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Seasonal Flu Vaccine Distribution and Supply

For up-to-date information pertaining to flu vaccine distribution and supply (ex: shortages and delays), please refer to the below bulleted information, with the most recent updates provided at the top.

(NOTE: MHSAL will send a communiqué to immunization providers advising of the start date for flu vaccine ordering; any orders received before the start date will be discarded and the provider will be instructed to resubmit the order on or after the start date.)

For more information, please visit the 2018/19 Seasonal Influenza Immunization Program Plan

Please order Seasonal Influenza and Pneumococcal Vaccine using the 2018/19 MHSAL Influenza and Pneumococcal Vaccine Order Form

For Long Term Care Facility influenza and pneumococcal vaccine orders in 2018/19 please order using the 2018/19 Influenza and Pneumococcal Order Form for Long Term Care Facilities


September 20, 2018

Manitoba’s first shipment of influenza vaccine in pre-filled syringe format was delayed and has now arrived and been released at the Provincial Distribution Warehouse.  Orders which include pre-filled syringes are now being filled for priority locations and will continue into next week.  All other delivery timelines are expected to stay the same.

September 13, 2018

Please see the following table for estimated shipping timelines for each distribution group for influenza vaccine orders in 2018/19:

Distribution Group

Client ID ending in

Shipments expected to begin*

1 – Priority – Hospitals, First Nation Communities, Long Term Care**

N/A

September 18, 2018

2

0 to 3

September 24, 2018

Long Term Care**

N/A

October 2, 2018

3

4 to 6

October 10, 2018

4

7 to 9

October 17, 2018

5

N/A – Locations that ordered after September 14, 2018

October 31, 2018

*These dates are APPROXIMATE.  Immunization providers should expect to receive their orders AFTER the dates indicated above, not before.  Any delays in receiving products from manufacturers or disruptions due to other unforeseen circumstances may result in changes to the above estimates.

**MHSAL will receive approximately 50% of the entire Fluzone High-Dose order on September 17th and the remainder on October 1st.  As such, delivery to Long Term Care facilities will be staggered and will be completed according to the sequence that orders were received. 

Flumist QLAIV is not scheduled to arrive until October 9th.  Therefore, any order for Flumist that is being processed prior to the product release at the Provincial Distribution Warehouse will be placed on backorder and will ship at a later date.


September 12, 2018

The first shipment of influenza vaccine is scheduled to arrive at the Provincial Distribution Warehouse on September 17, 2018.  After product has passed quality inspection and has been received into the system, orders for priority locations (Hospitals, Long Term Care Homes and First Nation Communities) will commence.  A preliminary distribution timeline will be posted later this week with estimated dates shipments are expected to begin for each distribution group.

*****All dates approximate.  Providers can expect to receive vaccine AFTER the date indicated for their distribution group.  Delivery to your distribution group will begin once shipping to the previous group has been completed.  Expected shipment dates will be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed.*****

DUE TO THE HIGH VOLUME OF ORDERS BEING SHIPPED DURING THE FLU SEASON, PROVIDERS MAY EXPERIENCE LONGER THAN NORMAL WAIT TIMES FOR ROUTINE IMMUNIZATION ORDERS.


August 1, 2018

2018/19 Seasonal Influenza (Flu) and Pneumococcal Orders

Providers/facilities can start placing their flu and/or Pneu-P-23 vaccine order between August 15 and September 14, 2018, using The Influenza and Pneumococcal Vaccine Order Form: www.gov.mb.ca/health/publichealth/cdc/protocol/influpnevcorderform.pdf

Orders received prior to August 15 will NOT be accepted and will need to be resubmitted on, or after, August 15, 2018.

All flu/Pneu-P-23 vaccine orders will be shipped according to the following schedule:

  1. hospitals, long-term care facilities and First Nations communities
  2. providers/facilities with client ID (holding point #) ending in 0, 1, 2 or 3
  3. providers/facilities with client ID (holding point #) ending in 4, 5 or 6
  4. providers/facilities with client ID (holding point #) ending in 7, 8 or 9
  5. providers/facilities that order after 4 p.m. on September 14, 2018.

All providers/facilities MUST order based on the amount administered last year to reduce wastage.

Failure to reconcile vaccine doses ordered with administered may result in providers/facilities receiving fewer doses than ordered.  It is therefore paramount that all flu vaccine doses administered be reported to MHSAL.

Flu vaccine wastage should be less than 10% at the end of the season.
Subsequent orders can be placed (at no penalty to the provider/facility), while supplies last.

