NRPHCOVaxSupport@niagararegion.ca before you can order or receive vaccines.

  • Step 4: Ensure that your clinic meets requirements for COVID-19 vaccine facilities

    Provincial requirements

    Your clinic must be able to adhere to provincial requirements for COVID-19 vaccine facilities.

    Cold chain requirements

    Your clinic must meet cold chain requirements to store the vaccine.

    As per the Vaccine Cold Chain Maintenance Inspection Report, your clinic must have a contingency plan in place in the event of a power outage or fridge / thermometer malfunction. If this happens, contact Public Health before administering vaccine. For more information, refer to the excursions and returns.

    Vaccine transport and storage

    The COVID-19 vaccine product will be picked up in frozen state (from Public Health) and transported to your inspected vaccine fridge where it will thaw to fridge stable temperatures. Once product arrives at your clinic, it's not moved again. This includes bringing it to a satellite office.

    Typically, you would have other vaccine on each of your fridge shelves with the sensor placed on the centre of the middle shelf. With vaccines transported in a frozen state and then put into fridges, your fridge temperatures may begin to drop. Any trouble with fridge temperatures may depend on where you had placed the frozen Moderna (Spikevax).

    Please be sure that the frozen vaccine is not touching any other vaccine products and don't put it on the same shelf as the thermometer sensor. The frozen vaccine can be placed on a shelf by itself to ensure that other products aren't too close during the thaw.

    Once vaccine thaws, it can then be put on the same shelf as your other vaccine products if desired. You will need to promptly report any out of range fridge temperatures (outside the 2 C to 8 C range) to Public Health.

    A few important notes on the thawing of vaccine (also refer to the vaccine product monographs under step two):

    • Vaccines can be thawed in two ways:
      1. In the monitored vaccine fridge overnight (between 2 C and 8 C)
      2. At room temperature. This thawing method would be considered if vaccine is being administered the day of pick-up. It cannot be thawed overnight at room temperature.
    • Only remove the vial(s) you will plan to use from the vaccine fridge when ready to administer vaccine. Leave remaining vials in the fridge until ready to use.
    Vaccine storage information
    Storage conditionPfizer-BioNTech (Cominarty)Moderna (Spikevax)
    Thawed, unpunctured vials

    If not punctured, thaw and store at:

    • 2 C to 8 C for up to 31 days, or
    • At room temperature (up to 25 C) for no more than two hours

    If not punctured, thaw and store at:

    • 2 C to 8 C for up to 30 days, or
    • At 8 C to 25 C for up to 24 hours
    • Within the allowable 30-day period for vials stored under refrigeration at 2 C to 8 C, a cumulative exposure up to 24 hours to temperatures between 8 C to 25 C is permitted
    Thawed, punctured vialsAfter dilution, store between 2 C to 25 C and use within six hours from time of first puncture Store between 2 C to below 25 C and use within 24 hours from the time of first puncture
  • Step 5: Submit an order request for vaccine for your practice

    Vaccine availability and allocation is dependent on how often and how much vaccine is provided to Niagara Region Public Health by the province.

    To help ensure that COVID-19 vaccine is available to all offices that administer it, please consider the following before placing an order:

    • The number of patients your office expects to see in-person in a one week (max two) period
    • Whether you will be running dedicated clinics

    Only order COVID-19 vaccine in amounts that you're certain your office can use. The expectation is to use all vaccine received as soon as possible, ideally within the week it's received. To help with forecasting, provide details for consideration (e.g., date(s) of clinics being planned, number of appointments booked, etc.) on your vaccine order form.

More information

Reporting adverse events

Allergy information

  • To support the rollout of COVID-19 vaccinations across the province, the Ontario eConsult of Excellence, Public Health Ontario, OMA, Ontario MD, Ontario Health, and the Ministry of Health have created a COVID-19 - Allergy / Immunology BASETM Managed Specialty Group
  • This eConsult service offers allergy advice related to the COVID-19 vaccine. To learn more or to register, visit the Ontario eConsult service.
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