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NPI:MENINGOCOCCAL (Menace) VACCINE 20182019 HEALTH SCREEN & PERMISSION FORM Full Name:Date of Birth:Street Address:/ / Town/City:Grade:Age:School Name:Gender: Flip Code:Teacher:Daytime Phone:School
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How to fill out meningococcal menacwy vaccine

01
To fill out the meningococcal MenACWY vaccine, follow these steps:
02
Make sure you have the necessary documentation for the vaccine, such as your medical history and any pertinent information from your healthcare provider.
03
Visit a healthcare facility or a vaccination clinic that offers the meningococcal MenACWY vaccine. You can typically find this information on your local health department's website.
04
At the facility, provide the necessary information to the healthcare professional. This may include your name, date of birth, and any relevant medical history.
05
The healthcare professional will review your information and assess your eligibility for the vaccine.
06
If you are eligible for the vaccine, the healthcare professional will administer the vaccine. The vaccine is typically given as a single injection into the upper arm.
07
After receiving the vaccine, the healthcare professional may provide you with post-vaccination instructions or information about potential side effects.
08
Follow any post-vaccination instructions provided and monitor yourself for any side effects or adverse reactions. If you experience any concerning symptoms, contact your healthcare provider.
09
It is also important to keep a record of your vaccination for future reference. Make sure to note the date, vaccine administered, and any other relevant information.

Who needs meningococcal menacwy vaccine?

01
The meningococcal MenACWY vaccine is recommended for the following individuals:
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- Adolescents aged 11-12 years as a routine immunization.
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- Adolescents aged 13-18 years who have not previously received the vaccine.
04
- College students living in dormitories or other close living spaces.
05
- Military recruits.
06
- Individuals with certain medical conditions or immunocompromising conditions.
07
- Travelers to areas with high meningococcal disease rates, particularly during outbreaks.
08
It is important to consult with a healthcare provider to determine if the meningococcal MenACWY vaccine is appropriate for you or your loved ones.
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Meningococcal MenACWY vaccine is a vaccine that helps protect against meningococcal disease, which is a serious bacterial infection.
Individuals who are at risk of contracting meningococcal disease are required to get the meningococcal MenACWY vaccine.
The meningococcal MenACWY vaccine is administered by a healthcare provider through an injection.
The purpose of the meningococcal MenACWY vaccine is to protect individuals from contracting meningococcal disease.
The information that must be reported on the meningococcal MenACWY vaccine includes the date of administration, dose number, and healthcare provider information.
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