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Immunization Tool Kit

Tool Kit

The printed version of the Immunization Tool Kit Ninth Edition is being phased out, but an up-to-date electronic ITK is available for health care personnel within the Department of Defense. The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. The ITK is available in downloadable electronic PDF and mobile formats. See below for more information on each format.

IHD maintains a comprehensive list of updates made since the ITK Ninth Edition was released in October 2019. Any updated pages are displayed and cataloged below, and are also reflected in the electronic version (find the date of the last revision at the top of the cover page). Check the ITK mobile application to see the last-updated date to ensure all of the errata sheets are reflected in the current version.

Updated content Date
Page 1-20 to 1-21: Routine Immunization Screening Form: Pediatric
Sept. 3, 2024
Page 1-22 to 1-23: Routine Immunization Screening Form: Adult
Sept. 3, 2024
Pages 4-17 to 4-20: Potentially Compromised Temperature Sensitive Medical Product Worksheet
Sept. 3, 2024
Page 2-14: 2024 Adult Immunization Schedule Addendum
Aug. 9, 2024
Pages 2-30 to 2-31: Inactivated Influenza Vaccine (Adult)
Aug. 9, 2024
Pages 2-32 to 2-33: Live Attenuated Influenza Vaccine (Adult)
Aug. 9, 2024
Page 3-16: 2024 Childhood Immunization Schedule Addendum
Aug. 9, 2024
Pages 3-41 to 3-42: Inactivated Influenza Vaccine (Pediatric)
Aug. 9, 2024
Pages 3-43 to 3-44: Live Attenuated Influenza Vaccine (Pediatric)
Aug. 9, 2024
Pages 2-22 to 2-23: COVID-19 Vaccine (Adult)
March 13, 2024
Pages 3-26 to 3-28: COVID-19 Vaccine (Pediatric)
March 13, 2024
Page 3-55: Rotavirus Vaccine (Pediatric)
March 13, 2024
Page 4-21: Vaccine and Diluent Disposal
March 13, 2024
Pages 2-2 to 2-14: 2024 Recommended Adult Immunization Schedule
Dec. 6, 2023
Pages 2-18 to 2-20: Anthrax Vaccine (Adult)
Dec. 6, 2023
Pages 2-36 to 2-37: Meningococcal ACWY (Adult)
Dec. 6, 2023
Pages 2-38 to 2-39: Meningococcal B (Adult)
Dec. 6, 2023
Pages 3-2 to 3-16: 2024 Recommended Child and Adolescent Immunization Schedule
Dec. 6, 2023
Pages 3-33 to 3-34: Hepatitis B (Pediatric)
Dec. 6, 2023
Pages 3-46 to 3-47: Meningococcal ACWY (Pediatric)
Dec. 6, 2023
Pages 3-48 to 3-49: Meningococcal B (Pediatric)
Dec. 6, 2023
Pages 2-37 to 2-41: Pneumococcal Vaccines (Adult)
Nov. 3, 2023
Pages 2-66 to 2-67: Yellow Fever (Adult)
Nov. 3, 2023
Pages 3-48 to 3-51: Pneumococcal Vaccines (Pediatric)
Nov. 3, 2023
Pages 3-61 to 3-62: Yellow Fever (Pediatric)
Nov. 3, 2023
Pages 1-10 to 1-16: Vaccine Excipient and Media Summary
Oct. 31, 2023
Pages 1-17 to 1-19: Vaccines Licensed for Use in the United States
Oct. 31, 2023
Pages 1-20 to 1-21: How to Administer Injections
Oct. 31, 2023
Pages 2-63 to 2-64: Varicella Vaccine (Adult)
Oct. 31, 2023
Pages 3-59 to 3-60: Varicella Vaccine (Pediatric)
Oct. 31, 2023
Pages 2-43 to 2-46: Rabies Vaccine Oct. 16, 2023
Pages 4-11 to 4-15: Vaccine Storage and Handling Requirements
Oct. 6, 2023
Pages 4-1 and 4-2: Vaccine Storage and Handling
Sept. 13, 2023
Page 2-44 Respiratory Syncytial Virus Vaccine Aug. 15, 2023
Pages 4-6 to 4-7: Sample Vaccine Temperature Logs
July 27, 2023
Page 4-15: Steps to take for Potentially Compromised Vaccine Event
July 27, 2023
Pages 2-57 to 2-58: Typhoid Vaccine (Adult)
May 15, 2023
Pages 3-57 to 3-58: Typhoid Vaccine (Pediatric) May 15, 2023
Pages 2-55 to 2-56: Tick-Borne Encephalitis (Adult)
April 17, 2023
Pages 3-55 to 3-56: Tick-Borne Encephalitis (Pediatric)
April 17, 2023
Pages 3-17 to 3-22: Summary of Recommendations for Child-Teen Immunizations
April 17, 2023
Pages 2-12 to 2-13: Cholera Vaccine (updates age indication) February 23, 2021
Pages 2-14 to 2-17: Hepatitis A B and Combination AB Vaccines: Adult
September 25, 2020
Page 3-25: Hepatitis A Vaccine: Pediatric
September 25, 2020
Pages 2-20 to 2-21: Inactivated Influenza Vaccine: Adds information on Southern Hemisphere flu vaccine
March 9, 2020

Get the Ninth Edition

The ITK Ninth Edition is available electronically in pdf format. You can navigate through the electronic ITK by using the bookmarks embedded in the Table of Contents, which is found on pages v-vii. Clicking on any of the entries in the Table of Contents will take you directly to the corresponding page number where the content is located. All of the errata sheets above have been added to this version.

Download the electronic ITK

ITK app iconThe ITK is also available as a mobile application that can be downloaded on any smartphone or tablet. The ITK App is organized by six main topics, each of which has a series of subtopics that reproduce all of the information from the electronic version of the ITK in mobile format. Click the button below to see the latest date of the app to ensure all of the errata sheets are reflected in the current version.

Instructions on how to download app (Android and iPhone)

If customers have any questions or concerns about updates or any other issues regarding the app, please contact IHD's point of contact at dha.ncr.immunization.mbx.itk-app@health.mil.

Download the ITK app at DHA Mobility site

Last Updated: November 15, 2023
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