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INFLUENZA VACCINE ADMINISTRATION RECORD & CONSENT Adult (19 years and above) I have read or have had explained to me the information in the Vaccine Information Statement (IS) about influenza and influenza
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How to fill out influenza vaccine administration record
How to fill out influenza vaccine administration record:
01
Fill in the patient's personal information such as name, date of birth, and contact information.
02
Specify the date and time of the vaccine administration.
03
Enter the details of the vaccine administered, including the name, brand, and lot number.
04
Mention the healthcare professional who administered the vaccine and their credentials.
05
Indicate the route of administration (e.g., intramuscular, intranasal).
06
Note the anatomical site where the vaccine was administered (e.g., left deltoid, right thigh).
07
Record any adverse reactions or side effects, if any, experienced by the patient.
08
Sign and date the record to validate its accuracy and completeness.
Who needs influenza vaccine administration record:
01
Individuals who receive influenza vaccinations, whether it is for routine preventive care or required for certain occupations or activities.
02
Healthcare professionals, clinics, and healthcare facilities that administer influenza vaccines to track and document the immunization history of patients.
03
Organizations, such as schools or workplaces, that mandate influenza vaccinations as part of their policies or requirements.
Note: It is advisable to consult local guidelines and regulations regarding the specific requirements for maintaining and filling out influenza vaccine administration records, as they may vary.
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What is influenza vaccine administration record?
The influenza vaccine administration record is a document that tracks the administration of influenza vaccines to individuals.
Who is required to file influenza vaccine administration record?
Healthcare providers or facilities that administer influenza vaccines are required to file the administration record.
How to fill out influenza vaccine administration record?
The administration record should be filled out with the date of vaccination, type of vaccine administered, dosage, route of administration, and person administering the vaccine.
What is the purpose of influenza vaccine administration record?
The purpose of the administration record is to track and document the administration of influenza vaccines to individuals for monitoring and reporting purposes.
What information must be reported on influenza vaccine administration record?
The administration record must include information such as the date of vaccination, type of vaccine administered, dosage, route of administration, and person administering the vaccine.
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