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Issue 1,812: May 7, 2025

Top Stories
* New measles resources and infographics from CDC; 935 confirmed measles cases reported in 29 states
* New standing orders from CDC prompt Immunize​.org update to "Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools"
* Learn to navigate Immunize​.org resources on your smartphone in 4 minutes with our Orientation Video Series: “Introducing State Immunization Requirements Information” (mobile view)
* Vaccines in the news


Immunize​.org Website and Clinical Resources
* Spotlight on the website: Use the "Vaccines A–Z" menu to reach specific content for 34 vaccine-preventable diseases
* Summary: Immunize​.org updated these clinical resources in March and April


Vaccine Information Statements
* Summary: VISs, Spanish translations, and VIS-related resources released in March and April


Featured Resources
* Optimize your adult immunization practice. Order laminated 2025 U.S. adult immunization schedule booklets.
* ACOG releases "Labor of Love" podcast discussing maternal vaccination and other topics
* CDC offers archived COCA webinar, “Clinician Update on Human Cases of H5N1 and Influenza A Virus Surveillance”; CE credit available
* Explore the www.Give2MenACWY.org website to increase coverage for the MenACWY booster and other adolescent vaccinations


Upcoming Events
* Virtual: Register for Immunize​.org Website Office Hours. Ask questions and learn about our affiliated websites on May 7 at 4:00 p.m. (ET) or May 8 at 12:00 p.m. (ET). Recorded sessions available online.
* Virtual: North Dakota State University hosts webinar titled “Adult Vaccine Conversations: Addressing Common Concerns” on May 15 at 1:00 p.m. (ET); CME credit available


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Top Stories
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New measles resources and infographics from CDC; 935 confirmed measles cases reported in 29 states

In response to growing measles outbreaks involving more than half of U.S. states, CDC published a suite of new resources for public health, healthcare professionals, and families in communities experiencing a measles outbreak. Resources include infographics for families, images to help clinic personnel identify cases, and a Be Ready for Measles communication toolkit ([link removed]). A quick reference for healthcare professionals provides guidance for caring for patients with measles ([link removed]). Find all of these resources on the CDC Measles Cases and Outbreaks ([link removed]) page.

As of May 1, CDC reported 935 confirmed measles cases ([link removed]) in 2025, with 93% of the cases associated with 12 outbreaks. Most (683 of 935, 73%) were reported by the Texas Department of State Health Services ([link removed]) . A map of 2025 confirmed measles cases, as of May 1, is shown below.

Related Links
* CDC: Measles Cases and Outbreaks ([link removed]) main page
* CDC: Be Ready for Measles Toolkit ([link removed])
* Immunize​.org: Vaccines A–Z: Measles ([link removed]) main page
* Immunize​.org: Standing Orders for Administering Measles, Mumps, and Rubella Vaccine to Children and Teens ([link removed]) (PDF)
* Immunize​.org: Standing Orders for Administering Measles, Mumps, and Rubella Vaccine to Adults ([link removed]) (PDF)

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New standing orders from CDC prompt Immunize​.org update to "Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools"

CDC recently published updated clinical support materials aligned with ACIP recommendations updated in October 2024. In response, Immunize​.org published the May 2 version of its Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) to connect clinicians to these recently updated materials:
* COVID-standing orders for all COVID formulations and age groups
* 2024–2025 COVID-19 vaccine immunization schedule for people 6 months of age and older
* COVID-19 VIS (dated January 31, 2025)
* Storage and beyond-use date tracking labels for 2024–2025 seasonal respiratory illness vaccines

The resource checklist is updated when significant new COVID-19 vaccine resources are released. The date of the current version of the checklist appears atop the first page and within the footer. All who offer COVID-19 vaccination should review reference materials in use and replace as needed with the most current versions.

Related Links
* CDC: U.S. COVID-19 Vaccine Product Information ([link removed]) main page
* CDC: Interim Clinical Considerations ([link removed]) main page for use of COVID-19 vaccines
* Immunize​.org: Vaccines A–Z: COVID-19 ([link removed]) main page

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Learn to navigate Immunize​.org resources on your smartphone in 4 minutes with our Orientation Video Series: “Introducing State Immunization Requirements Information” (mobile view)

Learn how to navigate Immunize​.org’s state immunization requirements information on the go with your smartphone. Check out the “mobile view” version of our 4-minute Orientation Video Series: Introducing State Immunization Requirements Information ([link removed]).

Our Orientation Video Series ([link removed]) is available on our YouTube channel ([link removed]).

