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20152016 INACTIVATED INJECTABLE INFLUENZA CONSENT FORM Information about person to be vaccinated (please print) for office use only Last Name: Age: First Name: Child needs second dose Sex: M F Date
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How to fill out 20152016 inactivated injectable influenza

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How to fill out 20152016 inactivated injectable influenza:

01
Make sure to check the expiration date on the vaccine. Do not use if it has expired.
02
Prepare the vaccine by ensuring it is at room temperature and gently swirling the vial to mix the contents.
03
Use a sterile syringe and needle to draw up the appropriate dose of the vaccine.
04
Clean the injection site with an alcohol swab and allow it to dry.
05
Administer the vaccine using the appropriate injection technique. Follow the guidelines provided by the healthcare professional or refer to the product insert for detailed instructions.
06
Dispose of the used syringe and needle in a proper sharps container.

Who needs 20152016 inactivated injectable influenza:

01
Individuals at high risk for complications from influenza, such as the elderly, young children, pregnant women, and those with certain chronic medical conditions, are recommended to receive the 20152016 inactivated injectable influenza vaccine.
02
Healthcare providers and individuals working in healthcare settings to reduce the risk of transmission to vulnerable populations.
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People who are in close contact with high-risk individuals, such as caregivers or household contacts, to protect both themselves and those they care for.
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Anyone who wants to reduce their risk of getting the flu and its associated complications can choose to receive the 20152016 inactivated injectable influenza vaccine.
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20152016 inactivated injectable influenza is a type of flu vaccine that is administered through injection.
Healthcare providers and facilities are required to file information about the administration of 20152016 inactivated injectable influenza.
To fill out 20152016 inactivated injectable influenza, healthcare providers need to provide information about the patients who received the vaccine and the dates of administration.
The purpose of 20152016 inactivated injectable influenza is to prevent the spread of the flu virus and protect individuals from getting sick.
Information such as patient demographics, date of administration, and vaccine lot number must be reported on 20152016 inactivated injectable influenza.
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