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Pre-ordering Bivalent Pfizer-BioNTech COVID-19 Vaccine Booster Doses for Ages 5-11
Beginning Monday September 26, 2022

Pending FDA authorization, CDC anticipates a recommendation for bivalent COVID-19 vaccine boosters for children ages 5-11 years in early to mid-October. Bivalent products expected to be under consideration include the bivalent Pfizer-BioNTech vaccine for children ages 5-11 years and bivalent Moderna vaccine for children ages 6-17 years, for those individuals who have already received their primary vaccine series.

It is expected that if bivalent boosters are authorized for individuals ages 5 years and older, the monovalent Pfizer-BioNTech COVID-19 vaccine may no longer be authorized as a booster dose, as is currently the case for adults. It is anticipated that the current bivalent Moderna vaccine formulation will likely be authorized for ages 6-18 (with a full adult dose given to ages 12 and over and a half-dose given to ages 6-11) however, a new formulation of the Pfizer-BioNTech vaccine will be authorized for ages 5-11.

In anticipation of FDA authorization for bivalent boosters for the 5-11 age groups, CDC is opening up pre-ordering of the new bivalent Pfizer-BioNTech vaccine for children ages 5-11 years beginning Monday, September 26.

The following are the storage and handing requirements for the Pfizer-BioNTech bivalent COVID-19 vaccine for children ages 5-11 years:
• Ultra-cold freezer storage (-90°C to -60°C) until expiry
• NO FREEZER STORAGE
• Refrigerate (2°C to 8°C) up to 10 weeks without puncturing
• Packaged in 10-dose vials in cartons of 10 vials each (100 doses total)
• Requires diluent (note: awardees will not be able to opt out of receiving ancillary kits)
• Minimum order quantity of 100 doses
• Vial with an orange cap similar to the existing Pfizer-BioNTech product for this age group, but with a label that identifies it as a bivalent booster
• Once punctured, each vial must be used within 12 hours.

Pre-orders for the bivalent Pfizer-BioNTech vaccine for children ages 5-11 years must be placed no later than 9 AM on Monday, October 3rd. Please note that delivery of vaccine could begin as early as October 8th so if you place a pre-order for vaccine it is important that your site is open, and staff are available to accept vaccine shipment on the October 10th holiday.

Please note that pre-orders are not a guarantee you will receive the doses requested. Your final pre-order amount may be reduced based on overall supply and demand, and provider type requesting vaccine (priority will be given to primary care providers, CHCs and hospitals).

If you need assistance or have questions, please contact the Massachusetts Department of Public Health Vaccine Management Unit at 617-983-6828.

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