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Attachment 01 COVID-19 Vaccine Memorandum of Election Formats COVID-19 VACCINE MEMORANDUM OF ELECTION (SF6) ___ (Initials) I understand that the Pfizer COVID-19 vaccination has been approved by the
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Attachment 01- covid-19 vaccine is a form used to report information related to the covid-19 vaccine.
Healthcare providers and organizations administering the covid-19 vaccine are required to file attachment 01- covid-19 vaccine.
Attachment 01- covid-19 vaccine can be filled out electronically or manually, and requires reporting specific details about the covid-19 vaccine doses administered.
The purpose of attachment 01- covid-19 vaccine is to track and monitor the administration of covid-19 vaccine doses.
Information such as the vaccine recipient's name, date of birth, vaccine manufacturer, lot number, and dose administered must be reported on attachment 01- covid-19 vaccine.
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