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Bring this form with you to the immunization clinic. Please wear short sleeves. ALL QUESTIONS MUST BE ANSWERED BEFORE IMMUNIZATION IS GIVEN:Name: FIRSTLASTMinistry: Worksite Address: City/Town: Please
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How to fill out influenza virus vaccine

01
Wash your hands thoroughly with soap and water before administering the vaccine.
02
Ensure that the vaccine is at the appropriate temperature and not expired.
03
Use a sterile needle and syringe to draw the vaccine from the vial.
04
Choose the injection site, usually the upper arm or thigh.
05
Clean the injection site with an alcohol swab.
06
Administer the vaccine by injecting it into the muscle.
07
Dispose of the used needle and syringe in an appropriate sharps container.
08
Record the vaccine administration details, including date, dose, and lot number.

Who needs influenza virus vaccine?

01
Individuals aged 6 months and older are recommended to receive the influenza virus vaccine.
02
People with chronic health conditions, such as asthma or diabetes, are especially encouraged to get vaccinated.
03
Pregnant women should receive the vaccine to protect themselves and their unborn child.
04
Healthcare workers and those in close contact with high-risk individuals are also advised to get vaccinated.
05
It is important for elderly individuals and young children to get vaccinated to prevent severe complications from influenza.

What is INFLUENZA VIRUS VACCINE - gov.bc.ca Form?

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The influenza virus vaccine is a vaccine that helps protect against influenza, a contagious respiratory illness caused by influenza viruses. It stimulates the immune system to produce antibodies against the virus.
Generally, healthcare providers, clinics, and various organizations that administer vaccines are required to file reports regarding the influenza virus vaccine to public health entities.
To fill out the influenza virus vaccine form, you need to provide details such as the patient's information, the type of vaccine administered, date of vaccination, dosage, and any adverse reactions.
The purpose of the influenza virus vaccine is to reduce the risk of contracting influenza and its complications, to minimize disease transmission, and to protect vulnerable populations.
The information that must be reported includes patient demographics, vaccine type, administration date, lot number, and any side effects experienced post-vaccination.
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