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Influenza Vaccine Roster Form Print Form Palmetto GBA PO Box 100190 Columbia, SC 29202 ICD10CM Diagnosis Code: Z23 Provider Name: Select One NPI: Date of Service: (One date per roster) HOPES Code:
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Who needs influenza vaccine amp pneumococcal?

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Individuals aged 6 months and older should receive the influenza vaccine annually.
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Those at higher risk of complications from the flu, such as pregnant women, young children, older adults, and individuals with chronic medical conditions, should prioritize getting vaccinated.
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People who have a weakened immune system due to medical conditions, such as HIV/AIDS or cancer, should also receive the influenza vaccine.
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Individuals aged 65 years and older, as well as individuals with certain medical conditions, should get the pneumococcal vaccine.
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Those who work in healthcare settings or have regular contact with high-risk populations, such as childcare providers or those living in long-term care facilities, should also receive the pneumococcal vaccine.
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Influenza vaccine protects against the flu virus, while pneumococcal vaccine protects against pneumonia.
Individuals who are at risk for influenza or pneumonia, such as the elderly, young children, and individuals with certain medical conditions, are required to file for these vaccines.
One can receive the influenza vaccine and pneumococcal vaccine from healthcare providers such as doctors, clinics, or pharmacies.
The purpose of the influenza vaccine and pneumococcal vaccine is to prevent individuals from contracting influenza and pneumonia, and reduce the severity of these illnesses if contracted.
The information reported on the influenza vaccine and pneumococcal vaccine includes the date of vaccination, type of vaccine administered, and the individual's demographic information.
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