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SAMPLE 2019 2020 Injectable Influenza Vaccine (Flu Shot) Consent and Screening Formation 1: Information about the student to receive vaccine (please print):Students Name: (Last, First, MI) Date of
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Sample - injectable influenza is a type of flu vaccine that is administered via injection.
Healthcare providers and facilities are required to file sample - injectable influenza.
To fill out sample - injectable influenza, healthcare providers must document the administration of the vaccine and report it to the appropriate health authorities.
The purpose of sample - injectable influenza is to prevent individuals from contracting the flu virus.
Information such as the patient's name, date of birth, date of vaccination, and vaccine lot number must be reported on sample - injectable influenza.
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