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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.
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How to fill out live intranasal influenza vaccine

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.
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People Also Ask about
How is the influenza vaccine administered?
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.
How is the live influenza vaccine given?
The children's flu vaccine is usually given as a quick and painless nasal spray in each nostril.
What is the route of administration of the live influenza vaccine?
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.
How is the live influenza vaccine administered?
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.
How many flu vaccines have been administered?
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.
Is the intranasal influenza vaccine a live vaccine?
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.
What is the live influenza vaccine route?
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.
What is the CDC gov information statement for the flu vaccine?
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.
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What is Live, Intranasal Influenza Vaccine Administration Record?
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.
Who is required to file Live, Intranasal Influenza Vaccine Administration Record?
Healthcare providers who administer the live intranasal influenza vaccine are required to file this record as part of their immunization documentation practices.
How to fill out Live, Intranasal Influenza Vaccine Administration Record?
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.
What is the purpose of Live, Intranasal Influenza Vaccine Administration Record?
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.
What information must be reported on Live, Intranasal Influenza Vaccine Administration Record?
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.
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