COMDTINST 6230.10B — Coast Guard Smallpox Vaccine Program (svp)

COMDTINST 6230.10B governs the Coast Guard Smallpox Vaccine Program, including vaccination policy, tracking, reporting, and related guidance.

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  • Publication number: COMDTINST 6230.10B
  • Title: COAST GUARD SMALLPOX VACCINE PROGRAM (SVP)
  • Date: 2/19/2019
  • Proponent: CG-112

View COMDTINST 6230.10B on armypubs.army.mil


The publication addresses unit prioritization, automated tracking, medical and administrative exemptions, medical reporting, and communications and education. It requires vaccination records and exemption data to be entered into designated systems and provides guidance for Coast Guard personnel and medical staff.

Applies to: All CG Commanders, Commanding Officers, Officers-In-Charge, Deputy/Assistant Commandants, and Chiefs of Headquarters staff elements must comply with the provisions of this Instruction.

Topics covered

  • Smallpox vaccination policy
  • Unit prioritization
  • Administrative exemptions
  • Medical exemptions
  • Medical reporting
  • Immunization tracking systems
  • Vaccination communications and education

Questions and answers

What personnel does COMDTINST 6230.10B require to comply?

All CG Commanders, Commanding Officers, Officers-In-Charge, Deputy/Assistant Commandants, and Chiefs of Headquarters staff elements must comply with the provisions of this Instruction. (paragraph 2)

Can Coast Guard service members refuse the smallpox vaccine?

As with other vaccinations required by the military, service members may not refuse the smallpox vaccine. (paragraph 2)

What vaccine is currently provided through the Joint Vaccine Acquisition Program?

The smallpox vaccine currently provided through JVAP, ACAM2000™, is licensed and approved by the U.S. Food and Drug Administration (FDA). (paragraph 9)

Where must Coast Guard smallpox vaccinations be documented?

Documentation of all smallpox vaccinations must be made in the following locations in the STR: Chronological Record of Medical Care (Smallpox Vaccination Initial Note), SF-600 SVP Overprint and the Adult Preventive and Chronic Care Flow Sheet, DD Form 2766 (MRRS version is acceptable). (paragraph 1)

Who authorizes administrative exemptions from smallpox vaccination?

Administrative exemptions from smallpox vaccination are authorized for personnel by the individual’s Commanding Officer or Officer-In-Charge for the reasons found in Reference (e). (paragraph 9)

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