The day after the H1N1 flu vaccine was approved -- there's already a delay to part of the distribution plan.

Doctors across Vancouver had hoped to be able to pick up vaccines for their patients on Monday.

But they received a fax telling them that the earliest they can pick up these doses will be on Wednesday.

"We are currently planning to start distribution to physicians' offices on October 28th," says the fax from Vancouver Coastal Health, which was provided to CTV News. "We will continue to inform you about vaccine availability and pick-up times."

The delay is causing a lot of confusion in doctors' offices as patients who had booked appointments are being told to reschedule.

"We've had many calls about the H1N1 shot, people are in a frenzy to get in here," said Tania Campbell of City Square Family Practice. "Now we have to cancel all these appointments and turn people away."

Officials from Fraser Health, which runs health care on the eastern part of the Lower Mainland, and the Vancouver Island Health Authority, say doctors in that region will still be able to pick up the vaccine on Monday, as promised.

Vancouver Coastal Health said the vaccine will still be able to be picked up at flu clinics on Monday.

"It's just a matter of priorities and again we feel that getting it out to the clinics and the acute care hospitals has to be done first," she said.

Dianne Miller, a patient who plans to get the H1N1 shot, said she'll have to wait.

"I would rather come to my own doctor and get the shot," she said.

Season flu clinic locations can be found at the Ministry of Health Services website.

With a report from CTV British Columbia's Jon Woodward