Adult Influenza Vaccine Initiative

Adult Flu Vaccine Initiative


To report the number of Adult Influenza Vaccine Initiative doses administered use the following link:
Adult Influenza Vaccine Initiative (AIVI) Doses Administered Reporting Survey

COVID-19 & All Vaccines Co-Administration Guidance

Given the lack of data on the safety and efficacy of mRNA COVID-19 vaccines administered simultaneously with other vaccines:

  • The vaccine series should routinely be administered alone.
  • With a minimum interval of 14 days before or after administration with any other vaccine. 

For more information: CDC Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States

As you continue to work amidst the rapidly evolving COVID-19 pandemic, you may be evaluating opportunities to expand services and increase patient care.

As a result of low adult influenza immunization coverage rates, the Centers for Disease Control and Prevention (CDC) and the Texas Department of State Health Services (DSHS) Adult Influenza Vaccine Initiative are providing a one-time-only allocation of adult influenza vaccine doses to target high-risk populations disproportionately affected or at risk for COVID-19 infection. Targeting these high-risk populations will help decrease the chances of contracting both influenza and COVID-19 simultaneously.

Target Population

The Adult Influenza Vaccine Initiative aims to provide influenza immunizations at no-cost to Texas healthcare providers. Through the Adult Influenza Vaccine Initiative, the influenza immunization will be made more widely available for populations who are at high-risk for complications from respiratory diseases like influenza, COVID-19 and other novel respiratory illnesses. 
High-risk populations include, but are not limited to:

  • Staff and patients in long-term care facilities
  • Adults with underlying conditions
  • Minority groups disproportionately impacted by influenza
  • Adults who are part of the critical infrastructure, including:
    • Health care professionals
    • First responders
    • Grocery store workers, manufacturing and food plant workers
  • Parents, guardians, siblings of pediatric patients

Benefits of the Adult Influenza Vaccine Initiative

As an Adult Influenza Vaccine Initiative provider, you gain a variety of benefits including:

  • Influenza vaccine supplied to you at no cost.
  • Training and education are provided for your staff at no cost.
  • Access to a free automated vaccine ordering and reporting system.
  • Ability to provide vaccines to your patients who may not otherwise have access to them.

AIVI Vaccine Open-Ordering and Doses Administered Reporting

Texas Vaccines for Children (TVFC) and Adult Safety Net (ASN)
Open-ordering is now available through the Electronic Vaccine Inventory (EVI) for all TVFC, ASN, and non-traditional providers. All AIVI influenza vaccine doses administered must be reported through EVI by the 5th of each month.

COVID-19 Vaccine Providers
Open-ordering is now available for all approved COVID-19 Vaccination Program sites. Sites are now encouraged to order adult influenza vaccines through the Adult Influenza Vaccine Initiative as dual providers.
Please note that COVID-19 Vaccine Providers:

  • Will not be required to enroll into the TVFC/ASN Program to be provided influenza vaccine.
  • Will be able to utilize the Provider Identification Number (PIN) given after enrolling in the COVID-19 Vaccination Program
  • Will be able to order influenza doses through the Vaccine Allocation & Ordering System (VAOS) dashboard
  • Must report doses administered through the Adult Influenza Vaccine Initiative (AIVI) Doses Administered Reporting survey by the 5th of each month.
  • Should submit all influenza doses administered (through adult consent) into the Texas Immunization Registry, ImmTrac2

The Texas Immunization Registry, ImmTrac2

When you become an Adult Influenza Vaccine Initiative provider, you will be required to enroll in the Texas Immunization Registry, ImmTrac2, where it will be imperative for providers to report vaccine doses and usage accurately and in a timely manner. A crucial component of this initiative is to also promote the registry among adults and encourage consent for ImmTrac2.  These activities will be vital in the monitoring and tracking of current adult vaccinations, as well as for initiating the building blocks for shipping, allocating, and reporting the COVID-19 vaccine when it becomes available. 
To enroll in ImmTrac2, visit the following website for more information: https://www.dshs.texas.gov/immunize/immtrac/.

Provider Enrollment

If you are not enrolled in the Adult Influenza Vaccine Initiative, please consider enrolling. The process is simple:
1. Complete registration into the Texas Immunization Registry, ImmTrac2 and obtain your ImmTrac2 Organization Code (IIS Code).
2. Complete Module 10 of the CDC You Call the Shots Training (2021 version) and submit Certificates of Completion.
3. Access and complete the following AIVI registration form: Adult Influenza Vaccine Initiative Provider Agreement.
4. Agree to screen for patient eligibility and maintain screening records.
5. Agree to maintain vaccine safety and inventory.

Contacting the Adult Influenza Vaccine Initiative

Contact the nearest DSHS Public Health Region  or email: AdultFluProgram@dshs.texas.gov.

Additional Resources

Last updated March 5, 2021