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This document provides detailed instructions and information regarding Vaccine Information Statements (VIS) including their uses, legal compliance, and guidelines for healthcare providers administering
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How to fill out vaccine information statements

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How to fill out Vaccine Information Statements

01
Obtain the Vaccine Information Statements (VIS) from the CDC website or your healthcare provider.
02
Select the appropriate VIS based on the vaccine being administered.
03
Review the VIS for important information regarding the vaccine, including benefits and risks.
04
Fill out the VIS with the recipient's name, date, and information about the vaccine.
05
Provide the completed VIS to the recipient or their guardian before administration of the vaccine.

Who needs Vaccine Information Statements?

01
Healthcare providers administering vaccines.
02
Patients receiving vaccines.
03
Parents or guardians of minor patients receiving vaccines.
04
Anyone responsible for documenting vaccine information.
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People Also Ask about

VISs are required by law The appropriate VIS must be given prior to the vaccination, and must be given prior to each dose of a multi-dose series. It must be given regardless of the age of the recipient.
The vaccine and date administered, site of administration, vaccine manufacturer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the identification of the person administering the vaccine.
Requirements for distribution The VIS must be given to the person receiving the vaccine or to their parent/legal representative prior to each dose of the vaccine. The "legal representative" is defined as the person who can consent to the vaccination under the laws of the state in which the vaccine is being given.
The date the vaccine is administered. The name, office address, title and signature (electronic is acceptable) of the person administering the vaccine. Initials of the vaccine administrator will suffice as long as the office keeps a record of the person to whom the initials refer.
The Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Record Card issued by the vaccination site to the person who received the vaccine. Official record from the State Immunization Information System (IIS) or other State immunization registry.
By law, the following information must be documented on the patient's paper or electronic medical record (or on a permanent office log): The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered.
The vaccine and date administered, site of administration, vaccine manufacturer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the identification of the person administering the vaccine.
Vaccines train your immune system to create antibodies, just as it does when it's exposed to a disease. However, because vaccines contain only killed or weakened forms of germs like viruses or bacteria, they do not cause the disease or put you at risk of its complications.

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Vaccine Information Statements (VIS) are documents created by the Centers for Disease Control and Prevention (CDC) that provide important information about vaccines, including benefits and risks. They are designed to inform patients and parents about the vaccines being administered.
Healthcare providers who administer vaccines are required to provide Vaccine Information Statements to vaccine recipients or their guardians before vaccination.
Vaccine Information Statements do not require filling out per se, as they are informational documents. However, healthcare providers should ensure that recipients or their guardians read the VIS prior to vaccination and record that it was provided.
The purpose of Vaccine Information Statements is to educate patients and caregivers about the vaccines, including their potential side effects and the importance of vaccination, in order to facilitate informed decision-making.
Vaccine Information Statements must report information about the vaccine's purpose, how it works, potential side effects, and when the vaccine should be administered, along with any relevant contraindications.
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