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COVID-19 VACCINE SCREENING AND CONSENT PFIZER EUA (511 YRS OLD). EUA/BOOSTER (1215). APPROVED/BOOSTER/3RD DOSE (16YRS AND ABOVE). Contact information person being vaccinated. Last name: ___first name:
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Contact your healthcare provider or the vaccination center where you received the initial shot of the withdrawn covid-19 vaccination a.
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Withdrawn Covid-19 Vaccination A is a form used to report any Covid-19 vaccinations that have been withdrawn or removed from circulation.
Healthcare facilities and providers are required to file withdrawn Covid-19 Vaccination A if they have administered any vaccines that have been withdrawn.
Withdrawn Covid-19 Vaccination A can be filled out online or submitted by mail. The form will require information about the withdrawn vaccine, the reason for the withdrawal, and the number of doses administered.
The purpose of withdrawn Covid-19 Vaccination A is to track and report any Covid-19 vaccines that have been withdrawn for safety reasons.
The form requires information on the withdrawn vaccine, including the manufacturer, lot number, expiration date, and the reason for withdrawal. It also requires information on the doses administered.
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