New PHO Order Permits Pharmacy Technicians to Administer Flu Vaccines

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new pho order Permits pharmacy technicians to administer flu vaccines

On November 4, 2022, Provincial Health Officer, Dr. Bonnie Henry, issued an Order permitting health professionals, including pharmacy technicians, already authorized to administer COVID-19 vaccines, to also administer influenza vaccines.

influenza IMMUNIZATION - november 04, 2022


(View the Full Order)


Note: This Order does not apply to health professionals, including pharmacists, who can normally provide immunization services under their health profession regulations.

The Order builds on a previous Order issued in January 2022 which authorized pharmacy technicians to administer an injection of a COVID-19 vaccine under the supervision of a registrant who is authorized under a health profession regulation, and competent, to perform immunization activities.

The intent of this Order is to encourage the administration of influenza and COVID-19 vaccines in public health clinics by the same providers, in order to reduce the strain on our healthcare system caused by seasonal influenza and preserve our capacity to continue to respond to the COVID-19 pandemic.

Influenza is an infection of the upper airway caused by the influenza virus that can spread from person to person through coughing, sneezing or face-to-face contact. Every year, thousands of British Columbians are afflicted by the virus, usually between the months of November and March, during what most of us refer to as “Flu Season.” 

One of the best ways to protect yourself against influenza and reduce the spread of the virus, is by getting vaccinated every year.

Pharmacy technicians must complete all mandatory training (listed in the table below) before performing influenza immunization activities. ​

Immunization Activity, Excluded Services, Specific Limits and Mandatory Training for Pharmacy Technicians 

Authorized Immunization Activities 

Services Specifically excluded from the authorized immunization activity Specific limits mandatory training
  1. Preparation of vaccines, including the drawing of doses from a vial; 
  2. Administering an influenza vaccine via intramuscular injection or intranasal spray;
  1. Initial patient assessment, including review of patient assessment forms to determine suitability of a patient for immunization and obtaining patient consent;
  2. Post-immunization monitoring of the patient, including monitoring for adverse events (i.e. anaphylaxis), situation assessment and treatment of adverse events.

When administering an injection of an influenza vaccine, must be supervised by a registrant who is authorized under a health profession regulation, and competent, to perform the Immunization Activity.


BC Centre for Disease Control’s Influenza Immunization Competency Course

In-person education and clinical lab training to perform intramuscular injections as per the BC Centre for Disease Control’s – Influenza Immunization Skills Checklist



Questions about this order should be directed to the PHO at:

Dr. Bonnie Henry
Provincial Health Officer
Victoria BC V8W 9P4
Fax: (250) 952-1570
Email: [email protected]


Nov 16, 2022