VA MRC Vaccinator Training Information


 Vaccinator Information

Note: Updates may be made to the list below as resources become available/modified.

Healthcare professionals (MD, DO, PA, NP, RN, LPN, Pharmacist, Pharm Tech, Pharm Intern) with routine vaccination experience (an individual that provides vaccination within their employment duties and has done so within the last year OR administered vaccines within the last year within a Flu POD or TB Clinic) must complete the following:

Note: Those who previously qualified to administer COVID-19 vaccines now must qualify under the PREP Act. Only those healthcare providers listed under the PREP Act are now eligible Eligible Vaccinators: In the Commonwealth of Virginia, who is eligible to administer COVID-19 vaccines, Monkeypox, and Influenza under the PREP Act?
Health Professionals (Current and Previously Active within the last 5 years)
Emergency medical technicians (advanced or
intermediate EMTs)
Advanced practice registered nurses (APRN)
Registered nurses (RN)
Licensed practical nurses (LPN); under the
supervision of an RN
Pharmacists, pharmacy interns, and pharmacy
Physician assistants
Respiratory therapists

*Healthcare Students in the career fields listed above


VDH Procedure for Evaluating Immunization Knowledge and Skills of Vaccinators

  1. Initial training: Providing immunizations against vaccine-preventable diseases is a critical skill.  Therefore, all-volunteer public health staff involved in immunization efforts must complete the following “You Call the Shots” modules:
    1. Understanding the Basics:  TRAIN 1065440
    2. Vaccine Administration:  TRAIN 1101060
    3. Influenza:  TRAIN 1065390
    4. Annual influenza season update 22-23(TRAIN ID 1100064).
    5. Pfizer BioNtech COVID-19 vaccine (TRAIN 1095215) and Moderna COVID-19 vaccine (TRAIN 1095345)
    6. How to use an epi-pen (TRAIN 1095208)
    7. Bloodborne Pathogen (TRAIN 1028520)

2. Additional Vaccination Training: Volunteers must pass score at least 80% on the module posttests and complete the skills assessment portion prior to administering vaccines. Vaccinators must complete the vaccine-specific training module for the vaccine they will be administering. The exception is influenza vaccine administration training. Vaccinators must complete the yearly flu season update in addition to the initial influenza training.  A complete listing of modules that are current in TRAIN includes the following:

Topic Revision date TRAIN ID#
Understanding the Basics 2/2019 1065440
DTaP 3/2020 1101084
Polio 10/2019 1101085
Hib 7/2021 1066747
Influenza 9/2020 1065390
Hep A 5/2021 1085543
MMR 6/2019 1067101
HPV 1/2020 1067205
Tdap 3/2020 1065716
Vaccine Storage & Handling 1/2021 1065485
Hep B 2/2020 1067197
Meningococcal 6/2018 1066729
Varicella 8/2020 1067042
Rotavirus 3/2020 1101053
Pneumococcal 2/2020 1067207
Vaccines for Children (VFC) 1/2021 1101056
Zoster 3/2018 1101059
Vaccine Administration 3/2021 1101060
Pfizer/BioNTech 11/3/2021 1095215
Moderna 12/21/2021 1095345
J & J 12/22/2021 1096541


Additional modules available include:

How to use an Epi-pen 1095208
Needlestick prevention 1101015
IM injection skills 1096822
Airborne Pathogens 1087669
Confidentiality 1032033
POD Essentials 1094136

Annual training for vaccinators who have completed the initial training must include:

  1. Current flu season update and test (TRAIN Course ID and knowledge assessment will be provided when CDC MMWR is made available) if they will be administering influenza vaccineIn addition, they must view the updated versions of the COVID-19 vaccine modules if they will be administering COVID-19 vaccines.
  2. As indicated in the steps below, the volunteer vaccinator must successfully complete the module-specific test with a score of 80% or higher.
  3. The skills portion of the test may be administered by an MRC member who is licensed as an RN, MD, DO, or NP and is trained in vaccine administration, and has demonstrated skill competency as evidenced by documentation by the district IAP, nurse manager, or her designee.


All vaccine training shall have occurred within 12 months of assignment to administer the vaccine.

  1. The Medical Reserve Corps Coordinator or designee is responsible for ensuring the volunteer has passed the posttest for each module with a score of 80% or higher either in TRAIN.  If the volunteer does not pass the test the first time, he or she should review the materials and repeat the test.  TRAIN will only allow them to retake the test one time; therefore, those who complete the paper assessment may only do so a total of two times before viewing the module again.
  2. After successfully completing the knowledge assessments, the MRC coordinator or designee will provide the volunteer names to the district nurse manager or their designee, and coordinate the completion of the skills assessment.  The nurse manager or his or her subject matter professional designee is responsible for verifying that the volunteer has the appropriate skills to administer vaccines.  The skills checklist (Appendix A) will be used to verify competence.  Upon successful completion, the volunteer’s competencies will be documented in the Virginia Volunteer Health System and they will be assigned to the corresponding group and role.



Note: On March 12, 2021, the Acting Secretary of HHS issued the 7th Amendment to the PREP Act to extend liability protections to specified healthcare professionals who may not usually administer vaccines in their scope of practice or who have recently expired licenses, and students of specified healthcare professions who administer COVID-19 vaccines.” Given the need to provide booster vaccinations and to vaccinate children, it is highly unlikely this amendment will expire this year.




What You Need to Know
  •  Registered nurses, nurse practitioners, physician assistants, and/or physicians can attend training.
  • Two vaccines may be used for the prevention of Monkeypox virus infection:
    • JYNNEOS (also known as Imvamune or Imvanex), is licensed (or approved) by the U.S. Food and Drug Administration (FDA) for the prevention of Monkeypox virus infection, and
    • ACAM2000, licensed (or approved) by FDA for use against smallpox and made available for use against Monkeypox under an Expanded Access Investigational New Drug application.
Source: CDC, Considerations for Monkeypox Vaccination (


Vaccine ACAM 2000 Training Information

 Vaccine Jynnenos Training Information





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Updated on 11/3/2022