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LIVE SHINGLES VACCINE (Poltava) SCREENING FOR CONTRAINDICATIONS Name: Date of birth: Questions This section can be completed by the Health Care Provider/Patient/Guardian Note for Patient/Guardian:
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01
Here is how you can fill out the live shingles vaccine zostavax:
02
First, make sure you have the proper medical documentation and prescription from your healthcare provider.
03
Gather all the necessary materials, such as the vaccine vial, syringe, and alcohol swabs.
04
Wash your hands thoroughly with soap and water, and put on disposable gloves.
05
Clean the rubber stopper of the vaccine vial with an alcohol swab.
06
Take the syringe and remove the needle cover, being careful not to touch the needle.
07
Insert the needle into the vaccine vial and withdraw the appropriate dose as instructed by your healthcare provider.
08
Make sure there are no air bubbles in the syringe by gently tapping it and pushing the plunger to remove any air.
09
Choose an injection site, typically the upper arm, and clean it with an alcohol swab.
10
Pinch the skin at the injection site and insert the needle at a 90-degree angle.
11
Slowly push the plunger to inject the vaccine.
12
Once the injection is complete, remove the needle and dispose of it safely in a sharps container.
13
Apply pressure to the injection site with a clean cotton ball or bandage.
14
Dispose of all used materials properly according to your healthcare provider's instructions.
15
Wash your hands again with soap and water.
16
Note: It is always best to consult with your healthcare provider for specific instructions and guidance on filling out the live shingles vaccine zostavax.

Who needs live shingles vaccine zostavax?

01
The live shingles vaccine zostavax is recommended for certain individuals, including:
02
- Adults aged 60 years and older who have not had shingles before
03
- Individuals who are at least 50 years old and have a weakened immune system
04
- Those who have had a previous episode of shingles and want to reduce the risk of a recurrence
05
It is important to consult with a healthcare provider to determine if the live shingles vaccine zostavax is appropriate for your specific medical condition and circumstances.
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Zostavax is a live vaccine that helps prevent shingles, a painful rash caused by the varicella-zoster virus.
Individuals who are at least 60 years old and want to reduce their risk of getting shingles are recommended to get the Zostavax vaccine.
To receive the Zostavax vaccine, individuals should consult with their healthcare provider to determine if they are eligible and to schedule an appointment for vaccination.
The purpose of the Zostavax vaccine is to help prevent shingles and reduce the severity and duration of the illness if it does occur.
Information such as the date of vaccination, vaccine lot number, and any adverse reactions should be reported on the Zostavax vaccination record.
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