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Influenza Vaccine (Flu Shot) Administration Form Welcome to Island Drug! Please complete this form, including type of flu shot below, so we can ensure that our pharmacy file is accurate and up to
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How to fill out high dose 65yr quadrivalent:

01
Carefully read and follow the instructions provided in the package insert of the high dose 65yr quadrivalent vaccine.
02
Make sure to prepare the vaccine properly by mixing the components as instructed. Follow the recommended dosage for the specific age group of individuals receiving the vaccine.
03
Use a sterile syringe and needle to withdraw the recommended dose of the high dose 65yr quadrivalent vaccine from the vial.
04
Administer the vaccine intramuscularly, typically in the upper arm for adults. Ensure proper technique and hygiene during the injection process.
05
Dispose of any remaining vaccine or used syringes and needles safely according to medical waste guidelines.
06
Keep a record of the vaccination, including the date, product used, lot number, and the person who administered it.
07
Provide the individual receiving the vaccine with any necessary information about potential side effects, as well as any post-vaccination care instructions.

Who needs high dose 65yr quadrivalent:

01
The high dose 65yr quadrivalent vaccine is specifically designed for individuals who are 65 years and older.
02
This vaccine is recommended for older adults to provide better protection against influenza than standard-dose flu vaccines.
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It is particularly important for elderly individuals to receive the high dose vaccine as they are at higher risk of developing severe complications from influenza.
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The high dose 65yr quadrivalent vaccine helps stimulate a stronger immune response in older adults, increasing their protection against influenza viruses.
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Healthcare professionals and organizations often strongly encourage older adults to receive the high dose 65yr quadrivalent vaccine to reduce their risk of flu-related hospitalizations and other serious outcomes.
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High dose 65yr quadrivalent is a type of flu vaccine specifically designed for individuals who are 65 years old and older.
Healthcare providers or facilities administering the high dose 65yr quadrivalent vaccine are required to file the necessary documentation.
The high dose 65yr quadrivalent form must be completed with the specific details of the vaccine given, including patient information and administration date.
The purpose of high dose 65yr quadrivalent is to provide stronger protection against the flu for older adults who may have weakened immune systems.
Information such as patient demographics, vaccine lot number, date of administration, and healthcare provider details must be reported on the high dose 65yr quadrivalent form.
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