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ADULT INFLUENZA (FLU) VACCINE REGISTRATION / CONSENT FORM Burlington County Health Department PLEASE PRINT CLEARLYNAME (last, first) STREETSTATECITY PHONE TWIN TRIPLET QUADRUPLETBIRTH COUNTRY:MEDICARE
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How to fill out adult influenza flu vaccine

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How to fill out adult influenza flu vaccine

01
Make an appointment with your healthcare provider or visit a local pharmacy or clinic offering flu vaccines.
02
Bring your insurance card and any forms required by the provider.
03
Inform your healthcare provider of any allergies or medical conditions before receiving the vaccine.
04
Roll up your sleeve to expose your upper arm where the vaccine will be administered.
05
Receive the injection in the upper arm muscle.
06
Wait in the provider's office for a few minutes to ensure there are no immediate adverse reactions.
07
Keep a record of the date of vaccination for future reference.

Who needs adult influenza flu vaccine?

01
Adults aged 18 and older are recommended to receive the influenza flu vaccine annually, especially those at higher risk of complications from the flu.
02
Specific groups recommended for vaccination include healthcare workers, pregnant women, individuals with chronic health conditions, older adults, and individuals living in long-term care facilities.
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Adult influenza flu vaccine is a vaccine designed to protect adults from the influenza virus.
Adults who want to protect themselves from the flu virus should consider getting the vaccine.
You can fill out the adult influenza flu vaccine by visiting a healthcare provider or a pharmacy that offers the vaccine.
The purpose of adult influenza flu vaccine is to reduce the risk of getting sick from the flu and to protect yourself and others from the spread of the virus.
The information reported on adult influenza flu vaccine typically includes the individual's name, age, medical history, and any allergic reactions to vaccines.
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