Share these videos with anyone who wants to learn more about effective immunization practices with Immunize​.org.

* Immunize​.org: Webinars & Videos Orientation Video Series ([link removed]) page
* Facebook at ImmunizeOrg ([link removed])
* Instagram at ImmunizeOrg ([link removed])
* LinkedIn at ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])

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Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.

* Associated Press: CDC Reports 216 Child Deaths This Flu Season, the Most in 15 Years ([link removed]) (5/2/2025)

* New York Times: Kennedy Advises New Parents to ‘Do Your Own Research’ on Vaccines ([link removed]) (4/29/25)

* STAT: U.S. Government Researchers Present ‘Phenomenal’ New Data on HPV Vaccines ([link removed]) (4/28/25)

* YouGov: What Americans Think of Childhood Vaccinations ([link removed]) (4/28/25)

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Immunize​.org Website and Clinical Resources
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Spotlight on the website: Use the "Vaccines A–Z" menu to reach specific content for 34 vaccine-preventable diseases

At the top of every Immunize​.org page, find "Vaccines & VISs" on the left tab. The Vaccines A–Z ([link removed]) option opens by default and lists all vaccines alphabetically.

Once you click on a choice such as eumococcal ([link removed]), you will see vaccine-specific content from Immunize​.org, the CDC, the FDA, and state immunization programs.

Use the left navigation column to reach other A–Z vaccine pages.

Hyperlinks, known as “breadcrumbs,” are visible above the title of each vaccine-specific page. These links make it easy to move back up the page hierarchy to other major sections. Scrolling down the example “Pneumococcal” page, you can access disease-specific resources:

* Clinical Resources: an alphabetical list of Immunize​.org materials about pneumococcal disease for providers ([link removed]) or for vaccine recipients ([link removed])

* Ask the Experts: sample questions are displayed, in addition to the corresponding View all Ask the Experts: Pneumococcal ([link removed]) link to access all available questions and answers

* CDC, FDA, and State Resources, including, for example:
+ ACIP Recommendations: in this case links are displayed to current ACIP recommendations ([link removed]) for pneumococcal vaccination

+ Vaccine Information Statements: links are displayed for all relevant pneumococcal VISs and available translations ([link removed])

+ State Policies: a U.S. map of PCV requirements for childcare ([link removed]) by state with a link to the table of data on the map

The right-hand navigation column (captioned with “On this page”) links to sections that appear as you scroll further down the page. This column acts as a hyperlinked table of contents for the page.

Do you want to learn more? Watch our 2-minute orientation videos (for desktop ([link removed]) or smartphone ([link removed]) ) to learn more about navigating our Vaccines A–Z web pages. For a deeper dive, we also offer a 30-minute webinar ([link removed]).

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Summary: Immunize​.org updated these clinical resources in March and April

IZ Express regularly provides readers with information about Immunize​.org’s new and updated educational materials for healthcare professionals and handouts for patients. All Immunize​.org materials are free to distribute.

In case you missed them during recent weeks, updates were made to the following helpful materials.

Immunize​.org Updated Materials for Clinicians

Standing Orders Templates:
* Diphtheria, Tetanus, and Acellular Pertussis (DTaP) Vaccine to Children Younger than Age 7 Years ([link removed])

* Inactivated Poliovirus Vaccine to Infants and Children ([link removed])

* Measles, Mumps, and Rubella Vaccine to Adults ([link removed])  

* Measles, Mumps, and Rubella Vaccine to Children and Teens ([link removed])  

* Recombinant Zoster Vaccine (Shingrix) to Adults ([link removed])

* Td/Tdap Vaccine to Adults  ([link removed])

* Tdap Vaccine During Pregnancy ([link removed])

* Tdap/Td Vaccine to Children and Teens Age 7 Years and Older ([link removed])

Materials Supporting Immunization Services:
* Screening Checklist for Contraindications to HPV, MenACWY, MenB, and Tdap Vaccines for Teens ([link removed])  

* Vaccines with Diluents: How to Use Them ([link removed])  

* Vaccine Storage Quick Reference  ([link removed])

* Suggestions to Improve Your Immunization Services ([link removed])  

Immunize​.org Web Pages:
* Ask the Experts: Administering Vaccines ([link removed])

* Vaccine History Timeline ([link removed])

Archived Immunize​.org Website Office Hours Webinars: 
* New! Website Office Hours: Publication Archives, Vaccine Timeline, & About Us ([link removed])