Additional information was sent out on June 14, 2018.  See full communication here: www.gov.mb.ca/health/publichealth/cdc/docs/hcp/2018/061418.pdf


November 8, 2017

Shipping of influenza vaccine orders received prior to the October 31st, 2017 deadline has begun.  All orders are being reviewed and reductions/substitutions are being made where necessary to ensure equitable distribution of the remaining supply on hand. 

Manitoba�s second delivery of Flumist� Quadrivalent Nasal Spray is expected to arrive at the end of November.  Any requests for this product that were received prior to October 31st, 2017 are being placed on backorder and will be shipped to health care providers once the product has been received.


October 24, 2017

Please be advised that the deadline to submit all second seasonal influenza (flu) vaccine orders is Tuesday, October 31st 2017 at 4:00 pm.

Please ensure all flu vaccine doses are recorded in the Manitoba Immunization Registry (via direct entry into Panorama, Physician Billings or DPIN OR by submitting the immunization inputting form available online at www.gov.mb.ca/health/publichealth/cdc/div/docs/iifhcp.pdf

Estimated delivery timelines for second orders will be posted after the October 31st deadline.


October 24, 2017

Distribution Group

Client ID ending in

Shipments expected to begin**

1 – Priority – Hospitals, First Nation Communities

N/A

Completed. 

2

4 to 6

Completed. 

Long Term Care*

N/A

Completed.

3

7 to 9

Completed.

4

0 to 3

Shipping to this group started October 17th and is expected to continue into next week.

5

N/A – Locations that ordered after September 15, 2017

October 31, 2017

**All dates approximate.  Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group.  Delivery to your distribution group will begin once shipping to the previous group has been completed.  Expected shipment dates will continue to be updated as information becomes available.


October 18, 2017

NOTICE OF PRODUCT SUBSTITUTION � Supply of the influenza vaccine Flumist� Quadrivalent Nasal Spray has now been depleted at Manitoba's Provincial Distribution Warehouse. Any orders for this product will be substituted with an injectable influenza vaccine in the multi-dose vial or pre-filled syringe format to ensure timely delivery of vaccine orders while we await our next shipment in November.


October 10, 2017

Distribution Group

Client ID ending in

Shipments expected to begin**

1 – Priority – Hospitals, First Nation Communities

N/A

Completed. 

2

4 to 6

Completed. 

Long Term Care*

N/A

Shipping to Long Term Care Facilities is expected to be complete by October 16.

3

7 to 9

Shipping to this group has started and is expected to be complete by October 16.

4

0 to 3

October 17, 2017

5

N/A – Locations that ordered after September 15, 2017

October 31, 2017

**All dates approximate.  Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group.  Delivery to your distribution group will begin once shipping to the previous group has been completed.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.


October 6, 2017

Manitoba�s Provincial Distribution Warehouse (MDA) has received the first shipment of Fluzone High-Dose and it has passed internal quality inspections.  Shipping of orders to Long Term Care Facilities has now started. Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same.


October 3, 2017

Distribution Group

Client ID ending in

Shipments expected to begin**

1 – Priority – Hospitals, First Nation Communities

N/A

Shipping to these priority locations began on September 19 and is expected to be completed by the end of this week.

2

4 to 6

Shipping to this group began last week and is expected to be completed by the end of this week.

Long Term Care*

N/A

Fluzone High Dose is expected to arrive October 6 and shipping to LTC facilities is expected to begin October 10, 2017.

3

7 to 9

October 10, 2017

4

0 to 3

October 17, 2017

5

N/A – Locations that ordered after September 15, 2017

October 31, 2017

**All dates approximate.  Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group.  Delivery to your distribution group will begin once shipping to the previous group has been completed.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.


September 28, 2017

Manitoba�s Provincial Distribution Warehouse (MDA) has received the first shipment of Flumist Quadrivalent and it has passed internal quality inspections.  Shipping of orders containing Flumist has now started. Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same.


September 18, 2017

Manitoba�s Provincial Distribution Warehouse (MDA) has received the first shipment of Fluzone (Quadrivalent Influenza Vaccine) and it has passed internal quality inspections.  Shipping of multi-dose vials and pre-filled syringes to priority locations is expected to begin tomorrow.  Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same.


