09/04/2025

You Asked... We Answered...

You Asked: If a resident lacks vaccination records, can we administer vaccines based on their verbal history?

We Answered: Verbal history is acceptable for influenza and pneumococcal vaccines only. CMS provides the specific guidance under F883, §483.80(d) Influenza and pneumococcal immunizations, in the State Operations Manual Appendix PP as follows:

• Written, dated records are required as evidence of vaccination for all vaccines except the influenza vaccine and the pneumococcal polysaccharide vaccine (PPSV).
• Self-reported doses are acceptable for influenza and PPSV only.
• If the resident cannot self-report, a resident representative may report on their behalf if they have knowledge of the resident’s medical care.