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20162017 INACTIVATED INJECTABLE INFLUENZA CONSENT FORM Information about person to be vaccinated (please print)for children: office use ballast Name: Age: First Name: Child needs second doses: MF
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How to fill out 2016-2017 inactivated injectable influenza

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How to fill out 2016-2017 inactivated injectable influenza

01
First, gather all the necessary information and materials such as the 2016-2017 inactivated injectable influenza vaccine, a clean syringe, and an alcohol swab.
02
Wash your hands thoroughly with soap and water.
03
Ensure that the vaccine is stored at the recommended temperature and check its expiration date.
04
Clean the injection site with an alcohol swab and let it dry.
05
Take the syringe and draw up the appropriate dose of the vaccine as directed by a healthcare professional.
06
Hold the syringe with the needle pointing upwards and tap it gently to remove any air bubbles.
07
Inject the vaccine into the muscle or subcutaneous tissue, following the recommended injection technique.
08
Once the injection is complete, remove the needle from the injection site and apply gentle pressure with a clean cotton ball or swab.
09
Properly dispose of the used syringe and any other waste materials according to local regulations.
10
Record the date, time, and location of the vaccination for future reference.

Who needs 2016-2017 inactivated injectable influenza?

01
The 2016-2017 inactivated injectable influenza vaccine is recommended for individuals aged six months and older.
02
It is especially important for high-risk individuals such as pregnant women, young children, older adults, and individuals with chronic medical conditions.
03
Healthcare workers, caregivers, and individuals who are in close contact with high-risk individuals should also receive the vaccine to protect themselves and others.
04
Consult with a healthcare professional to determine if you or someone you know falls into one of these categories and needs the vaccine.
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Inactivated injectable influenza consent is a form that allows individuals to consent to receiving a flu vaccine through an injection that contains inactive influenza virus.
Individuals who wish to receive an inactivated injectable influenza vaccine are required to file the consent form.
To fill out the form, individuals need to provide their personal information, medical history, and consent to receive the vaccine.
The purpose of inactivated injectable influenza consent is to ensure that individuals understand the risks and benefits of receiving the vaccine and are giving their informed consent.
Information such as name, date of birth, medical history, and signature must be reported on the consent form.
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