DOH rescinded standing orders for J&J COVID-19 vaccine

On May 5, the U.S. Food and Drug Administration limited the authorized use of the Johnson & Johnson (Janssen) COVID-19 vaccine, otherwise known as the J&J vaccine. Their analysis shows the risk of certain side effects warrants limiting the vaccine. The uses of J&J vaccine now authorized by the FDA are limited to:

  • People age 18 years and older who cannot be given or cannot access another COVID-19 vaccine
  • People age 18 years and older who choose to receive the J&J vaccine because they otherwise would not get a COVID-19 vaccine

Washington State has sufficient supply of other COVID-19 vaccines to ensure availability. There could be situations where the J&J vaccine is still the best choice based on the individual’s preference, but due to the need for additional screening, education, and documentation of the individual’s decision, the state Department of Health rescinded the state’s standing orders for J&J COVID-19 vaccine. If you have standing orders from DOH for the J&J vaccine, they are no longer valid.

If you wish to still administer J&J, you must do so under your internal ordering process, which could include your own standing orders using this J&J standing order template. Please continue providing patient education about the COVID-19 vaccine and ensure people have a choice of vaccine based on the FDA information. Standing orders from the Washington State Department of Health are available for the Moderna and Pfizer COVID-19 vaccines. That link also includes CDC standing orders templates for all vaccine brands if you need to create your own.

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