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ALCOAST 453/20 - COVID-19 VACCINATION PROGRAM

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R 151700 DEC 20
FM COMDT COGARD WASHINGTON DC//DCMS//
TO ALCOAST
UNCLAS FOUO//N06230//
ALCOAST 453/20
COMDTNOTE 6230
SUBJ:  COVID-19 VACCINATION PROGRAM
A. Vaccinations and Chemoprophylaxis for the Prevention of Infectious Diseases,
COMDTINST M6230.4 (series)
B. Coast Guard Medical Manual, COMDTINST M6000.1 (series)
C. Coast Guard Occupational Medicine Manual, COMDTINST M6260.32 (series)
D. Defense Health Agency Procedural Instruction 6025.34, SARS-CoV-2 (COVID-19)
Vaccination Program
E. DHA-IPM 20-004 “DoD Coronavirus Disease (COVID)-19 Vaccination Program (CVP)
Implementation”
F. COVID-19: Initial COVID-19 Vaccine Planning Update, ALCOAST 430/20
G. Novel Coronavirus (COVID-19) Planning Order (series)
H. Department of Defense Coronavirus Disease 2019 Vaccination Plan (DoD COVID-19
Vaccination Plan)
1. The Coast Guard COVID-19 Vaccine Incident Command (CVIC) is responsible for the
planning/logistics, medical administration, information management, and communications
relating to the Coronavirus Disease 2019 (COVID-19) vaccines.
   a. Planning and logistics: The CVIC has section chiefs and personnel for planning,
operations, logistics, and finance.  
   b. Medical administration: Coast Guard clinics will administrate vaccine logistics,
provide staff, and where practical, perform vaccine inoculations. In some cases,
vaccines will have to be transported to outlying units along with qualified inoculation
staff. This ALCOAST and other official message deployment systems will provide additional
detail.
   c. Information management: Several information systems will be used to provide both
workforce-level data on vaccination, as well as granular data on individuals and where
they are in the vaccination process. These systems include several new systems used in
partnership with the Department of Defense (DoD) and will eventually include Coast Guard
Business Intelligence (CGBI) once it has been updated. 
   d. Communications: The Coast Guard is taking a measured, disciplined approach to internal
and external communications, with initial authority for approval and release of messaging/
communications content and timing at the DCMS and COMDT (CG-092) level. The CVIC has a
communication action plan (CAP) and will harmonize communication products with DoD. CVIC is
planning on different communication products to ensure the Coast Guard has the best
information available on all aspects of the COVID-19 vaccines. Operational Commanders are
not authorized to conduct public affairs outreach to publicize unit vaccination efforts.
They are, however, allowed to respond to queries from official media in accordance with
Coast Guard policy.
2. COVID-19 is highly contagious and has the potential to significantly degrade operational
readiness. Because this disease is caused by a novel virus, currently the most effective
strategies to prevent COVID-19 and/or reduce its impact include physical distancing and
wearing a face covering. Vaccination of the workforce will complement these strategies to
reduce disease spread and preserve and restore readiness. 
3. Operation Warp Speed (OWS) is the United States (US) national effort to develop and
deliver COVID-19 vaccines. The Department of Health and Human Services (HHS), through the
Centers for Disease Control and Prevention (CDC), will be making COVID-19 vaccines available
to all states, territories, and some local jurisdictions to ensure widespread distribution
to the whole US population. Coast Guard efforts to vaccinate its workforce, in collaboration
with DoD, will be complementary to a parallel effort by states, territories, and localities,
as vaccine supply allows. The goal is to vaccinate the maximum number of people living in
the US in order to reduce the threat of COVID-19 by reaching population immunity.    
4. Several different manufacturers will submit vaccine candidate applications to the Food
and Drug Administration (FDA). Those which meet the FDA’s regulatory criteria for being safe
and effective will be given Emergency Use Authorization (EUA); in conjunction, the Advisory
Committee on Immunization Practices (ACIP) will issue recommendations for use. Most of these
vaccines will require a second dose 21 or 28 days after the first dose, as specified by the
manufacturer. Since these vaccines will be available through an EUA, COVID-19 vaccination
is not currently mandatory for anyone in the Coast Guard workforce.  