September 8, 2017

Distribution Group

Client ID ending in

Shipments expected to begin**

1 – Priority – Hospitals, First Nation Communities

N/A

September 21, 2017

2

4 to 6

September 27, 2017

Long Term Care*

N/A

October 10, 2017

3

7 to 9

October 10, 2017

4

0 to 3

October 17, 2017

5

N/A – Locations that ordered after September 15, 2017

October 31, 2017

*Delivery to Long Term Care Facilities will commence once the Influenza High Dose vaccine arrives at the Provincial Distribution Warehouse, which is expected to be prior to October 6th, 2017 but will be after the receipt of the quadrivalent influenza vaccine.

**All dates approximate.  Providers can expect to receive vaccine ON OR AFTER the date indicated for their distribution group.  Delivery to your distribution group will begin once shipping to the previous group has been completed.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.

DUE TO THE HIGH VOLUME OF ORDERS BEING SHIPPED DURING THE FLU SEASON, PLEASE ENSURE THAT YOU PLACE ANY ORDERS FOR ROUTINE IMMUNIZATIONS AND SCHOOL CLINICS PRIOR TO 3:00 PM ON WEDNESDAY, SEPTEMBER 13, 2017 TO AVOID ANY DELAYS IN RECEIVING PRODUCT.


August 11, 2017

New this year � Long Term Care Facilities and those who place orders on their behalf are asked to use the following form to place their influenza and pneumococcal vaccine orders for the 2017/18 season:
www.gov.mb.ca/health/publichealth/cdc/protocol/influpnevcorderform_ltcf.pdf


June 21, 2017

Quadrivalent Influenza vaccine products available for order by healthcare providers for the 2017/18 influenza season are as follows:

  • Fluzone� Quadrivalent (available in both 10 dose vials and pre-filled syringes)
  • Flulaval� Tetra (available in 10 dose vials)
  • FluMist� Quadrivalent

Please use the MHSAL Influenza and Pneumococcal Vaccine Order Form (www.gov.mb.ca/health/publichealth/cdc/protocol/influpnevcorderform.pdf) to place your orders between August 14th, 2017 and 4:00pm on September 15th, 2017.
All flu/pneumo vaccine orders will be shipped according to the following schedule:

  1. Hospitals, personal care homes and First Nations communities;
  2. Providers/facilities with client ID (holding point #) ending in 4, 5 or 6;
  3. Providers/facilities with client ID (holding point #) ending in 7, 8 or 9;
  4. Providers/facilities with client ID (holding point #) ending in 0, 1, 2 or 3;
  5. Providers/facilities that order after 4:00pm on September 15th 2017.

All providers must review their previous flu/pneumo vaccine usage and wastage to order accordingly; repeat orders will be processed after all initial orders have been filled. This approach worked well the previous two years; shipping sequence by client ID/holding point # continues to rotate every year to ensure all providers have equitable access. 

Please see the following letter to health care providers for more detailed information on this year�s program.


October 21, 2016

All influenza vaccine currently in stock at Manitoba’s Provincial Vaccine Warehouse has been allocated to orders that will be shipped out shortly. 

The next shipment of FLUZONE Quadrivalent (multi-dose vials) from the manufacturer is expected to arrive on Monday, October 24 . 

The next shipment of FLUMIST Intranasal influenza vaccine is expected to arrive on Wednesday, October 26 at which point shipping of backorders will commence.


October 20, 2016

Please see the newly updated table below for estimated shipping dates.

Distribution Group

Client ID ending in

Shipments expected to begin

1 – Priority – Hospitals, First Nation Communities, Long Term Care

N/A

COMPLETED

2

7 to 9

COMPLETED

3

0 to 3

COMPLETED

4

4 to 6

COMPLETED

5

N/A – Locations that ordered after September 15, 2016

Shipping to group 5 has already started and is estimated to finish by Oct 21.  

ALL INFLUENZA ORDERS SUBMITTED FROM THIS POINT FORWARD WILL BE PLACED IN THE QUEUE BASED ON DATE RECEIVED AND SHIPPED OUT ACCORDINGLY ALONGSIDE ORDERS FOR ROUTINE IMMUNIZATIONS.


October 13, 2016

NOTICE OF PRODUCT SUBSTITUTION – Supply of the influenza vaccine FLUZONE®  Pre-Filled Syringe Format has now been depleted at Manitoba’s Provincial Vaccine Warehouse.  Any orders for this product will be substituted with an equivalent influenza vaccine in the multi-dose vial format.


October 12, 2016

Manitoba’s Provincial Vaccine Warehouse continues to work through the third distribution group this week as well as fill all outstanding backorders for Flumist that resulted from a delay in receiving the product from the manufacturer.  Please see the newly updated table below for estimated shipping dates.

