UIS Hepatitis A Vaccine Administration Record free printable template

UIs University of Illinois at Springfield HEPATITIS A VACCINE ADMINISTRATION RECORD PLEASE PRINT THE FOLLOWING INFORMATION NAME Last ADDRESS First M.I. street DATE OF BIRTH IL city SOCIAL SECURITY

How to fill out uis hepatitis vaccine form

How to fill out UIS Hepatitis A Vaccine Administration Record

1. Begin by entering the patient's full name at the top of the record.
2. Fill out the patient's date of birth in the designated area.
3. Indicate the date of vaccination using the appropriate format.
4. Record the vaccine manufacturer's name and lot number.
5. Provide the site of administration (e.g., left arm, right thigh).
6. List any contraindications or adverse reactions if applicable.
7. Complete the signature and title of the healthcare provider administering the vaccine.
8. Add any additional notes relevant to the patient's vaccination.

Who needs UIS Hepatitis A Vaccine Administration Record?

1. Individuals who are traveling to areas where hepatitis A is common.
2. Children who are eligible for vaccination in their routine immunization schedule.
3. Individuals who work in food service or healthcare settings.
4. People with chronic liver disease or other specific health conditions.
5. Travelers who are at increased risk due to their activities or living arrangements.

People Also Ask about uis hepatitis vaccine template

What type of hepatitis B vaccine for adults?

The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B (HepB) vaccination among all adults aged 19–59 years and adults > 60 years with risk factors for hepatitis B or without identified risk factors but seeking protection.

How is the hepatitis B vaccine given?

The hepatitis B vaccine is an injection (or shot) that is generally given in the arm as a three-dose series on a 0, 1, and 6-month schedule. Alternative schedules may be considered, noting that a third dose at 6 months, meeting minimum intervals between doses, is needed for maximum, long-term protection.

Who is required to have hepatitis B vaccinations?

Adults. All adults aged 19 through 59 years, and 60 years and older with risk factors for hepatitis B should get the hepatitis B vaccine. The vaccine is given in 3 doses. The second dose is given 1 month after the first dose, followed by a third dose 6 months after the second dose.

What is the form of hepatitis B vaccine?

There are two combination vaccines that contain HepB vaccine. DTaP-HepB-IPV (Pediarix) is licensed for children age 6 weeks through 6 years. HepA-HepB (Twinrix) is licensed for persons age 18 years or older. A third combination vaccine, DTaP-IPV-Hib-HepB (Vaxelis), is licensed in the United States.

What is hepatitis B full explanation?

Hepatitis B is a vaccine-preventable liver infection caused by the hepatitis B virus (HBV). Hepatitis B is spread when blood, semen, or other body fluids from a person infected with the virus enters the body of someone who is not infected.

What is the mode of transmission of hepatitis B PDF?

The main modes of transmission of HBV are vertical transmission, sexual transmission, and parenteral contact with blood or blood products.

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What is UIS Hepatitis A Vaccine Administration Record?

The UIS Hepatitis A Vaccine Administration Record is a document used to track and record the administration of the Hepatitis A vaccine to individuals, ensuring accurate vaccination history.

Who is required to file UIS Hepatitis A Vaccine Administration Record?

Healthcare providers and facilities that administer the Hepatitis A vaccine are required to file the UIS Hepatitis A Vaccine Administration Record.

How to fill out UIS Hepatitis A Vaccine Administration Record?

To fill out the UIS Hepatitis A Vaccine Administration Record, you need to enter details such as patient information, vaccine type, administration date, lot number, and the administering provider's information.

What is the purpose of UIS Hepatitis A Vaccine Administration Record?

The purpose of the UIS Hepatitis A Vaccine Administration Record is to maintain accurate vaccination records, support public health tracking, and ensure individuals receive appropriate vaccinations.

What information must be reported on UIS Hepatitis A Vaccine Administration Record?

The information that must be reported includes the patient's name, date of birth, vaccination date, vaccine type, lot number, and the signature of the healthcare provider administering the vaccine.