Immunization Delivery for Pharmacists

vaccineCourse Overview

This two-part course provides background knowledge and hands-on training in the administration of immunizations. In the online, self-study portion of the course, participants will learn to recognize the public health impact of vaccine-preventable disease in the US; practice the application of CDC-recommended vaccinations in individual patient scenarios; and describe requirements for proper vaccine storage and handling. After finishing the online activities, participants will attend a live training session that culminates in a successful demonstration of intramuscular injection technique on a partner in order to complete the course.

Target Audience

This program is designed for pharmacists with direct patient care responsibilities or those consulting with prescribers. 

Completion Requirements

Immunization Delivery consists of 16 hours of online self-study and 4 hours of live training. Participants will be required to pass (70% or better) a mid-term quiz during week two of the activity and a second quiz during week four. Participants are required to pass both quizzes prior to attending the live portion of this activity.

We are preparing to offer this course once we can ensure a safe learning environment for the live session. 

If you would like to offer your own Immunization course for your organization, please contact us.

Learning Objectives

Introduction/Establishing a Need

  1. Describe the current regulatory status of pharmacist-administered vaccinations in Minnesota.
  2. Recognize the public health impact of vaccine-preventable disease in the US.
  3. Articulate the levels at which a pharmacist can undertake vaccine advocacy.
  4. Describe a pharmacist's unique opportunities to contribute to disease prevention in the US.

Pharmacotherapeutics/Patient Care

  1. Discuss basic immunology as it relates to vaccines.
  2. Describe vaccine-preventable diseases including: influenza, pneumococcal, tetanus, diphtheria, pertussis, hepatitis A and B, poliomyelitis, varicella, varicella zoster, measles, mumps, rubella, and human papillomavirus.
  3. Recognize populations at-risk for vaccine-preventable illnesses.
  4. Apply CDC vaccination recommendations to individual patients.
  5. Review patient-specific immunization records and identify vaccine indications.
  6. Identify patients who have contraindications to vaccine administration.
  7. Outline treatment procedures for patients experiencing local and systemic adverse effects secondary to vaccine administration.
  8. Demonstrate proper intramuscular and subcutaneous injection technique.

Practice Issues

  1. Outline documentation requirements for immunizations including informed consent, patient-specific records, pharmacy records, screening forms, and adverse event reporting.
  2. Recognize the need for communication between pharmacist, patient and primary care provide with respect to vaccine administration.
  3. Describe requirements for proper vaccine storage and handling.
  4. Identify liability issues related to vaccine administration
  5. Describe Medicare reimbursement requirements and processes for vaccine administration.


Ann Philbrick, PharmD, BCPS, BCACP
Associate Professor
College of Pharmacy, University of Minnesota

Dr. Ann Philbrick is an associate professor at the College of Pharmacy at the University Of Minnesota and a clinical pharmacist at the University Of Minnesota Veterinary Medical Center. She is on the faculty of St. Joseph’s Family Medicine Residency Program and maintains her pharmacy practice at Bethesda Family Medicine Clinic. She graduated in 2006 from the University of Nebraska Medical Center. She completed a PGY-1 Pharmacy Practice Residency with an emphasis in Ambulatory Care and a PGY-2 Specialized Residency in Ambulatory Care at the University Of Iowa Hospitals and Clinics. She became Board Certified in Pharmacotherapy in 2008.

At Bethesda Family Medicine Clinic, she provides medication therapy management services and patient education on a variety of disease states and medications. Through collaborative practice protocols, she manages an anticoagulation service and visits with patients for smoking cessation. Dr. Philbrick is also a preceptor of pharmacy and medical students on rotation at the clinic as well as family medicine residents completing an elective rotation in pharmacotherapy. She provides didactic lectures in both the College of Pharmacy and College of Veterinary Medicine. In June 2010 she took over as content expert of immunization education at the College of Pharmacy. She has been published nationally on this topic including the Immunization Chapter in the ACCP Ambulatory Care Preparatory Review Course since its inception (2011) and a Chapter within the Ambulatory Care Self-Assessment Program (ACSAP).


The online, knowledge-based portion of this activity is divided into four modules over four weeks. Content modules consist of various instructional materials, including: presentations, self-assessment questions and practice cases. In addition to this, all participants must purchase the following required text to complete this course: "APhA's Immunization Handbook, 4th Edition" by Lauren Angelo (available from Amazon or the APhA bookstore). Some quiz questions will assess required readings from the handbook.

Participants will be required to pass (70% or better) a 23-question mid-term quiz during the second week of the activity and a 16-question final quiz during the fourth week of the activity. Participants are required to pass both quizzes prior to attending the live session for this activity.

Participants can log in and access the learning materials 24 hours/day-7 days/week, at their convenience. 

The live, application-based portion of this activity will provide additional instruction and will include additional case discussions, an overview of injection technique, hands-on experience with injection technique and question and answer opportunities with the course instructor. All participants will demonstrate appropriate injection technique to an instructor prior to completion of the program.

Prior to receiving their statement of credit, all participants must produce documentation of current CPR or BLS certification. CPR/BLS does not need to be completed prior to the live program. However, the statement of credit will be held until the documentation is provided.

Week 1

  • Targeting & Screening
  • Vaccine Basics

Week 2

  • Diseases and Vaccines

Week 3

  • Vaccine Storage and Transport
  • Documentation and Record Keeping
  • Vaccine Administration & Emergency Management

Week 4

  • Obtaining Reimbursement for Services
  • Vaccine Controversies
  • Enrichment Module