Immunization Records in Vermont
The Vermont Immunization Registry (IMR) is a secure, centralized health information system containing Vermonters' immunization records. Medical providers and school nurses use the IMR to find patient histories, print IMR reports and report coverage.
The Immunization Registry Team is excited to announce updates to Automatic HL7 messaging (VXU) are complete. This includes accepting updates, edits, and deletions from a practice’s EHR, and Vaccine National Drug Codes (NDC). Print and save our Quick Reference Guide for more information.
Access to the Registry is limited to medical professionals and school users. Looking for vaccine records for yourself or as a guardian? Please visit our record request page and follow a few simple steps to get started.
Immunization Registry Login and System Information
Access to the Registry is limited to medical professionals and school users. Looking for vaccine records for yourself or as a guardian? Please visit our record request page and follow a few simple steps to get started. Medical providers and school/Licensed Child Care users may apply for an IMR account by selecting and completing a Confidentiality Agreement (scroll to the bottom of the initial page to click "Start Filling"):
- Confidentiality Agreement Form for Medical Providers and Licensed Child Care (Daycare)
- Confidentiality Agreement Form for Schools (NOT Licensed Child Care or Daycare)
Please note the Registry Team only accepts agreements through our Digital Forms. Agreements sent through fax, physical mail, or email are no longer accepted.
Vermont Immunization Registry (IMR): Access Eligibility and Restrictions
Access to the Vermont Immunization Registry (IMR) is restricted to eligible Vermont-based providers and specifically authorized third-party partners. Out-of-state providers, health systems, and immunization registries are not eligible to apply for direct IMR access solely by virtue of their role as a healthcare provider or registry administrator. Individuals may request access to their own immunization records.
Under 18 V.S.A. § 1129(c), the Vermont Department of Health may exchange confidential registry information with immunization registries in other states to obtain comprehensive immunization records. This provision authorizes information exchange between registries; it does not establish unrestricted or direct, automated access to Vermont’s IMR for out-of-state providers.
For example, New York healthcare systems and state registries do not have direct, automated access to Vermont’s immunization records. New York uses the New York State Immunization Information System (NYSIIS), or the Citywide Immunization Registry (CIR) for New York City, while Vermont maintains its own immunization registry. Because the United States does not have a single, centralized national immunization registry, immunization records generally must be obtained through authorized information-sharing processes or by requesting records directly from the originating state. Individuals who need Vermont immunization records for a New York school, employer, or healthcare provider may need to request their records from Vermont and submit them to the receiving organization.
Under 18 V.S.A. § 1124(b), appropriate health personnel, including school nurses, may access immunization records for individuals enrolled in Vermont schools or childcare facilities when access is necessary to perform official duties related to required immunizations. Access to student immunization records must also comply with applicable parental and student consent requirements under the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g, and its implementing regulations.
Key eligibility principle: IMR access applications are limited to eligible Vermont-based providers and specifically selected third-party partners authorized by the Vermont Department of Health. Out-of-state entities should use applicable records-request or authorized interstate information-exchange processes rather than apply for direct registry access, unless specifically authorized under applicable law and Department policy.
Video Tutorial: first time login, including MFA, and troubleshooting common issues
Other Login Tips
- Be sure you are using Google Chrome, Microsoft Edge, or Mozilla Firefox. Other browsers are not currently supported. Please Note: Internet Explorer may no longer be compatible. If you find you cannot use Internet Explorer any longer, please try one of the other compatible browsers.
- Check to see if a pop-up blocker on your computer is blocking access.
- More information on Multifactor Authentication (MFA)
- For a new password or other questions, contact IMR user support at 888-688-4667 or [email protected].
The printable documents below list common vaccines by type. Use the "Best IMR Selection" column to see how a vaccine should appear in the Registry.
- IMR Vaccine Names and Code Support (August 2026)
- Influenza Brand Names and Code Support (October 2026)
- COVID-19 Brand Names and Code Support (August 2026)
NDC Update
The Department of Health now requires that all immunizations sent to the Immunization Registry include the associated 11-digit National Drug Code (NDC). Please use the CDC Reference Table. Quick tip: sort the table by CVX code to find the correct NDC.
IMR User Secure Patient Form
This HIPAA Complaint form is the preferred method for existing Vermont Immunization Registry (IMR) users to send Protected Health Information to the Registry Team.
HL7 Messaging VXU
- 2026 VXU Updates Quick Reference Guide
- HL7 Best Practices Guide (December 2025)
- HL7 Documentation (December 2025)
- HL7 VXU Implementation Guide (September 2026)
- Promoting Interoperability Program
Bidirectional Messaging QBP
- HL7 Bidirectional Onboarding Guide (June 2023)
- HL7 Bidirectional Explainer (Video)
- HL7 Bidirectional One-Pager (May 2023)
Immunization Registry Test System
The test system is intended primarily for Department of Health users. If you would like to know more about the test system and its use, please email [email protected].

