Get the free Meningococcal and Hepatitis B Immunization Health History Form - tnstate

This form is required for new students at postsecondary institutions in Tennessee to provide their health history concerning immunizations for Hepatitis B and Meningococcal disease. It includes personal

How to fill out meningococcal and hepatitis b

How to fill out Meningococcal and Hepatitis B Immunization Health History Form

1. Start by obtaining the Meningococcal and Hepatitis B Immunization Health History Form from your healthcare provider or appropriate website.
2. Fill in the personal details including the patient's full name, date of birth, and contact information.
3. Provide information about the patient's past immunization history, including dates of previous Meningococcal and Hepatitis B vaccinations if applicable.
4. Answer questions related to the patient's medical history, such as any known allergies or previous adverse reactions to vaccines.
5. Review any additional instructions or sections that may require further details or explanations.
6. Sign and date the form, confirming that the information provided is accurate and complete.
7. Submit the completed form to the healthcare provider or designated office.

Who needs Meningococcal and Hepatitis B Immunization Health History Form?

1. Individuals, especially teenagers and young adults, who are entering college or living in communal settings.
2. People who are at increased risk due to certain health conditions or travel requirements.
3. Parents or guardians filling the form on behalf of minors who require these vaccinations.

People Also Ask about

How often should I get meningococcal B?

For patients who received their most recent dose at age 7 years or older, administer the booster dose 5 years later. Administer boosters every 5 years thereafter throughout life as long as the person remains at increased risk for meningococcal disease.

How often do you need the meningococcal B vaccine?

The 6-in-1 vaccine, also known as the DTaP/IPV/Hib/Hep B vaccine, offers protection against diphtheria, tetanus, whooping cough, hepatitis B, polio and Haemophilus influenzae type b (Hib). Hib are a type of bacteria that can cause meningitis.

Do adults need meningococcal B vaccine?

CDC recommends meningococcal vaccination for all preteens and teens, as well as other children and adults at increased risk. Meningococcal vaccines are the best way to protect against meningococcal disease, but side effects can occur. Talk to a vaccine provider if you have questions about meningococcal vaccines.

What is meningococcal B vaccine in English?

MenB vaccines (Bexsero® and Trumenba®) help protect against serogroup B meningococcal disease. This type of vaccine is also known as a serogroup B meningococcal vaccine. The number of shots varies by level of risk: People 16 through 23 years old not at increased risk: 2 shots.

Do you need a meningococcal B booster?

Healthy people, at standard background risk of invasive meningococcal disease, who have completed a primary course of MenACWY or MenB vaccine do not need booster doses.

How long does the meningococcal B vaccine last?

With adolescents aged 15 to 19 years, a course of two vaccinations protects against the B strain, and there is a single dose for the ACWY groups, which offers protection for around 5 years.

What is the history of meningococcal vaccine?

The first meningococcal conjugate vaccine (MCV-4), Menactra, was licensed in the US in 2005, by Sanofi Pasteur; Menveo was licensed in 2010, by Novartis. Both MCV-4 vaccines are approved by the Food and Drug Administration (FDA) for people 2 through 55 years of age.

For pdfFiller’s FAQs

What is Meningococcal and Hepatitis B Immunization Health History Form?

The Meningococcal and Hepatitis B Immunization Health History Form is a document required for individuals to report their vaccination history for meningococcal and hepatitis B diseases, ensuring they meet health and safety regulations.

Who is required to file Meningococcal and Hepatitis B Immunization Health History Form?

Typically, individuals entering college, certain educational institutions, or those in high-risk groups are required to file this form to provide evidence of their immunization status.

How to fill out Meningococcal and Hepatitis B Immunization Health History Form?

To fill out the form, individuals should provide their personal information, vaccination dates, and signature confirming the accuracy of the information, along with any required documentation from healthcare providers.

What is the purpose of Meningococcal and Hepatitis B Immunization Health History Form?

The purpose of the form is to track and verify immunization status, promote public health by preventing outbreaks of the diseases, and ensure compliance with institutional requirements.

What information must be reported on Meningococcal and Hepatitis B Immunization Health History Form?

The form must report personal details such as name, date of birth, and contact information, as well as specific details about the vaccinations received, including dates and types of vaccines administered.