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5ml Chart Number Vaccine Influenza Flu Manufacturer Sanofi Pasteur Lot Number Exp. Date Vaccine Information Handout Provided Yes No Publication date on VIS 08/07/2015 Adverse Reaction Noted Yes No Signed Date Nurse or Provider Turner Elementary School-Based Health Center. Therefore I agree to hold AAPHC harmless from any injury complication or side effects caused by the Influenza Flu vaccine. Albany Area Primary Health Care Inc. Terrell County School Based Health Center Influenza Flu...
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