Pfizer Pediatric ages 5-11 Orange Cap Available - Current Topics

Pfizer Pediatric ages 5-11 Orange Cap Available


The Pfizer BioNTech Pediatric COVID-19 vaccine has been authroized for ages 5-11 years.  This is a NEW DRUG and the adult (purple cap) cannot be used in this age group.  The vaccine is arriving in WV and is being distributed to providers accross the state.  Additionally, the Federal Pharmacy Program is also receiving the Pediatric Pfizer product.  Please be VERY cautious and pay attention to detail as this product is different from the Adult drug.

WVBOP is following the PREP Act which allows registered immunizing pharmacists, plus appropriately trained pharmacy interns and certified pharmacy technicians to administer vaccines to ages 3 years and up.  The pharmacist can order (prescribe) the vaccine and at this time due to the Prep Act a prescription is not necessary.  Please make certain you have updated your Policy and Procedure manuals as required and have appropriate dosages of Epinephrine, diphenhydramine on hand for this age group in case an emergency arises.

WV has produced a short educational video (15 minutes) for the pediatric Pfizer BioNTech vaccine that will be available later today that any organization obtaining vaccine from the WV State supply is REQUIRED to view prior to administering any pediatric COVID-19 vaccine.  Others may view the video.  The link will be placed in the FAQ COVID-19 Vaccine section on the BOP website.

COVID-19 Vaccine Dosage and Administration

  • Children should receive the age-appropriate vaccine formulation regardless of their size or weight.
  • The Pfizer-BioNTech COVID-19 vaccine is supplied in a multiple dose (10 dose) vial with an orange cap and labeled with an orange border, is administered, after dilution with 1.3mL, as a primary series of 2 doses (0.2 mL each)
  • The formulation for children 5 to 11 years is a 2-dose vaccination series, given intramuscularly, recommended at least 3 weeks (21 days) apart


The emergency use authorization fact sheet for providers should be reviewed thoroughly before initiating the start of vaccinations for children 5 to 11 years old.   The  Patient/Caregiver 5 - 11 years of age (10/29/2021) must be provided to parents. The updated EUAs are available below.

Interim Clinical Considerations are out. These will answer all of you questions about what to do in a given situation.  They can be found at

Pfizer Pediatrics Training Video Information :

 See below for link and instructions:



-Click the below link or copy and paste into your browser:


-Click the “View” button

-Enter the following password:  COVID5-11Vaccine

-Click the “OK” button

-Enter your registration information and click “Register”

-You will be automatically directed to the training video, click the arrow in the center of the screen to play

Page Updated: 12:00:00 AM