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U.S. Department of Health and Human Services

Frequently Asked Questions and Answers Regarding COVID-19 Vaccine Ancillary Kits

  1. How does a provider order COVID-19 vaccine ancillary kits?
  2. How much do COVID-19 vaccine ancillary kits cost?
  3. What products and supplies are included in COVID-19 vaccine ancillary kits?
  4. How are needles and syringes packed in COVID-19 vaccine ancillary kits?
  5. Can providers order specific brand(s) of needles and/or syringes?
  6. What is considered "pediatric" and "adult"?



  1. How does a provider order COVID-19 vaccine ancillary kits?

Providers do not need to order ancillary kits. When providers order COVID-19 vaccine in VTrckS, ancillary supplies will automatically be ordered in amounts to match the vaccine orders.

Note: To receive COVID-19 vaccine, vaccination provider facilities and organizations must enroll in the federal COVID-19 Vaccination Program coordinated through their jurisdiction’s immunization program.


  1. How much do COVID-19 vaccine ancillary kits cost?

COVID-19 vaccines and ancillary supplies will be procured and distributed by the federal government at no cost to enrolled COVID-19 vaccination providers.


  1. What products and supplies are included in COVID-19 vaccine ancillary kits?

Each standard adult ancillary kit for use with the Moderna COVID-19 vaccine and the Janssen COVID-19 vaccine from Johnson & Johnson contains supplies to administer 100 doses of vaccine (with some overage). Supplies include:

  • Needles
  • Syringes
  • Alcohol pads
  • Vaccination record cards
  • Needle gauge and length charts
  • Face shields
  • Surgical masks

Each large combined ancillary kit for use with the Pfizer-BioNTech COVID-19 vaccine will support 1170 doses of vaccine (with some overage). Supplies include:

  • Needles
  • Syringes
  • Alcohol pads
  • Vaccination record cards
  • Needle gauge and length charts
  • Face shields
  • Surgical masks
  • Mixing kits also are included in for the Pfizer-BioNTech vaccine, which requires reconstitution with diluent or mixing with adjuvant at the point of administration.

Products and brands for kit components may vary.


  1. How are needles and syringes packaged in COVID-19 vaccine ancillary kits?

Needles and syringes for vaccine administration may be packaged as integrated units (i.e., combo needles and syringes for which NO assembly required) or as separate items in a kit (i.e., assembly required).


  1. Can providers order specific brand(s) of needles and/or syringes?

Due to a limited supply of needles and syringes, SNS is unable to fulfill requests for specific needles or syringes. In order to meet the demand for supplies, the federal government has purchased single-use, sterile needles and syringes from multiple manufacturers to ensure adequate supplies. These products are approved by the U.S. Food and Drug Administration, safety-engineered and compliant with standards established by the Occupational Safety and Health Administration.


  1. What is considered “pediatric” and “adult”?

For immunizations, pediatric is considered birth through 18 years and adult is 19 years and older. Refer to each product’s emergency use authorization for age indications.


Contacts for Questions

For questions related to COVID-19 vaccine ancillary supply and mixing kits that have been received, contact McKesson Customer Service (email: SNSSupport@McKesson.com; phone: 833-272-6634).

For questions related to proper product use, contact the product manufacturer.

For questions or concerns related to needle and syringe quality and performance, orders or other contents of the COVID-19 vaccine ancillary supply kit, contact the state or local health department.


Related Resources

CDC Resources:


FDA Resource:

  • This page last reviewed: March 04, 2021