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Healthcare Personnel Safety Component
Healthcare Personnel Vaccination Module
Influenza Vaccination Summary
Comprehensive Training Slides
December 2016
National Center for Emerging and Zoonotic Infectious
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How to fill out influenza vaccination summary

How to fill out influenza vaccination summary:
01
Start by gathering all the necessary information, including the date of vaccination, vaccine manufacturer, lot number, and administration site.
02
Begin by filling out the patient's personal information, such as their name, date of birth, and contact information.
03
Next, provide details about the healthcare professional who administered the vaccine, including their name, title, and contact information.
04
Specify the vaccine type, dosage, and route of administration.
05
Indicate any adverse reactions or side effects experienced by the patient following the vaccination.
06
Finally, sign and date the summary to authenticate the information provided.
Who needs influenza vaccination summary:
01
Individuals who have received the influenza vaccine should have a vaccination summary on record.
02
Healthcare providers and institutions typically require a vaccination summary for their patients' medical files.
03
Travellers may need to provide proof of influenza vaccination before visiting certain countries or regions.
04
Employers may request a vaccination summary as part of their workplace immunization policies.
05
Students attending schools or universities may be required to submit a vaccination summary to ensure they meet health requirements.
Please note that specific requirements for keeping and utilizing influenza vaccination summaries may vary depending on local regulations and individual circumstances. It is always advisable to consult with healthcare providers or relevant authorities for accurate and up-to-date information.
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What is influenza vaccination summary?
The influenza vaccination summary is a report that summarizes the number of influenza vaccinations administered within a certain time period.
Who is required to file influenza vaccination summary?
Healthcare facilities and providers are required to file influenza vaccination summaries.
How to fill out influenza vaccination summary?
To fill out an influenza vaccination summary, healthcare facilities and providers must report the total number of influenza vaccinations administered and other relevant information.
What is the purpose of influenza vaccination summary?
The purpose of influenza vaccination summary is to track and monitor influenza vaccination rates to help prevent the spread of the flu.
What information must be reported on influenza vaccination summary?
Information such as the number of influenza vaccinations administered, the date of administration, and the demographics of the individuals vaccinated must be reported on the influenza vaccination summary.
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