Distribution Group

Client ID ending in

Shipments expected to begin***

1 – Priority – Hospitals, First Nation Communities, Long Term Care

N/A

COMPLETED

2

7 to 9

COMPLETED

3

0 to 3

October 3, 2016 – expected to be complete by Oct 14

4

4 to 6

Starting October 13, 2016 and through until the following week

5

N/A – Locations that ordered after September 15, 2016

October 20, 2016

***All dates approximate.  Providers can expect to receive vaccine on or after the date indicated for their distribution group.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.***


October 3, 2016

Manitoba’s Provincial Vaccine Warehouse has received the first shipment of FLUMIST Quadrivalent Nasal Spray today and filling of backorders is expected to begin later this week.  Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same.

Distribution Group

Client ID ending in

Shipments expected to begin***

1 – Priority – Hospitals, First Nation Communities, Long Term Care

N/A

COMPLETED*

2

7 to 9

COMPLETED*

3

0 to 3

October 3, 2016

4

4 to 6

October 10, 2016

5

N/A – Locations that ordered after September 15, 2016

October 17, 2016

***All dates approximate.  Providers can expect to receive vaccine on or after the date indicated for their distribution group.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.***

*Shipping to these groups is complete, minus any Flumist orders, as the first shipment of this product has just arrived in the warehouse.*


September 12, 2016

Manitoba’s Provincial Vaccine Warehouse has received the first shipment of Flulaval Tetra (Quadrivalent Influenza Vaccine) and it has passed internal quality inspections.  Shipping of multi-dose vials to priority locations is expected to begin tomorrow.  Until further information on additional product releases is obtained, all other estimated shipping dates will remain the same.

Distribution Group

Client ID ending in

Shipments expected to begin*

1 – Priority – Hospitals, First Nation Communities, Long Term Care

N/A

September 13, 2016

2

7 to 9

September 26, 2016

3

0 to 3

October 3, 2016

4

4 to 6

October 10, 2016

5

N/A – Locations that ordered after September 15, 2016

October 17, 2016

***All dates approximate.  Providers can expect to receive vaccine on or after the date indicated for their distribution group.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.***


September 1, 2016

Distribution Group

Client ID ending in

Shipments expected to begin*

1 – Priority – Hospitals, First Nation Communities, Long Term Care

N/A

September 19, 2016

2

7 to 9

September 26, 2016

3

0 to 3

October 3, 2016

4

4 to 6

October 10, 2016

5

N/A – Locations that ordered after September 15, 2016

October 17, 2016

***All dates approximate.  Providers can expect to receive vaccine on or after the date indicated for their distribution group.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.***


August 18, 2016

Manitoba Health, Seniors and Active Living has received estimated delivery dates for Influenza Vaccine for the 2016/17 season. 

The following table outlines the expected delivery dates of each product and the cumulative percentage of the total annual order received up to that date.

*More information on when shipments to health care providers are expected to begin will be available shortly*

Date delivered  by: Product Cumulative % of Manitoba's total annual order received
September 15 Flulaval Tetra QIIV (Multi-dose Vials)
Fluzone QIIV (Multi-dose Vials)
Fluzone QIIV (Pre-Filled Syringes)
46%
September 30 – October 5 Flumist QIV Nasal Spray 50%
October 1 Flulaval Tetra QIIV (Multi-dose Vials)
Fluzone QIIV (Multi-dose Vials)
Fluzone QIIV (Pre-Filled Syringes)
74%
October 15 Flulaval Tetra QIIV (Multi-dose Vials)
Fluzone QIIV (Multi-dose Vials)
Fluzone QIIV (Pre-Filled Syringes)
88%
October 21 – 30 Flumist QIV Nasal Spray 89%
October 30 Flulaval Tetra QIIV (Multi-dose Vials)
Fluzone QIIV (Multi-dose Vials)
Fluzone QIIV (Pre-Filled Syringes)
99%
November 18 – 23 Flumist QIV Nasal Spray 100%

July 13, 2016


December 3, 2015

  • MHSAL has fulfilled all initial orders for all providers in their designated distribution group
  • All incoming orders of Fluzone should be placed under the Pre Filled Syringes (PFS) format. Any order placed for multi dose vial will be changed to PFS through the Provincial Warehouse

October 23, 2015

MHSAL has received a portion of its order of FluMist® Quadrivalent earlier this week and has started shipping doses to providers in the same priority order used to distribute Fluzone® Quadrivalent, Manitoba’s other allotted flu vaccine.

All initial provider orders have nearly been filled of Fluzone® Quadrivalent (multi-dose vials).

