Get the free Screening Form: Inactivated Influenza Vaccine - uwhealth

This form collects patient information and health screening questions prior to administering the inactivated influenza vaccine.

How to fill out screening form inactivated influenza

How to fill out Screening Form: Inactivated Influenza Vaccine

1. Start by obtaining the Inactivated Influenza Vaccine Screening Form.
2. Fill in your personal information, including your name, date of birth, and contact details.
3. Answer the questions regarding your medical history, focusing on any allergies, prior reactions to vaccines, and current health conditions.
4. Indicate if you are pregnant, nursing, or planning to become pregnant.
5. Provide details of any medications you are currently taking.
6. Review all the information for accuracy before submission.
7. Submit the completed form to your healthcare provider or the designated individual at the vaccination site.

Who needs Screening Form: Inactivated Influenza Vaccine?

1. Individuals aged 6 months and older.
2. Those with chronic health conditions that may increase the risk of flu complications.
3. Healthcare workers and first responders.
4. People living in long-term care facilities.
5. Pregnant women and those considering pregnancy in the near future.
6. Anyone who wishes to receive the influenza vaccine.

People Also Ask about

When can an inactivated flu vaccine be given?

A Flu Vaccine Is the Best Prevention The CDC recommends that people ages 6 months and older get a flu vaccine, ideally by the end of October. Even if you wait until after October, the vaccine will still be beneficial and provide protection. For more information on recommendations, visit this CDC page.

Is the flu vaccine recommended for everyone?

some conditions that affect your brain or nerves, such as Parkinson's disease, motor neurone disease, multiple sclerosis or cerebral palsy. diabetes or Addison's disease. a weakened immune system due to a condition such as HIV or AIDS, or due to a treatment such as chemotherapy or steroid medicine.

What are inactivated influenza vaccines?

Inactivated influenza vaccine is an inactivated vaccine (made from a dead virus). It helps develop immunity by forming antibodies, which are proteins that protect against infection caused by viruses present in the vaccine. Common side effects of Inactivated influenza vaccine.

What is the difference between live and inactivated flu vaccines?

The injectable flu vaccine is not a live virus vaccine. Most versions contain inactivated (dead) flu virus strains. Only FluMist, the nasal spray flu vaccine, is a live vaccine. The FDA requires that all flu vaccines protect against the same strains of the flu virus.

What are examples of inactivated vaccines?

Compared with standard flu vaccines, high-dose flu vaccines have more of an ingredient that boosts the immune response. The ingredient is a flu virus antigen called hemagglutinin. High-dose flu vaccines may have 3 to 4 times as much flu virus antigen as the standard flu vaccine.

What is an inactivated influenza vaccine?

The inactivated influenza vaccine is made of killed influenza viruses or parts of the viruses. It protects against infection from influenza viruses and is given by an injection.

Who should get the inactivated influenza vaccine?

By intramuscular injection 0.5 mL for 1 dose, followed by 0.5 mL for 1 dose, after at least 4 weeks.

Who should get inactivated influenza vaccine?

Inactivated flu vaccines are only licensed from 6 months of age, and the LAIV (nasal flu spray) vaccine from 2 years. Ideally, people should have received their vaccination by the end of December, although there can still be some benefit to offering vaccination until the end of March as flu can continue to circulate.

How many doses of inactivated flu vaccine?

Flucelvax ® Trivalent is an inactivated and cell-based flu vaccine, which means it is not grown in eggs, and the virus strains have been inactivated or purified. The virus strains used are not "live" and will not cause influenza.

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What is Screening Form: Inactivated Influenza Vaccine?

The Screening Form for Inactivated Influenza Vaccine is a document used to assess eligibility for receiving the inactivated influenza vaccine. It collects important health information to ensure the vaccine is appropriate for the individual.

Who is required to file Screening Form: Inactivated Influenza Vaccine?

Individuals who are planning to receive the inactivated influenza vaccine usually need to complete the Screening Form. This may include patients, healthcare workers, and anyone participating in vaccination programs.

How to fill out Screening Form: Inactivated Influenza Vaccine?

To fill out the Screening Form, individuals should provide accurate information regarding their health history, including any allergies, past reactions to vaccines, current medications, and any relevant medical conditions.

What is the purpose of Screening Form: Inactivated Influenza Vaccine?

The purpose of the Screening Form is to identify individuals who may have contraindications or precautions for receiving the inactivated influenza vaccine, ensuring patient safety and optimal immunization outcomes.

What information must be reported on Screening Form: Inactivated Influenza Vaccine?

The information that must be reported includes personal details (name, age, contact information), health history (existing medical conditions, allergies, previous vaccine reactions), and current medications.