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2018 2019 INFLUENZA VACCINE CONSENT FORM Information collected on this form will be used to document permission for your child to receive the 20182019 seasonal influenza vaccine at your children school.

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How to fill out 2018 2019 influenza vaccine

01

Wash your hands with soap and water before handling the vaccine.

02

Choose an appropriate location to administer the vaccine, such as a doctor's office or a clinic.

03

Ensure that you have the necessary supplies, including the influenza vaccine, a syringe, and a clean needle.

04

Check the expiration date of the vaccine to ensure its effectiveness.

05

Prepare the vaccine by following the instructions provided by the manufacturer.

06

Clean the injection site with an alcohol swab.

07

Administer the vaccine using the proper technique and make sure to inject it into the muscle.

08

Dispose of the used needle and syringe in a designated sharps container.

09

Observe the recipient for any adverse reactions or side effects.

10

Record the administration of the vaccine, including the date, dosage, and site of injection.

Who needs 2018 2019 influenza vaccine?

01

The 2018-2019 influenza vaccine is recommended for everyone aged six months and older, unless they have a contraindication or severe allergy to the vaccine or its components.

02

Certain individuals are at a higher risk of developing severe complications from influenza and are strongly encouraged to receive the vaccine. This includes pregnant women, young children, elderly individuals, individuals with chronic medical conditions (such as asthma or diabetes), healthcare workers, and caregivers of high-risk individuals.

03

Consult with a healthcare professional to determine if the vaccine is suitable for you based on your specific health status and situation.

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