Vaccinating Health Workers (VHWs)

Want to become a fully authorised vaccinator?

You need to be a Registered or Enrolled Nurse or Pharmacist (including interns) with a current annual practicing certificate.

Please select one of the following options:

You're a...

New vaccinator
Provisionally authorised vaccinator
Help store and prepare vaccines, ready for administration

You're..

a pharmacy technician.

You'll do the:

COVID-19 Pfizer vaccine storage and preparation course

After that you can manage the storage and preparation of vaccines.

Overview

Vaccinating Health Workers (VHWs) administer vaccines under the supervision of a registered health professional vaccinator (supervisor). The vaccines VHWs can administer depend on their stage of authorisation.  

Requirements to become an authorised VHW

  • Have an employer who can provide your workplace-based training
  • Complete online and face-to-face education, and workplace-based training  
  • Have access to a clinical supervisor to work with during your workplace training and when administering vaccines
  • Hold a current CPR certificate
  • Obtain a letter of authorisation from Health New Zealand. Health New Zealand’s VHW Capability Matrix provides details on the training and support required.

All authorised VHWs can:

  • Check the consumer’s details are correct
  • Follow the agreed prompt card questions, calling for support when any issues arise
  • Check screening has been completed and consent has been obtained by the supervisor
  • Give post-vaccination advice
  • Observe consumers during the post-vaccination period
  • Check and confirm vaccines prepared by a registered heath professional. (If they complete the Second Checker course)  

Authorised VHW Stage 1 can:

  • Administer COVID-19 and influenza (funded and unfunded) vaccines to people aged 12 years and over
  • Administer Tdap and HPV9 vaccines to people aged 11 years and over

Authorised VHW Stage 2 can:

  • Administer VHW Stage 1 vaccines
  • Administer MMR, COVID-19 Comirnaty and influenza vaccines to people aged 5 years and over
  • Prepare MMR and COVID-19 Comirnaty 10mcg and 30mcg vaccines

Pathways

The chart below shows the steps to become an authorised VHW Stage 1 and then VHW Stage 2.

Vaccinating Health Worker (VHW) Stage 1

Steps 1 and 2: Online course, assessment and face-to-face workshop

The online course takes about six hours to complete, including a multi-choice question assessment.  

Click here to view the VHW Stage 1 course. This includes the practical workshop locations and dates.

Core learning at work

The employer is required to organise additional training to cover topics such as consumer rights, privacy and Te Tiriti, CPR, and the Aotearoa Immunisation Register (AIR).  

The IMAC online course and assessment should be completed before attending the IMAC workshop. Ideally, employer-led education should also be completed prior to the workshop.

Step 3: Apply for VHW Stage 1 authorisation  

Upload the required documents to the Health New Zealand | Te Whatu Ora Workforce Request Portal. On receipt of an authorisation letter, you can practice your skills with direct 1:1 supervision.

Step 4: Complete workbook, pass your practical assessment  

Work with 1:1 supervision gaining practical experience and completing relevant sections of the workbook. When ready, complete the practical assessment.

Step 5: Update your authorisation

Upload the completed practical assessment form to the Workforce Request Portal. On receipt of updated authorisation letter, you can work as a VHW Stage 1 with 1:6 supervision (one supervisor for up to six VHWs).

Step 6: Additional vaccine competency assessments by supervisor, as required

Any of the four vaccines that were not demonstrated in the practical assessment can be assessed using a competency assessment with the supervisor. Retain as evidence in the workbook. Not required to send to the portal.

Preparing for VHW Stage 2

Before registering for Vaccinating Health Worker Stage 2, you'll need to have:

  • Valid authorisation issued by Health New Zealand | Te Whatu Ora as a VHW Stage 1 (covering all four vaccines)
  • A Second Checker course completion certificate
  • An up-to-date CPR certificate
  • Documentation confirming you have administered 25 vaccines over the past 6 months for at least 8 weeks
  • Employment with an immunisation provider and have a clinical workplace supervisor

VHW Stage 1 authorisation and additional employer-led training

You’ll need to be an authorised VHW Stage 1 (all four vaccines) and complete additional employer-led training.  

Vaccination experience

Before starting the VHW Stage 2 course you’ll need to have administered at least 25 vaccines over the past 6 months. These need to occur over at least 8 weeks. This shows you’ve reached the level of experience needed to provide other vaccines to a wider range of people.

IMAC Second Checker (online) course

This course enables VHWs to complete specific checks when a registered health professional prepares vaccines. Becoming a second checker is an excellent grounding before beginning to prepare vaccines as part of your VHW Stage 2 role.

Vaccinating Health Worker Stage 2 

Authorised VHWs Stage 2 can deliver a wider selection of vaccines and can administer some vaccines to children of a younger age.

Steps 1 and 2: Online course, assessment and face-to-face workshop

The online course takes approximately four hours to complete. It offers an overview of current best practices, the administration of Comirnaty, influenza and MMR vaccines to individuals aged 5 years and older and covers the preparation of MMR and Comirnaty vaccine doses.

Click here to view registration options for the VHW Stage 2 online course. This includes the practical workshop locations and dates.

Step 3‍: Apply for authorisation with Health New Zealand  

Upload the required documents to the Health New Zealand | Te Whatu Ora Workforce Request Portal. On receipt of an authorisation letter, you can continue to give all of the VHW Stage 1 vaccines. You can also administer MMR vaccine to those aged 11 years and over once you have completed the workbook competency assessment.

Step 4: Complete workbook, pass your practical assessment  

Gain experience in the workplace, administering vaccines to children aged 5 to 10 years and prepare COVID-19 and MMR vaccines under direct 1:1 supervision. Once you’ve passed the practical assessment vaccinating two tamariki aged 5-11 years of age and completed the VHW Stage 2 Workbook, you can update your authorisation.

Step 5: Update your authorisation

Upload the completed practical assessment form to the Workforce Request portal. On receipt of the updated authorisation letter, you can work as a VHW Stage 2 with 1:6 supervision (one supervisor for up to six VHWs).

Step 6: Additional vaccine competency assessments by supervisor, as required

Any vaccines not administered or prepared in the practical assessment can be assessed using a competency assessment with the supervisor. Retain evidence in the workbook. This is not required to be sent to the portal.

How to maintain and renew your VHW authorisation 

All authorised VHWs are required to renew their authorisation every two years. You’ll need to complete an online update course and submit your certificate to extend your authorisation for another two years.

Note: If you are a VHW Stage 1 whose authorisation has expired past 31 days and you have completed the online update course, please ensure this form is completed IN FULL. Practical assessor must be currently authorised vacinator/pharmacist vaccinator (minimum 6 months' vaccinator experience).

Questions on the authorisation process should be emailed to: vaccinatorauthorisations@health.govt.nz

Contacts for VHW education and support 

For questions relating to course registration, eligibility or employee-related matters, please email imaceducation@auckland.ac.nz

More information

VHW Capability Matrix

Health NZ VHW Information Sheets for Employers, Clinical Supervisors and VHWs  

Ministry of Health VHW information on their website  

If you would like to download and print a current version of the assessment form, please click the following –VHW Stage 1 form or VHW Stage 2 form.  

For questions on the authorisation process, please email vaccinatorauthorisation@health.govt.nz.  

A list of currently planned face-to-face practical workshops can be found here. Your employer will book you in or make arrangements for another workshop time if needed.

Last updated:
April 2025