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Get the free 2009 H1N1 Influenza Vaccine Consent Form - Ellsworth High School - dev ellsworth k12 wi

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Influenza Vaccine Child Consent Form 20162017 Section 1: Information about Child to Receive Vaccine (please print) CHILD NAME (Last) (First) (M.I.) CHILD DATE OF BIRTH PARENT/LEGAL GUARDIANS NAME
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01
Wash your hands thoroughly with soap and water before handling the vaccine.
02
Check the vaccine vial for any signs of damage or contamination.
03
Use a sterile syringe and needle to draw up the appropriate dose of the vaccine.
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Administer the vaccine into the muscle, preferably in the upper arm.
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Dispose of used needles and syringes in a sharps container.
06
Keep a record of the vaccine date and dosage administered.

Who needs 2009 h1n1 influenza vaccine?

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Individuals who belong to high-risk groups, including pregnant women.
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Healthcare personnel who are in direct contact with patients.
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People with chronic medical conditions like asthma or diabetes.
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Children between the ages of 6 months and 18 years.
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Adults over the age of 65.
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Individuals with weakened immune systems.
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H1N1 influenza vaccine consent is a form that gives individuals the opportunity to consent to receiving the H1N1 influenza vaccine.
Individuals who wish to receive the H1N1 influenza vaccine are required to file the consent form.
To fill out the H1N1 influenza vaccine consent form, individuals must provide their personal information and indicate their consent to receive the vaccine.
The purpose of the H1N1 influenza vaccine consent form is to ensure that individuals understand the risks and benefits of receiving the vaccine and to obtain their formal consent.
The H1N1 influenza vaccine consent form typically requires individuals to provide their full name, date of birth, contact information, and signature.
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