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Clermont County Public Health
20202021 Inactivated Flu Vaccine Administration Form
SECTION 1
NAME (LAST)(FIRST)ADDRESSMIDATE OF BIRTHCITYSTATEPARENT/GUARDIAN NAME (IF UNDER 18 YEARS OF AGE; OR LEGAL
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How to fill out 2020-2021 inactivated flu vaccine

How to fill out 2020-2021 inactivated flu vaccine
01
Visit a healthcare provider or a vaccination center.
02
Complete the necessary paperwork and provide your personal information.
03
Follow the instructions to consent for the flu vaccine.
04
Roll up your sleeve and expose your upper arm.
05
The healthcare provider will clean the injection site with an alcohol wipe.
06
They will then use a sterile needle to administer the vaccine into your muscle.
07
After the injection, apply pressure to the injection site with a cotton ball or bandage.
08
Dispose of the used needle safely in a sharps container.
09
Keep the vaccination record for future reference.
10
Monitor for any potential side effects and seek medical attention if needed.
Who needs 2020-2021 inactivated flu vaccine?
01
Individuals aged 6 months and older are recommended to receive the inactivated flu vaccine.
02
People at higher risk of complications from flu, such as pregnant women, young children, older adults, and individuals with certain medical conditions.
03
Healthcare workers who interact with patients and are at risk of exposure to flu viruses.
04
Caregivers and household contacts of individuals at high risk.
05
Those who want to reduce the risk of contracting and spreading the flu.
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What is inactivated flu vaccine administration?
Inactivated flu vaccine administration refers to the process of administering a flu vaccine that contains killed or inactivated virus particles.
Who is required to file inactivated flu vaccine administration?
Healthcare providers and facilities that administer the inactivated flu vaccine are required to file the administration.
How to fill out inactivated flu vaccine administration?
To fill out inactivated flu vaccine administration, healthcare providers need to document details such as patient information, vaccine type, dosage, administration date, and route.
What is the purpose of inactivated flu vaccine administration?
The purpose of inactivated flu vaccine administration is to prevent influenza infections and reduce the severity of flu symptoms.
What information must be reported on inactivated flu vaccine administration?
The information reported on inactivated flu vaccine administration includes patient demographics, vaccine details, administration date, healthcare provider information, and any adverse reactions.
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