VFC Vaccine Inventory and Borrowing Log

Log to track Vaccines for Children (VFC) inventory, doses administered, and any borrowing between public and private stock.

Log Entry Details

• Entry Date
  Date this log entry is completed.
• Clinic / Site Location
  Location where the inventory event occurred.
• Completed By
  Name or role of the staff member completing the log entry.
• Entry Type
  Choose the primary reason for this entry.

Vaccine Product and Inventory

• Vaccine Name
  Product name or abbreviation used by your program.
• Stock Type
  Indicate whether the inventory is public VFC stock or private stock.
• Lot Number
  Lot number for the vaccine product.
• Expiration Date
  Expiration date for the lot.
• Manufacturer
  Manufacturer name, if needed for reconciliation.

Inventory Movement and Dose Counts

• Starting Quantity On Hand
  Count at the beginning of the reporting period or before the event.
• Doses Administered
  Number of doses given from this stock or lot.
• Doses Wasted / Spoiled
  Number of doses discarded due to waste, spoilage, or breakage.
• Quantity Adjustment
  Positive or negative adjustment to reconcile inventory counts.
• Ending Quantity On Hand
  Count remaining after administration, waste, and adjustments.

Borrowing Between Public and Private Stock

• Did borrowing occur?
  Select yes if doses were temporarily moved between public and private stock.
• Borrowing Direction
  Choose the direction of the borrowing event.
• Borrowed Quantity
  Number of doses borrowed.
• Reason for Borrowing
  Brief explanation of why borrowing was needed.
• Replacement Due Date
  Date by which borrowed doses should be replaced, if applicable.

Reconciliation, Consent, and Audit Trail

• Reconciliation Notes
  Explain discrepancies, corrections, or follow-up actions needed.
• Were any patient identifiers collected in this entry?
  Use only if your workflow requires linking doses to specific patients.
• PII Disclosure Acknowledged
  Confirm that only minimum necessary PII is collected and used for the stated purpose.
• Audit Trail Reference
  Optional internal reference number, batch ID, or reconciliation ticket.