MHSAL continues to expect arrival of Fluzone® Quadrivalent (pre-filled syringes) to Manitoba next week; processing and shipping of all backorders will begin at that time.

October 6, 2015

Distribution Group Client ID ending in Shipments expected to begin*
Priority – Hospitals, First Nation Communities, Long Term Care N/A September 18, 2015
1 0-3 September 23, 2015
2 4-6 October 6, 2015
3 7-9 October 14, 2015

* All dates approximate.  Providers can expect to receive vaccine on or after the date indicated for their distribution group.  Expected shipment dates will continue to be updated as information becomes available. Second orders will be shipped once the initial orders for all groups have been processed, with the exception of the Priority groups.

Date delivered by Product % of Manitoba's total annual order
September 15 Fluzone Multi-dose Vials (MDV) 57%
October 1 Fluzone MDV 70%
October 20 Flumist QIV Nasal Spray 74%
October 30 Fluzone Pre-Filled Syringe (PFS) 100%
Fluzone Multi-dose Vials (MDV)
Flumist QIV Nasal Spray

September 18, 2015

Distribution Group Client ID ending in Shipments expected to begin*
Priority – Hospitals, First Nation Communities, Long Term Care N/A September 18, 2015
1 0-3 September 23, 2015
2 4-6 September 30, 2015
3 7-9 TBD

* All dates approximate.  Shipping to each distribution group will be completed before shipping to the next group begins.  Providers can expect to receive vaccine on or after the date indicated for their distribution group.  Expected shipment dates will continue to be updated as information becomes available.

Last updated: September 18, 2015.


September 15, 2015

Date delivered by Product % of total
September 15 Fluzone MDV 57%
October 1 Fluzone MDV 72%
October 20 Flumist QIV Nasal Spray 75%
October 30 Fluzone MDV and Fluzone PFS 95%
November 8 Flumist QIV Nasal Spray 97%
November 23 Flumist QIV Nasal Spray 100%

September 1, 2015

  1. Hospitals, personal care homes (PCHs) and First Nations communities
  2. Providers/facilities with Client ID ending in 0 to 3
  3. Providers/facilities with Client ID ending in 4 to 6
  4. Providers/facilities with Client ID ending in 7 to 9
  • All providers must review their previous flu/pneumo vaccine usage and wastage to order accordingly; repeat orders will be processed after all initial orders have been filled. If this approach works well, shipping sequence by Client ID will change year to year to ensure that all providers will have equitable access–that is, 0-3 will be first this year, second next year, third the year after, etc.

August 21, 2015

Manitoba has been provided the following delivery schedule of when Influenza vaccine is expected to be delivered throughout Canada, the product to be delivered in Manitoba, and the percentage of Manitoba’s total annual order. The exact date of delivery to Manitoba may be different.

Date delivered by Product % of Manitoba’s total annual order
September 15 Fluzone Multi-dose Vials (MDV) 57%
October 1 Fluzone MDV 72%
October 15 Fluzone MDV 82%
October 20 Flumist QIV Nasal Spray 85%
October 30 Fluzone Pre-Filled Syringe (PFS) 96%
November 8 Flumist QIV Nasal Spray 97%
November 23 Flumist QIV Nasal Spray 100%

August 20, 2015


July 15, 2015

  • AstraZeneca has experienced production delays affecting delivery of FluMist® Quadrivalent to Canada. Manitoba’s first shipment of partial doses is expected to arrive mid-October instead of September. Remaining doses are to arrive November and December.
  • Sanofi has advised that the pre-filled syringes of Fluzone® Quadrivalent will be delivered October (exact date TBD).

July 14, 2015

  • Manitoba’s 2015-16 quadrivalent seasonal influenza vaccine order is expected to consist of:
    • 81.8% Fluzone® Quadrivalent, an inactivated influenza vaccine in multi-dose vials administered intramuscularly and manufactured by Sanofi;
    • 10.7% Fluzone® Quadrivalent, an inactivated influenza vaccine in pre-filled syringes administered intramuscularly and manufactured by Sanofi; and,
    • 7.5% FluMist® Quadrivalent a live attenuated influenza vaccine administered intranasally manufactured by Astra Zeneca.
  • Manufacturers for inactivated influenza vaccine are contractually obligated to provide 50% of the supply in September, with the remaining supply arriving throughout the month of October.
  • As FluMist® Quadrivalent has a shorter shelf life, the delivery of the product to provinces and territories is spread out throughout the influenza season with the majority of product being delivered in September and October in order to maximize the shelf life for supply availability.