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OCEAN COUNTY HEALTH DEPARTMENT 2009 H1N1 Injectable Influenza Vaccine Consent Form Section 1: Information about person receiving vaccine (PLEASE PRINT) NAME (Last) (First) (M.I.) MAILING ADDRESS CITY

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What is h1n1 injectable influenza vaccine?

h1n1 injectable influenza vaccine is a vaccine that helps protect against the H1N1 strain of the influenza virus.

Who is required to file h1n1 injectable influenza vaccine?

There is no filing requirement for the h1n1 injectable influenza vaccine. It is typically administered by healthcare professionals.

How to fill out h1n1 injectable influenza vaccine?

The h1n1 injectable influenza vaccine is administered by a healthcare professional using a needle and syringe. There is no specific form or process for individuals to fill out.

What is the purpose of h1n1 injectable influenza vaccine?

The purpose of the h1n1 injectable influenza vaccine is to help protect individuals from getting the H1N1 strain of the influenza virus, which can cause severe illness and even death in some cases.

What information must be reported on h1n1 injectable influenza vaccine?

There is no specific information that needs to be reported on the h1n1 injectable influenza vaccine. The healthcare professional administering the vaccine may keep a record of the vaccination for their own records.

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