Get the free Inactivated Influenza Vaccine Information Statement - temple

A detailed informational document about the inactivated influenza vaccine, including its purpose, who should receive it, potential risks, and administration details.

How to fill out inactivated influenza vaccine information

How to fill out Inactivated Influenza Vaccine Information Statement

1. Obtain the Inactivated Influenza Vaccine Information Statement (VIS) from a reliable source, such as the CDC.
2. Read through the entire document to familiarize yourself with its contents and important information about the vaccine.
3. Fill in the date at the top of the VIS to indicate when the information is provided.
4. Ensure that the recipient's name and other identifying information are written clearly on the form.
5. Discuss the vaccine's benefits and risks with the vaccine recipient or their guardian.
6. Provide a copy of the VIS to the recipient or guardian and ensure they understand the information.
7. Sign and date the VIS once it has been provided to the recipient.

Who needs Inactivated Influenza Vaccine Information Statement?

1. Individuals receiving the Inactivated Influenza Vaccine.
2. Parents or guardians of children receiving the vaccine.
3. Healthcare providers administering the vaccine.
4. Anyone seeking information about the flu vaccine safety and efficacy.

People Also Ask about

Is asking vaccination status a HIPAA violation?

Disclosure of an Individual's Vaccine Status by a Healthcare Provider. Healthcare providers can ask if a patient has been vaccinated as asking the question in no way violates HIPAA.

What is the federal law for vaccine information statements?

Federal law requires the use of VISs in both public and private sector settings, regardless of the source of payment for the vaccine. You must provide a current VIS before a vaccine is administered to the patient.

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 CDC gov information statement for the flu vaccine?

CDC recommends everyone 6 months and older get vaccinated every flu season. Children 6 months through 8 years of age may need 2 doses during a single flu season. Everyone else needs only 1 dose each flu season. It takes about 2 weeks for protection to develop after vaccination.

What details must be documented when a vaccination is given?

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.

Are vaccine information statements required?

VISs are required by law All vaccine providers, public or private, are required by the National Vaccine Childhood Injury Act (NCVIA – 42 U.S.C.

How to get religious exemption for vaccines?

California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.

For pdfFiller’s FAQs

What is Inactivated Influenza Vaccine Information Statement?

The Inactivated Influenza Vaccine Information Statement (VIS) is a document that provides information about the influenza vaccine, including its benefits, risks, and its importance in preventing influenza.

Who is required to file Inactivated Influenza Vaccine Information Statement?

Healthcare providers who administer the inactivated influenza vaccine are required to provide the Inactivated Influenza Vaccine Information Statement to patients or their guardians before vaccination.

How to fill out Inactivated Influenza Vaccine Information Statement?

To fill out the Inactivated Influenza Vaccine Information Statement, ensure that all required sections are completed, including information on the vaccine details, the recipient's information, and signatures as required.

What is the purpose of Inactivated Influenza Vaccine Information Statement?

The purpose of the Inactivated Influenza Vaccine Information Statement is to educate patients about the influenza vaccine, encourage informed decision-making regarding vaccination, and ensure that individuals are aware of potential side effects and benefits.

What information must be reported on Inactivated Influenza Vaccine Information Statement?

The Inactivated Influenza Vaccine Information Statement must report the vaccine's name, the date it was administered, the manufacturer, the lot number, and the signature of the person who provided the statement.