Public health data

Immunization registry software that gets the dose into the state system once, correctly

An immunization information system, or IIS, is a confidential population based database recording vaccine doses administered in a geographic area. Nearly all 50 states operate one, and CDC publishes functional standards defining what they must do. Neurobird captures each dose once, submits it to the state IIS, detects duplicate patient records before they distort coverage, and reconciles VFC inventory against doses actually administered.

neurobird / immunization records
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iis-data-exchange-report.pdfdrop a file or click to simulate intake
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Watch the fields extract from the document.

Public health nurse entering vaccination records at a county health clinic workstation beside vaccine cold storage, used to illustrate immunization registry reporting
Entered twice, because the interface mostly works.
4,000doses a modest clinic gives yearly
300+that go unmatched
2026CDC standards in force

Neurobird Immunization Registry in short

  • Capture the dose once and submit it to the state immunization information system
  • Detect duplicate patient records and merge candidates before they distort coverage
  • Reconcile VFC inventory against doses administered rather than against memory
  • v4.1 CDC publishes IIS functional standards defining what a registry must support, including data exchange and deduplication. CDC IIS functional standards
  • 50 Nearly every US state operates an immunization information system, each with its own submission requirements. CDC
  • Pricing runs 150 to 620 US dollars per month across 3 tiers. Early access is free.
The daily reality

What clinics and public health programmes actually deal with

Doses get entered twice, once in the chart and once in the state registry, because the interface never quite worked.
Duplicate patient records in the registry mean a child appears under immunised when they are not.
VFC inventory reconciliation is a manual count against a system that does not match the fridge.

Why it stays broken

The chart and the registry are separate systems joined by an interface that works maybe 940 times in 1,000. Mostly is the problem: the failures are silent, so nobody discovers the gap until a coverage report or a school entry check does it for them.

A clinic administering 4,000 doses a year can carry several hundred unmatched or duplicated records.

Providers ordering immunizations must submit immunization information to NYSIIS or the CIR within 14 days of administration of the immunization.

law.cornell.edu, source
What it does

Neurobird Immunization Registry Document Automation Platform

Treat the submission as the job rather than an afterthought, and make the failures loud instead of silent.

  • 1Capture the dose once and submit it to the state immunization information system
  • 2Detect duplicate patient records and merge candidates before they distort coverage
  • 3Reconcile VFC inventory against doses administered rather than against memory
  • 4Surface series gaps so a recall list is generated from the data, not built by hand

What changes with Neurobird Immunization Registry?

The same work, read left to right: how it runs today, and how it runs once the record is in one place.

Immunization registry: current practice compared with Neurobird Immunization Registry
TodayWith Neurobird Immunization Registry
Doses get entered twice, once in the chart and once in the state registry, because the interface never quite workedCapture the dose once and submit it to the state immunization information system
Duplicate patient records in the registry mean a child appears under immunised when they are notDetect duplicate patient records and merge candidates before they distort coverage
VFC inventory reconciliation is a manual count against a system that does not match the fridgeReconcile VFC inventory against doses administered rather than against memory

Who is this for?

Same registry, three different obligations.

Independent clinic

You report but do not control the interface

You need to know when a submission failed, without reading acknowledgement logs you were never trained on.

Multi site group

Coverage is measured across sites

Duplicates and gaps distort your numbers. You need deduplication before the coverage report, not after it.

Public health programme

You run VFC accountability

Inventory must reconcile to doses administered. You need that as a continuous check, not an annual scramble.

How does Neurobird Immunization Registry work?

  1. Capture the dose once

    Vaccine, lot, site, route and eligibility recorded at administration, in the form the IIS expects.

  2. Submit and confirm

    The record goes to the state IIS and the acknowledgement is tracked, so a rejected message is visible rather than lost.

  3. Reconcile and recall

    VFC inventory reconciles against doses administered, and series gaps generate a recall list from the data.

How immunization information systems actually work

Useful if you report to a state IIS or run VFC. Each source links out.

v4.1

CDC publishes IIS functional standards defining what a registry must support, including data exchange and deduplication.

CDC IIS functional standards
50

Nearly every US state operates an immunization information system, each with its own submission requirements.

CDC
1994

Year the Vaccines for Children programme began supplying no cost vaccine for eligible children, creating the inventory accounting duty.

CDC Vaccines for Children
4,000

Doses a modest clinic may administer annually, each requiring a registry record and inventory decrement.

Washington State IIS

Immunization registry software questions, answered

Key terms

What is an immunization registry?
An immunization information system, or IIS, is a confidential population based database that records vaccine doses administered within a geographic area. Nearly all US states operate one, and providers are generally expected or required to report doses to it.
What is VFC inventory reconciliation?
Vaccines for Children is a federal programme supplying vaccine at no cost for eligible children. Providers must account for that inventory: doses received, administered, wasted and on hand, reconciled against the doses recorded.

Why do duplicate records matter?

Because a duplicate splits a child's history across 2 records, so neither shows a complete series. Coverage looks lower than it is, recall lists target the wrong families, and a school entry check can fail on a fully immunised child.

Does this replace the state IIS?

No. It feeds it. The IIS is the system of record for the jurisdiction. This makes sure what you administered arrives there once, correctly, and tells you when it did not.

Why we are building this

Immunization data is one of the few areas where the public infrastructure genuinely exists. Every state runs a registry, CDC publishes functional standards, and the data matters for real public health decisions.

The weak link is the last mile: getting the dose from the clinic into the registry once, correctly, and knowing when that failed. Today it is often double entry and silent rejections.

We would rather build this with the people doing the entry than guess. Tell us how doses reach your registry, and where we have got it wrong.

Neurobird Team neurobird.com

Where the requirement comes from

CDC standards and state registry references.

How much does Neurobird Immunization Registry cost?

Priced per clinic site because registry reporting is a site level duty. Users are unlimited.

Single site
$150
per site, per month
  • Dose capture
  • IIS submission
  • Acknowledgement tracking
  • VFC inventory count
  • Email support
Request access
Multi site
$320
per site, per month
  • Everything in Single site
  • Duplicate detection and merge
  • Series gap recall lists
  • Coverage reporting
  • Named contact
Request access
Public health programme
$620
per site, per month
  • Everything in Multi site
  • Jurisdiction level roll up
  • Bulk historical import
  • Role based PHI controls
  • Onboarding and security review
Talk to us
First 20 clinics get early access pricing locked for three years

Get free early access

If you report doses to a state registry, tell us where the submission actually breaks today.

Straight answer on where this is: In development. Early access gets the working preview, influence on what ships first, and early access pricing. It does not get you a login today, and it does not touch PHI before a security review.

Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.