5. COVID-19 vaccines will be available for all Coast Guard Active Duty (AD) and Selected
Reserve (SELRES) using the Department of Defense (DoD) approved prioritization schema and
distribution plan IAW REFs (D) and (E). Vaccine supply will initially be limited, but will
increase throughout CY2021 as manufacturing capacity ramps up. Coast Guard clinics will be
apportioned vaccine doses based on the phased approach IAW REF (D), with the highest priority
occupations being healthcare workers and first responders. As the Coast Guard supply increases,
more of the workforce will become eligible to receive the vaccine.
   a. A limited number of Coast Guard civilian employees, including Non-Appropriated Funds (NAF)
employees who are required to get other vaccines as a condition of employment, will be able
to get a COVID-19 vaccine at their local Coast Guard clinic. Select civilian personnel in
certain medical and critical support roles may also get vaccinated at a Coast Guard clinic
based on vaccine availability. The majority of Coast Guard civilian employees may receive
the vaccine through their health care providers as available.
   b. COVID-19 vaccines are covered by TRICARE and available to dependents and retirees at
DoD Medical Treatment Facilities (MTFs) or though their civilian TRICARE Primary Care Provider
or from certain pharmacies which accept TRICARE. Retirees may be able to get vaccinated at
a Veteran’s Health Administration facility. States, territories, and localities may also have
vaccines available for no-cost through local public health facilities. Options for getting
vaccinated are likely to increase as supply of these vaccines ramps up throughout CY2021.
Coast Guard dependents or retirees assigned to a DoD MTF are strongly encouraged to get
vaccinated at a DoD MTF and not though an alternative civilian route.
   c. Members of the CG Auxiliary who work at a Coast Guard clinic or have detached-duty with
the Health, Safety, and Work-Life Service Center (HSWL-SC) will be able to get vaccinated at
a Coast Guard clinic. All other members of the CG Auxiliary and NAF employees may be able
to obtain the COVID-19 vaccination through normal vaccination channels in the civilian sector
per the CDC priority schema.
   d. Contract personnel who work at a CG clinic or have detached-duty with the HSWL-SC will
be able to get vaccinated at a CG clinic. All other contract personnel may obtain a
COVID-19 vaccine according to the terms of their contract.  
   e. Coast Guard personnel will not vaccinate any migrants, detainees, or other people in
custody, since vaccination does not constitute emergency medical care and/or stabilization.
6. The CVIC will identify units and personnel for vaccination, based on the DoD prioritization
schema and in concert with LANT and PAC Area commanders. Unit commanding officers will query
those members identified for vaccination to understand how many will be vaccinated, and
communicate this information to their HSWL regional practice managers (RPM).  
7. All Coast Guard personnel involved in the storage, handling or administration of the
COVID-19 vaccines shall complete required training. Clinic personnel will need to have
vaccine-specific training completed prior to administering the COVID-19 vaccines. Specific
training will be made available by the CDC and the vaccine manufacturer for each specific
vaccine and will be located under the Vaccines tab of the COVID-19 Community of Practice page:
https://cg.portal.uscg.mil/units/cgcpe2/Pages/HomeCOP.aspx. More detail will be available in
the COVID-19 vaccination OIX.
8. All AD, SELRES, and civilian employees who receive the vaccine at a CG clinic or DoD MTF
will have that data recorded within the Medical Readiness Reporting System (MRRS); declinations
will also be recorded in MRRS. Medical exemptions to this vaccine will be evaluated IAW
REFs (A) and (B).  
   a. Coast Guard AD or SELRES members who receive the vaccine outside of a Coast Guard or
DoD MTF must report receipt of the vaccine to their HSWL health records manager within 2 duty
days of receiving the first dose. 
(https://www.reserve.uscg.mil/Portals/2/Documents/PDF/HSWL_HRC_list_SELRES%232.pdf?ver=2018-
08-17-135417-933) 
   b. Vaccine adverse events must be given medical attention and shall be reported through
the Vaccine Adverse Events Reporting System (VAERS) IAW REFs (A) and (B)
(https://vaers.hhs.gov/reportevent.html).
9. It is important that Coast Guard personnel who have been vaccinated continue to comply
with current COVID-19 mitigation actions including physical distancing and mask wearing.
Immunity to COVID-19 is not immediate after receipt of the vaccine, and other mitigation
actions must remain in effect to keep the entire workforce safe, especially while vaccine
supply is limited. Coast Guard personnel who have been vaccinated shall continue to comply
with all other COVID-19 procedures IAW REF (G) as applicable including testing, quarantine,
contact tracing, and restriction of movement (ROM).
10. Additional information on the vaccine distribution will be available through the
Coast Guard COVID-19 internet page, including resources on when and where to get the vaccine
for family members, retirees, and Auxiliarists. Up to date FAQs on the ongoing vaccine effort
can be found at: https://www.uscg.mil/Coronavirus/Information/Article/2415740/vaccine-faqs/.
Questions can also be emailed to OutbreakQuestions@uscg.mil.
11. POC: CAPT Paul T. Michaud, CVIC Incident Commander, email at Paul.T.Michaud@uscg.mil or
(202) 475-5171.
12. VADM Michael F. McAllister, Deputy Commandant for Mission Support, sends. 
13. Internet release is not authorized.