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HARFORD COUNTY HEALTH DEPARTMENT 20142015 INFLUENZA NASAL SPRAY () VACCINE SECOND DOSE CONSENT FORM YOU HAVE RECEIVED THIS SECOND DOSE CONSENT FORM BECAUSE YOUR CHILD WAS IDENTIFIED AS BEING 8 YEARS
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How to fill out 20142015 influenza nasal spray:

01
Gently shake the nasal spray bottle to ensure the contents are well mixed.
02
Remove the cap from the bottle, being careful not to touch the nozzle.
03
Sit or stand upright and tilt your head slightly back.
04
Insert the nozzle of the nasal spray bottle into one nostril, aiming slightly away from the center of your nose.
05
While breathing through your mouth, press down on the pump to release the spray.
06
Breathe in gently through your nose at the same time, allowing the spray to enter your nasal passage.
07
Repeat the process for the other nostril.
08
Replace the cap on the bottle and store it in a cool, dry place.

Who needs 20142015 influenza nasal spray:

01
Individuals who have a higher risk of developing complications from the flu, such as the elderly, young children, pregnant women, and those with certain chronic medical conditions.
02
Healthcare workers who may come in close contact with individuals who have the flu.
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Anyone interested in protecting themselves and others from the flu virus.
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20142015 influenza nasal spray is a vaccine that is administered through the nose to help protect against the influenza virus.
Healthcare providers and facilities who administer this vaccine are required to file information about it.
The information for the 20142015 influenza nasal spray form can be filled out online or submitted through the appropriate reporting system.
The purpose of the 20142015 influenza nasal spray is to provide protection against the influenza virus by stimulating the immune system to produce antibodies.
The information that must be reported includes the date and location of administration, the provider's information, and the patient's demographics.
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