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ATTESTATION: THIRD DOSE OF COVID-19 VACCINE FOR IMMUNOCOMPROMISED NAME: LACTATE OF BIRTHGENDERADDRESS___ INITIALFIRSTMIDDLE INITIALPHONE NUMBERCITYSTATEZIPI am a moderately to severely immunocompromised

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How to fill out covid-19 vaccine additional doses

01

Consult with your healthcare provider or local health department to determine if you are eligible for additional doses of the covid-19 vaccine.

02

Schedule an appointment to receive the additional dose at a vaccination site or clinic.

03

Bring your vaccine card or other proof of vaccination to the appointment.

04

Follow any specific instructions provided by the healthcare provider administering the vaccine.

05

Monitor for any side effects following the additional dose and report any concerns to your healthcare provider.

Who needs covid-19 vaccine additional doses?

01

Individuals who are immunocompromised and may not have had a strong immune response to the initial doses of the covid-19 vaccine may need additional doses.

02

Others who may need additional doses include those who received a specific type of covid-19 vaccine that requires a booster or additional dose based on vaccine guidelines.

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What is covid-19 vaccine additional doses?

Additional doses of the covid-19 vaccine are extra shots given after the initial series to further boost immunity against the virus.

Who is required to file covid-19 vaccine additional doses?

Individuals who have received the initial series of the covid-19 vaccine may be required to file for additional doses based on recommendations from health authorities.

How to fill out covid-19 vaccine additional doses?

To fill out covid-19 vaccine additional doses, individuals may need to contact their healthcare provider or vaccination site to schedule an appointment for the additional shot.

What is the purpose of covid-19 vaccine additional doses?

The purpose of covid-19 vaccine additional doses is to provide an extra layer of protection against the virus, especially as new variants emerge.

What information must be reported on covid-19 vaccine additional doses?

Information required for reporting covid-19 vaccine additional doses may include the date of the additional dose, the type of vaccine received, and any side effects experienced.

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