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Smallpox Vaccination Information Packet: Contents and Instructions The following information is for state and hospital personnel implementing smallpox vaccination programs. Contents1. Cover Letter
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How to fill out smallpox pre-vaccination information packet

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How to fill out smallpox pre-vaccination information packet

01
Begin by providing your personal information, such as your full name, date of birth, and contact details.
02
Next, fill out the section regarding your medical history. Include any past or current illnesses, allergies, or immunodeficiencies.
03
Answer the questions related to your vaccination history. Specify whether you have previously received the smallpox vaccine or any other relevant vaccines.
04
If applicable, provide details about any adverse reactions or side effects you experienced after previous vaccinations.
05
In the travel history section, mention any recent or upcoming trips that may require smallpox vaccination.
06
Lastly, read and sign the consent form, confirming your understanding of the risks and benefits associated with the smallpox vaccine.
07
Double-check all the provided information for accuracy before submitting the completed pre-vaccination information packet.

Who needs smallpox pre-vaccination information packet?

01
Individuals who are planning to receive the smallpox vaccine or have been instructed to do so by healthcare authorities typically need to fill out the smallpox pre-vaccination information packet.
02
This packet is necessary to gather important medical and personal information, ensuring the safe and effective administration of the smallpox vaccine.
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The smallpox pre-vaccination information packet is a form that individuals need to fill out before receiving the smallpox vaccine.
Individuals who are scheduled to receive the smallpox vaccine are required to file the pre-vaccination information packet.
The smallpox pre-vaccination information packet can be filled out online or in person at the vaccination site.
The purpose of the smallpox pre-vaccination information packet is to collect important medical history and information to ensure the safety and effectiveness of the vaccine.
The smallpox pre-vaccination information packet typically requires information such as medical history, current medications, allergies, and any previous adverse reactions to vaccines.
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