Vaccine Storage Temperature Log (Celsius)
Location of Unit:______________________________ Month/Year: _____
• Fill in the minimum and maximum temperatures in the morning (if you have that
information).
• Check temperatures twice a day!
• Complete this log by marking the:
• Take immediate action on any temperature you find in the shaded area!
 Time of day the temperatures were checked (both am and pm)
• If the temperature in your refrigerator/freezer is not on the grid or is in a shaded
area, mark the vaccine in question and do not use it until you’ve called the
Minnesota Immunization Program, 800-657-3970 or 651-201-5522.
 Initials of the staff person recording the temperature.
 An “X” in the box that corresponds with the current temperature/time of day.
• If the vaccine has gotten too warm or too cold, you will not be able to distinguish
viable from nonviable vaccine by looking at it.
• If the temperature is in the too warm or too cold row, write the actual temperature
in the box; do not use an X.
Days 1-15
Day of Month Example
am pm
Time
of day
800 315
SK
Staff Initials
am
1
pm
am
2
pm
am
3
pm
am
4
pm
am
5
pm
am
6
pm
am
• Keep these monthly temperature logs for three years.
7
pm
am
8
pm
am
9
pm
am
10
pm
am
11
pm
am
12
pm
am
13
pm
am
14
pm
am
15
pm
JM
Refrigerator - Aim for 5°C
6° / 8°
Min / Max
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Too
o warm
w m!
9° or
Store at 2°– 8°C. Aim for 5°C!
/
8°
X
7°
X
6°
5°
4°
3°
2°
Too
T
oc
cold!
d!
1° or
Freezer - Aim for -18°C
-16°/-15°
Min / Max
/
/
/
/
/
/
Too warm
To
w m!
-14° or
Store at -15°C or
/
-15°
X
-16°
X
-17°
OTHER
Too
T
oc
cold!
d
-50° or
Immunization Program
800-657-3970, 651-201-5503
www.health.state.mn.us/immunize
Page 1 of 2
IC# 141-2232 (7/14)
Vaccine Storage Temperature Log (Celsius)
Location of Unit:______________________________ Month/Year: _____
• Check temperatures twice a day!
• Fill in the minimum and maximum temperatures in the morning (if you have that
information).
• Complete this log by marking the:
• Take immediate action on any temperature you find in the shaded area!
 Time of day the temperatures were checked (both am and pm)
• If the temperature in your refrigerator/freezer is not on the grid or is in a shaded
area, mark the vaccine in question and do not use it until you’ve called the
Minnesota Immunization Program, 800-657-3970 or 651-201-5522.
 Initials of the staff person recording the temperature.
 An “X” in the box that corresponds with the current temperature/time of day.
• If the vaccine has gotten too warm or too cold, you will not be able to distinguish
viable from nonviable vaccine by looking at it.
• If the temperature is in the too warm or too cold row, write the actual temperature
in the box; do not use an X.
Days 16-31
Day of Month
Time
of day
am
16
pm
am
17
pm
am
18
pm
am
19
pm
am
20
pm
am
21
pm
am
22
pm
am
• Keep these monthly temperature logs for three years.
23
pm
am
24
pm
am
25
pm
am
26
pm
am
27
pm
am
28
pm
am
29
pm
am
30
pm
am
31
pm
Staff Initials
Refrigerator - Aim for 5°C
Min / Max
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Too
o w
warm
m!
9° or
Store at 2°– 8°C. Aim for 5°C!
/
8°
7°
6°
5°
4°
3°
2°
Too
T
oc
cold!
d!
1° or
Freezer - Aim for -18°C
Min / Max
/
/
/
/
/
/
/
Too w
To
warm
m!
-14° or
Store at -15°C or
/
-15°
-16°
-17°
OTHER
Too
T
oc
cold!
d!
-50° or
Immunization Program
800-657-3970, 651-201-5503
www.health.state.mn.us/immunize
Page 2 of 2
IC# 141-2232 (7/14)