Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/11/2025

Vaccine Storage and Handling Guidelines

Introduction to Vaccine Storage

  • Biological vaccines, such as Shingrix, are temperature-sensitive products that lose potency when exposed to temperatures outside recommended ranges, which can reduce protection against vaccine-preventable diseases, according to the Centers for Disease Control and Prevention 1

Vaccine Storage Requirements

  • The cold chain must be maintained to ensure vaccine effectiveness from manufacturer to administration, typically requiring storage between 2°C and 8°C for most vaccines, as recommended by the Centers for Disease Control and Prevention 1
  • Live varicella-containing vaccines, unlike Shingrix, require frozen storage at temperatures below -15°C to maintain viability, as stated by the Centers for Disease Control and Prevention 2, 3, 4

Clinical Implications and Storage Best Practices

  • Monitor refrigerator temperatures carefully, as exposure to improper temperatures can irreversibly reduce vaccine potency, according to the Centers for Disease Control and Prevention 1
  • Do not freeze reconstituted vaccine, as freezing can damage the adjuvant system and antigen components, as recommended by the Centers for Disease Control and Prevention 1