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GOVERNMENT OF THE VIRGIN ISLANDS OF THE United States Virgin Islands Department of Health, Immunization ProgramYellow Fever (OF) Certification Statement and Agreement Statement Please read carefully

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How to fill out yellow fever vaccine information

01

Step 1: Find the section on your yellow fever vaccination form that asks for your personal information such as name, date of birth, and contact details.

02

Step 2: Provide your travel details including destination, dates of travel, and purpose of travel.

03

Step 3: Fill in the section on your vaccination history, including the date and location of your yellow fever vaccination.

04

Step 4: Sign and date the form to certify that the information provided is accurate.

Who needs yellow fever vaccine information?

01

Travelers planning to visit countries with a risk of yellow fever transmission.

02

Healthcare workers who may come in contact with patients infected with yellow fever.

03

Individuals residing in or near areas where yellow fever outbreaks are common.

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What is yellow fever vaccine information?

Yellow fever vaccine information includes details about the administration of the vaccine, such as date, dosage, and healthcare provider.

Who is required to file yellow fever vaccine information?

Individuals traveling to countries with a risk of yellow fever are required to file yellow fever vaccine information.

How to fill out yellow fever vaccine information?

Yellow fever vaccine information can be filled out by providing details about the vaccination received, including the date and dosage administered.

What is the purpose of yellow fever vaccine information?

The purpose of yellow fever vaccine information is to track and prevent the spread of yellow fever by ensuring travelers are vaccinated before visiting high-risk areas.

What information must be reported on yellow fever vaccine information?

Information such as the date of vaccination, dosage administered, and healthcare provider's information must be reported on yellow fever vaccine information.

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