* New! Website Office Hours: Images, Webinars, Videos, & Social Media ([link removed])  

Immunize​.org Updated Printable Materials for Your Patients 
* Immunizations for Babies: A Guide for Parents ([link removed])  and its 17 translations ([link removed])  

* Human Papillomavirus (HPV): Questions and Answers ([link removed])

* HPV Vaccine: A Guide for Adults Ages 18–26 Years ([link removed])

Updated Spanish translations: 
* Human Papillomavirus (HPV): A Parent's Guide to Preteen and Teen HPV Vaccination ([link removed]) (view in English ([link removed]))  

* Vaccinations for Adults with Chronic Liver Disease or Infection ([link removed]) (view in English ([link removed]))  

* Vaccinations for Adults with Diabetes ([link removed]) (view in English ([link removed]))  

* Vaccinations for Adults with Heart Disease ([link removed]) (view in English ([link removed]))  

* Vaccinations for Adults with HIV Infection ([link removed]) (view in English ([link removed]))  

* Vaccinations for Adults with Lung Disease ([link removed]) (view in English ([link removed]))  

* Vaccinations for Adults without a Spleen ([link removed]) (view in English ([link removed]))  

* Vaccinations for Men Who Have Sex with Men ([link removed]) (view in English ([link removed]))  



Related Links
* Immunize​.org: Clinical Resources: Screening Checklists ([link removed]) main page

* Immunize​.org: Clinical Resources A–Z ([link removed]) main page to see educational materials sorted by category

* Immunize​.org: Ask the Experts ([link removed]) main page to access more than 1,200 questions answered by Immunize​.org experts

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Vaccine Information Statements
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Summary: VISs, Spanish translations, and VIS-related resources released in March and April

IZ Express provides readers with information about new and updated VISs, translations, and resources. In March, CDC released 17 revised VISs dated January 31, 2025. Immunize​.org provided updated Spanish translations (PDF and RTF for electronic medical record systems) in April for the 15 routinely recommended vaccines VISs.

Web links to the revised VISs and updated 15 Spanish translations are shown below. 

Cholera ([link removed])

COVID-19 ([link removed])
COVID-19 ([link removed])
COVID-19 ([link removed])

Dengue ([link removed])
Dengue ([link removed])
Dengue ([link removed])

Ebola ([link removed])

Hepatitis A ([link removed])
Hepatitis A ([link removed])
Hepatitis A ([link removed])

Hepatitis B ([link removed])
Hepatitis B ([link removed])
Hepatitis B ([link removed])

Influenza, live ([link removed]) Influenza, live ([link removed])
Influenza, live ([link removed])

Influenza, recombinant ([link removed])
Influenza, recombinant ([link removed])
Influenza, recombinant ([link removed])

Meningococcal ACWY ([link removed])
Meningococcal ACWY ([link removed])
Meningococcal ACWY ([link removed]-
content/uploads/vis/spanish_meningococcal.rtf)

Meningococcal B ([link removed])
Meningococcal B ([link removed])
Meningococcal B ([link removed])

MMR ([link removed])
MMR ([link removed])
MMR ([link removed])

MMRV ([link removed])
MMRV ([link removed])
MMRV ([link removed])

Polio ([link removed])
Polio ([link removed])
Polio ([link removed])

RSV ([link removed])
RSV ([link removed])
RSV ([link removed])

Smallpox/monkeypox ([link removed])
Smallpox/monkeypox ([link removed])
Smallpox/monkeypox ([link removed])

Tdap ([link removed])
Tdap ([link removed])
Tdap ([link removed])

Varicella ([link removed])
Varicella ([link removed])
Varicella ([link removed])

Two clinical resources related to VISs were updated: 
* Dates of Current Vaccine Information Statements (VISs) ([link removed])  

* You Must Provide Patients with Vaccine Information Statements (VISs) – It's Federal Law! ([link removed])  

Immunize​.org offers three clinical resources that link to VISs via QR codes: 
* QR Code Links to Routinely Recommended Vaccine Information Statements ([link removed])  

* QR Code Links to All Vaccine Information Statements ([link removed])  

* QR Code Links to Vaccine Information Statement (VIS) Translations: Influenza (Flu) Vaccine (Inactivated or Recombinant) ([link removed])  

All these resources appear on our new Clinical Resources topic: VIS-Related Resources ([link removed]). 

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Featured Resources
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Optimize your adult immunization practice. Order laminated 2025 U.S. adult immunization schedule booklets.

