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OREGON HEALTH AUTHORITY IMMUNIZATION PROGRAM MEASLES, MUMPS AND RUBELLA LIVE VIRUS VACCINE1 MEASLES, MUMPS, RUBELLA AND VARICELLA LIVE VIRUS VACCINE2 June 17, 2017: New IG table New VEERS Site I.

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How to fill out measles mumps and rubella

01

To fill out the measles mumps and rubella vaccination form, follow these steps:

02

Start by entering your personal information, including your full name, date of birth, and contact information.

03

Provide your medical history, including any allergies or previous vaccinations you have received.

04

Indicate if you have had measles, mumps, or rubella before and if so, provide the dates of each occurrence.

05

If you have already received the measles mumps and rubella vaccine, include the dates of vaccination.

06

If you have not received the vaccine, indicate your reasons for not doing so.

07

Sign and date the form to acknowledge the information you have provided is accurate.

08

Submit the completed form to the appropriate healthcare provider or vaccination center.

Who needs measles mumps and rubella?

01

Measles mumps and rubella vaccination is recommended for:

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- Children between the ages of 12 to 15 months.

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- Adults who have not been previously vaccinated or have not had measles, mumps, or rubella before.

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- Travelers to countries with high rates of measles, mumps, or rubella transmission.

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- Healthcare workers and people who work in daycare centers or schools.

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- Women planning to become pregnant.

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It is always best to consult with a healthcare professional to determine if you or your child needs the measles mumps and rubella vaccine.

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