SOW - Attachment A - Daily Report Template.docx

DOCX document 19 KB Posted

Attached to
MEDICAL PERSONNEL FOR FEMA COVID-19 VACCINE SUPPORT
Solicitation number
70FB8021R00000001
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ATTACHMENT A - DAILY REPORT TEMPLATE

Contractor:

Date:

1. Summary of Activities: (Narrative)

· Medical Health Professionals on Site

· Vaccinators: xxx

· Vaccinator Preparers: xxx

· Other: xxx

· Total: xxx

· Vaccinations

· Vaccinations issued today: xxx

· Brand 1: xxx

· Brand 2: xxx

2. Safety Issues: (Narrative)

· Staff Covid Positive/Symptoms and Quarantined Today: xxx

· Staff Covid Positive/Symptoms and Quarantined Total: xxx

Field Operations Table:

Task Order #
Date
State
Requested Staff
At Facility
Vx Admin Today
Vx Admin Total
Demob
AK
50
10
20
60
0
AZ
30
20
40
90
0
CA
20
10
20
40
1

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