Form preview

Get the free Live, Intranasal Influenza Vaccine Administration Record - co coles il

Get Form
This document is a record for the administration of the intranasal influenza vaccine, providing necessary information about the recipient's health status and consent for vaccine administration.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign live intranasal influenza vaccine

Edit
Edit your live intranasal influenza vaccine form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your live intranasal influenza vaccine form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing live intranasal influenza vaccine online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit live intranasal influenza vaccine. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out live intranasal influenza vaccine

Illustration

How to fill out Live, Intranasal Influenza Vaccine Administration Record

01
Gather all necessary patient information including name, date of birth, and medical record number.
02
Record the date of administration for the vaccine.
03
Document the specific vaccine product name and lot number.
04
Indicate the dose administered in the appropriate section.
05
Note the route of administration as intranasal.
06
Include the name and title of the healthcare provider administering the vaccine.
07
Sign and date the administration record.
08
Provide any additional comments or instructions as needed.

Who needs Live, Intranasal Influenza Vaccine Administration Record?

01
Individuals aged 2 to 49 years who are in good health.
02
Those who prefer a non-injection method of vaccination.
03
Individuals who are not pregnant and have no contraindications to the vaccine.
04
Children and adolescents who require annual influenza vaccination.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
64 Votes

People Also Ask about

For adults 19 years of age and older, the deltoid muscle in the upper arm is the preferred site, although the vastus lateralis muscle in the anterolateral thigh may be used if the deltoid site cannot be used. Influenza vaccines are not highly viscous, so a fine-gauge (22- to 25-gauge) needle can be used.
The children's flu vaccine is usually given as a quick and painless nasal spray in each nostril.
Live Attenuated Influenza Vaccine (LAIV4) LAIV4 is administered intranasally using the supplied prefilled, single-use sprayer containing 0.2 mL of vaccine. Approximately 0.1 mL (i.e., half of the total sprayer contents) is sprayed into the first nostril while the recipient is in the upright position.
With the individual upright, position the applicator tip just inside the nostril. With a single movement, depress the plunger as rapidly as possible until the dose- divider clip prevents you from going further.
Adult Flu Vaccinations Administered For the 2024–25 season, as of April 12, 2025, an estimated 37.6 million doses of flu vaccine were administered in retail pharmacies. This was ~100,859 fewer doses than were administered by this same time point in the 2023–24 flu season.
The nasal mist vaccine (FluMist® or FluMist® Quadrivalent) contains a live virus. Avoid contact with people who are sick or at increased risk of getting the infection after you or your child receive this vaccine. Talk to your doctor about this if you have concerns.
Live attenuated influ- enza vaccine (LAIV) Healthy, age 2 years and older (except if pregnant) 0.2 mL (0.1 mL into each nostril) Intranasal spray (NAS) Spray half of vaccine into each nostril while the patient is in an upright position.
CDC recommends everyone 6 months and older get vaccinated every flu season. Children 6 months through 8 years of age may need 2 doses during a single flu season. Everyone else needs only 1 dose each flu season. It takes about 2 weeks for protection to develop after vaccination.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Live, Intranasal Influenza Vaccine Administration Record is a documentation form used to record the administration of the live attenuated influenza vaccine delivered through the intranasal route.
Healthcare providers who administer the live intranasal influenza vaccine are required to file this record as part of their immunization documentation practices.
To fill out the record, providers should include details such as the patient's name, date of birth, date of administration, vaccine lot number, expiration date, and the administering provider's information.
The purpose of the record is to maintain accurate immunization records, ensure proper tracking of vaccine administration, and fulfill reporting requirements to public health authorities.
The information that must be reported includes the patient's demographic information, vaccine details (lot number and expiration date), date of administration, and the provider's information.
Fill out your live intranasal influenza vaccine online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.