Laminated booklets of the 2025 U.S. adult immunization schedule ([link removed]) are still available in the Immunize​.org shop. The 2025 child and adolescent schedule booklets sold out.

The schedules are available online as PDFs from CDC ([link removed]) at no cost. Immunize​.org’s laminated booklets are ideal for use in any busy healthcare setting where vaccines are given. Features include:

* Durability: Their tough coating can be wiped down, and they can stand up to a year's worth of use.

* Format: Each schedule is produced in an 8.5” X 11” booklet format; with color coding for easy reading, our laminated schedules replicate the original CDC formatting, including all tables and notes. The adult schedule is 16 pages.

* Easy access to CDC updates: The CDC online schedule includes an addendum page that will display ACIP’s new recommendations as CDC adopts them during 2025. Each Immunize​.org laminated schedule addendum page includes QR codes you can scan to view or print the online addendum page as it is revised.

* Bonus content: The schedule includes a bonus page with Immunize​.org’s popular 1-page handout summarizing the dose, route, and needle size recommendations for all vaccines and recipients.

Pricing:

Adult Bookletshttps://immunize.us1.list-manage.com/track/click?u=69948816469e0f4801f8647ee&id=118e058232&e=7d2c340013
1 copy: $10.00
2–4 copies: $9.50 each
5–19 copies: $8.50 each
20–99 copies: $7.50 each
100–499 copies: $6.00 each
500–999 copies: $5.00 each
1,000–1,999 copies: $4.00 each
2,000+ copies: $3.25 each

Visit the Shop Immunize​.org: Laminated Schedules ([link removed]) web page to view images and order today!

For additional information, call 651-647-9009 or email [email protected].

Related Links
* Immunize​.org: Laminated Adult Immunization Schedules (19 and older) ([link removed]) web page

* Immunize​.org: Shop Immunize​.org ([link removed]) main page

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ACOG releases "Labor of Love" podcast discussing maternal vaccination and other topics

The American College of Obstetricians and Gynecologists (ACOG) posted a new entry in its Labor of Love podcast series: Vaccinating for Two: Overcoming Challenges in Maternal Vaccines ([link removed]) . A description from the ACOG web page appears below.

Immunization during pregnancy plays a vital role in protecting both patients and their babies. This episode provides health professionals with the latest guidance on immunization during pregnancy, including COVID-19, Influenza, RSV, and Tdap. Experts discuss co-administration strategies, proper documentation, and approaches to overcoming vaccine hesitancy and access barriers. The conversation also covers preparing pregnant patients for respiratory illness season, addressing challenges such as maternal sepsis, and sharing case studies on successful vaccine interventions.

Related Links
* ACOG: Labor of Love ([link removed]) podcast page

* ACOG: Labor of Love: Season 3, Episode 1: The Latest on RSV Prevention and Vaccination ([link removed])

* ACOG: Immunization ([link removed]) main page

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CDC offers archived COCA call, “Clinician Update on Human Cases of H5N1 and Influenza A Virus Surveillance”; CE credit available

On May 6, CDC hosted a Clinician Outreach and Communication Activity (COCA) call titled Clinician Update on Human Cases of H5N1 and Influenza A Virus Surveillance ([link removed]).

A recording of the presentation will be archived on the COCA Calls web page ([link removed]).

Free continuing education credit (including CME, CPE, and CNE) will be offered for this COCA call.

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Explore the www.Give2MenACWY.org website to increase coverage for the MenACWY booster and other adolescent vaccinations

Immunize​.org's www.Give2MenACWY.org ([link removed]) website promotes the importance of adolescent vaccination, including the recommended MenACWY vaccine booster dose at age 16. Many teens are behind on vaccines because of the pandemic, so vaccine outreach is more important than ever.

Materials on this colorful website for healthcare professionals incorporate the 2020 ACIP meningococcal vaccine recommendations ([link removed]) and coverage statistics from CDC’s National Immunization Survey–Teen (NIS–Teen). One particularly popular resource on the site is the Algorithm for MenACWY Immunization in Adolescents 11 Through 18 Years of Age ([link removed]).

The website is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]): teen vaccination schedules and tips for improving vaccination rates

* Give 2 Doses ([link removed]): tools to help improve second dose coverage of MenACWY vaccine

* 16-Year-Old Visit ([link removed]): resources to help providers and patients remember the important vaccines recommended for 16-year-olds

* Tools for Providers ([link removed]): tools to explain meningococcal ACWY vaccine recommendations and improve coverage for all adolescent vaccines

* Resources ([link removed]): links to print materials ([link removed]), organizations ([link removed]) involved in adolescent vaccination, personal stories ([link removed]) about the importance of vaccination, and otherresources ([link removed]) of interest

The site also categorizes materials ([link removed]) according to whether they are primarily of interest to providers, to adolescents, or to parents.

Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and deploying) its bountiful resources.

Related Links
* Give2MenACWY.org ([link removed]) website

* Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed])

* MenACWY: You're Not Done If You Give Just One: Give 2 Doses to Strengthen Protection ([link removed])

* Recommending MenACWY: What to Say and How to Say It ([link removed])

* Top 10 Ways to Improve Adolescent Immunization Rates ([link removed])

* Developing an Immunization Culture in Your Office ([link removed])

* Know Your Rates: Measuring Immunization Success in Your Practice ([link removed])

* You're 16: We Recommend These Vaccines for You ([link removed])

* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed]) , signed by six medical societies

* Ask the Experts: Meningococcal ACWY ([link removed])

* CDC: ACIP Meningococcal Vaccine Recommendations ([link removed])

* CDC: Vaccination Coverage Among Adolescents Aged 13–17 Years—National Immunization Survey–Teen, United States, 2023 ([link removed])

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Upcoming Events
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Virtual: Register for Immunize​.org Website Office Hours. Ask questions and learn about our affiliated websites on May 7 at 4:00 p.m. (ET) or May 8 at 12:00 p.m. (ET). Recorded sessions available online.

To learn simple tips and tricks for using our website efficiently, please register for our next set of Website Office Hours on Wednesday, May 7 at 4:00 p.m. (ET) ([link removed]) or Thursday, May 8 at 12:00 p.m. (ET) ([link removed]). The same content will be covered in both sessions.

We will open each 45-minute session with a short, live demonstration on navigating our affiliated websites, including our educational website for the public, VaccineInformation.org. You can submit questions when you register or live on Zoom during the session.

Register today for Immunize​.org Website Office Hours (content is the same for both):
* Wednesday, May 7 at 4:00 p.m. (ET) ([link removed])

* Thursday, May 8 at 12:00 p.m. (ET) ([link removed])

The archive of previous Website Office Hours content is posted at Immunize​.org’s Webinars & Videos ([link removed]) page. These archived webinars include Ask the Experts; Clinical Resources; Vaccine Information Statements (VISs); Images, Webinars, Videos, & Social Media; Official Guidance; Publication Archives, Vaccine Timeline, & About Us; Travel Vaccines, Vaccine Confidence, & Addressing Concerns; and Vaccines A–Z.

Mark your calendar ([link removed]) for future Immunize​.org Website Office Hours.

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Virtual: North Dakota State University hosts webinar titled “Adult Vaccine Conversations: Addressing Common Concerns” on May 15 at 1:00 p.m. (ET); CME credit available

North Dakota State University's Center for Immunization Research and Education (CIRE) will host a webinar titled Adult Vaccine Conversations: Addressing Common Concerns ([link removed]), 1:00–2:00 p.m. (ET) on May 15. During this webinar, Elizabeth Skoy, PharmD, FAPhA, will describe strategies for discussing vaccines for adults with patients.

Register for the webinar ([link removed]).

CIRE offers free access to recordings of its monthly webinars on its website. Participants who watch the full recording and complete the pre- and post-training quizzes may earn free CME and maintenance of certification for each webinar. Learn more about CE opportunities ([link removed]).

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For more upcoming events, visit our Calendar of Events ([link removed]).

Editorial Information
Editor-in-Chief
Kelly L. Moore, MD, MPH

Managing Editor
John D. Gräbenstein, RPh, PhD

Associate Editor
Sharon G. Humiston, MD, MPH

Writer/Publication Coordinator
Taryn Chapman, MS
Courtnay Londo, MA

Style and Copy Editor
Marian Deegan, JD

Web Edition Managers
Arkady Shakhnovich
Jermaine Royes

Contributing Writer
Laurel H. Wood, MPA

Technical Reviewer
Kayla Ohlde

About IZ Express
Immunize​.org welcomes redistribution of this issue of IZ Express or selected articles.
When you do so, please add a note that Immunize​.org is the source of the material and provide a link to this issue ([link removed]).

IZ Express is supported in part by Grant No. NH23IP922654 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of Immunize​.org and do not necessarily represent the official views of CDC.

IZ Express Disclaimer (http:// [link removed])
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