Enterprise Health: U-M Additional Vaccinations Form

The U-M Additional Vaccinations form is used by faculty, staff and students to submit seasonal or supplemental vaccine information to the university, such as flu vaccines or new COVID-19 doses. 

Students living in campus housing in Ann Arbor are required to submit the U-M Vaccination History form, which is assigned by Housing. The U-M Additional Vaccinations form can be used to submit new vaccination information not captured on the Vaccination History form, or to re-submit proof of vaccines if requested.  

Before accessing the form, it is highly recommended that you gather all of your vaccine information and documentation. You will need:

• Type of vaccines, including brand names, if available.
• Dates received.
• Supporting documentation; this must be submitted as a single file (.pdf, .jpg or .png).  
  • If your documentation is in multiple files, see the combining files instructions.
  • If your documentation image is in HEIC format, the default iPhone format, see the converting HEIC image type instructions.

The name on your vaccination records needs to match your name as displayed in Wolverine Access. If it does not, update your preferred name using the Student Self Service tile or Employee Self Service tile in Wolverine Access, as applicable. If your legal name is incorrect, students should contact the Registrar’s Office, and faculty and staff should contact their Human Resources department.

Accepted sources of vaccination records are:

• MCIR record (preferred source for students from Michigan)
• State-based Immunization Information Systems
• County-based Immunization Systems
• Health system portal
• Pediatrician's office
• Pharmacy records
• Vaccination card
• Country or Ministry of Health records

Navigation

The U-M Additional Vaccinations form is accessed from Vax Viewer. Go to Wolverine Access > Health Response & COVID-19 tile > Vax Viewer.

Step-by-Step Instructions

1. Review the information in the blue box at the top of the Vax Viewer page.
2. Click the Enterprise Health link in the blue box to open the portal.
3. Click Additional Vaccinations Form. 
   • If you had previously started a U-M Additional Vaccinations form, click Message Center, then click Resume on the applicable line.
   • The form can also be accessed by clicking the menu icon next to your name and selecting Additional Vaccinations Form.
4. Review the Introduction information.
5. Review the Consent information.
6. (required) Click I consent to agree to the collection of vaccine information as described in the Consent section.
7. Select a vaccine from the Select Vaccine Category drop-down list. 
   • If you were instructed to submit an updated proof of vaccination(s), do not re-enter the vaccine information. Go to step 9.​
   • If you select Other, enter the vaccine type in the box that displays. 
8. Complete all information requested for the selected vaccine.
   • The required information varies depending on the vaccine. For example, some vaccines require multiple dates while others require the most recent dose date only, and some require selecting the vaccine type.
9. Click either Yes or No to the Do you have additional vaccines to enter? question.
   • If you click Yes, repeat steps 7-9 until all vaccines are entered.
10. (required) Click Yes to the Did you enter vaccine information above? question.
11. Click Choose File, then navigate to and select the single file that contains your proof of vaccine(s).
12. Click Submit. 
    • If you are not ready to submit the form, click Save for later. 
    • The status of your vaccine information can be checked on Vax Viewer. 
    • If your form is rejected, you will receive an email with further instructions