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SAMPLE 2016 2017 Injectable Influenza Vaccine (Flu Shot) Consent and Screening Formation 1: Information about the student to receive vaccine (please print):Students Name: (Last, First, MI) Date of
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Sample - injectable influenza refers to a type of influenza vaccine that is administered through injection.
Healthcare providers and institutions that administer influenza vaccines are required to file sample - injectable influenza.
Sample - injectable influenza can be filled out by providing information on the type and dosage of vaccine administered, as well as patient demographics.
The purpose of sample - injectable influenza is to track the administration of influenza vaccines and monitor vaccine coverage.
Information such as vaccine type, dosage administered, patient demographics, and administration date must be reported on sample - injectable influenza.
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