Joint Regulation & General Policy
This maritime branch of the Armed Services implements this joint instruction under the code CG COMDTINST M6230.4G.
What is the Coast Guard?
To terminate rapid disease transmission in settings of close contact, this injectable drug (specifically the G benzathine form) is the primary agent used for Group A Streptococcus chemoprophylaxis.
What is penicillin?
Under code AS, military personnel pending discharge or separation are typically exempt from deployment immunizations within 60 days, and those retiring are exempt within this many days.
What is 180 days?
Refrigerated vaccines must be consistently maintained and stored within this specific temperature range in Fahrenheit.
What is 35°F to 46°F?
Sourced to prevent acute febrile respiratory outbreaks in close-quarters settings, this vaccine is administered only to military enlisted basic trainees at the start of collective training.
What is the Adenovirus vaccine (types 4 and 7)?
Vaccines or drugs must not be used beyond this specific manufacturer-defined date, unless an extension is authorized in exceptional circumstances by a Service Surgeon General or CG-11.
What is the potency expiration date?
Prior to prescribing the anti-malarial chemoprophylaxis agent primaquine, healthcare providers must screen the individual for this specific genetic enzyme deficiency.
What is G6PD (glucose-6-phosphate dehydrogenase) deficiency?
This administrative exemption code is strictly reserved for service members who are missing in action or held as prisoners of war.
What is AM (Administrative, Missing)?
Due to temperature fluctuations and unstable cooling profiles, this specific household-style cooling appliance is explicitly prohibited for vaccine storage.
What are dormitory-style refrigerators?
This vaccine is required annually for all active duty, Reserve, and National Guard personnel to mitigate epidemics aboard ships, training centers, and aircraft.
What is the Influenza vaccine?
When prioritizing immunizations in crowded military training environments, these types of illnesses typically represent the most imminent clinical threats.
What are contagious diseases?
For the immediate on-scene management of a severe post-vaccination anaphylaxis event, clinics must have immediately accessible a minimum of this many adult doses of epinephrine (1:1000).
What is three adult doses?
For the Navy and Marine Corps, waivers for religious exemptions are granted on a case-by-case basis exclusively by this high-ranking medical official.
Who is the Chief of the Bureau of Medicine and Surgery (BUMED)?
To ensure cold-chain integrity, clinical staff must physically confirm and document the temperature of all vaccine refrigerators and freezers at least this many times per day.
What is two times per day?
This booster vaccine, abbreviated Tdap, is given once during adulthood to boost childhood immunity, and is preferred over standard Td for wound management if not previously received.
What is Tetanus-diphtheria and acellular pertussis?
Operated by the Army as the Executive Agent, this specialized office provides the Military Services with a coordinated source for vaccine-related policies, education, and synchronization.
What is the Military Vaccine (MILVAX) Office?
This specific broad-spectrum tetracycline antibiotic is highly effective and recommended for the chemoprophylaxis of both leptospirosis and scrub typhus in exposed personnel.
What is doxycycline?
According to the regulation, a military commander can revoke a religious exemption at any time under this specific operational condition.
What is an imminent risk of exposure to a disease (or if the unit is at imminent risk)?
Vaccine clinics are legally and operationally mandated to maintain physical or electronic temperature tracking logs for at least this long.
What is 3 years?
Except during a declared outbreak, this specific vaccine is withheld from breastfeeding women due to the unique danger of contact transmission of the vaccinia virus to the child.
What is the Yellow Fever vaccine?
If different anatomical sites are not possible, simultaneous vaccine injections administered in the same limb must be separated by at least this distance.
What is 1 inch?
Following the administration of any vaccine, the ACIP general recommendations suggest observing patients for this specific timeframe to monitor for immediate adverse events or syncope.
What is 15 to 20 minutes?
This administrative code is applied when service members receive immunizations while eligible, but subsequently change their occupational category to a non-required civilian or contractor role.
What is NR (Not Required)?
To prevent immunologic interference, two or more live virus vaccines must be administered on the same day or separated by a minimum of this many days.
What is 28 days?
This mosquito-borne viral disease vaccine is uniquely required for all Marine Corps accessions and military personnel traveling to or transiting through sub-Saharan Africa or tropical South America.
What is the Yellow Fever vaccine?