Get the free I would like a flu shot

I have read the CDC Vaccine Information Statement dated 08/07/2016 about Influenza and the Influenza vaccine. Guillain-Barr syndrome GBS is an uncommon side effect characterized by ascending paralysis and is usually self-limited and reversible. By declining to give my consent I understand that I will not be vaccinated against the Influenza virus for the 2017/2018 Influenza season. I have received my 2017/2018 Influenza vaccination elsewhere. Date Location Printed Name Signature Date Witness...

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