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Yellow Fever 
Vaccination Center Certification

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General information

An official yellow fever uniform stamp holder has the authority granted by the State of Wisconsin to administer yellow fever vaccine to the public. An official yellow fever stamp holder authorization is required to order and administer yellow fever vaccine. A uniform stamp on the International Certificate of Vaccination or Prophylaxis (ICVP) card is the international verification that an individual has been vaccinated against yellow fever.

Due to the risk of serious adverse events that can occur following yellow fever vaccine administration, providers should only vaccinate persons who: 1) are at risk for exposure to yellow fever virus, or 2) require proof of vaccination for country entry. To further minimize the risk of serious adverse events, medical providers should carefully observe the contraindications and consider the precautions to vaccination to administration of yellow fever vaccine.

Wisconsin requirements to become an official Yellow Fever Uniform Stamp Holder:

  • Applicants must be a physician (medical doctor or doctor of osteopathic medicine) or nurse practitioner licensed in the State of Wisconsin.
  • Complete the Wisconsin State Uniform Stamp Application.
  • Must complete the Yellow Fever Vaccine Course: Information for Healthcare Professionals Advising Travelers online training course. Any staff advising travelers on the vaccine on behalf of the physician or nurse practitioner should also complete the course.
  • Read and understand the recommendations outlined by the CDCís Advisory Committee on Immunization Practices (ACIP).
  • Agree to record each dose of yellow fever vaccine administered in the Wisconsin Immunization Registry (WIR). If you are not currently a WIR user please contact the WIR Implementation Coordinator at 608-261-4948. If providers are Regional Early Childhood Immunization Network (RECIN) users they will not need to become WIR users.
  • Purchase an official yellow fever uniform stamp for each official Wisconsin Yellow Fever Vaccination Center.
  • Give the Vaccine Information Statement (VIS) to every Yellow Fever vaccine recipient prior to administering the vaccine.
  • Adhere to administration, storage, and handling requirements as indicated by ACIP and the yellow fever vaccine manufacturer.
  • Administer Yellow fever vaccine only at an official Wisconsin Yellow Fever Vaccination Center.
  • Record yellow fever vaccine with official uniform stamp on the ICVP card. You can order the ICVP online or call 866-512-1800.
  • Recertify as a yellow fever vaccination center every three years. Sanofi Pasteur will not ship yellow fever vaccine after the expiration date of the official yellow fever uniform stamp.
  • Notify the WI immunization program if there is an address change for the yellow fever vaccination center.
  • A maximum of five yellow fever centers may be registered under one provider.

Please submit the following:

  1. Wisconsin - State Yellow Fever Uniform Stamp Application F-00375
  2. Yellow Fever Vaccination Center Certification Acknowledgement Form F00376
  3. Healthcare Professionals Advising Travelers online training course  (Exit DHS)

Items must be mailed to:

Yellow Fever Certification
Wisconsin Immunization Program
1 W Wilson Street - Room 272
Madison WI 53701-2659

Once all information has been received and approved, you will be sent information on how to order your official yellow fever uniform stamp.

For questions about Yellow Fever Certification:

Tracey Andrews - Public health advisor 
Wisconsin Division of Public Health 
Bureau of Communicable Diseases and Emergency Response
(Phone 608-266-7550)  (Fax 608-267-9493)

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Last Revised: April 17, 2014