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VACCINE INFORMATION STATEMENT Many Vaccine Information Statements are available in Spanish and other languages. See www.immunize.org/visHepatitis B Vaccine:Hojas de informacin sobre vacunas estn disponibles
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How to fill out vaccine information statements are

01
Locate the vaccine information statement (VIS) for the specific vaccine you received.
02
Read through the VIS carefully to ensure you understand the information provided.
03
Fill out any required personal information sections on the VIS, such as name, date of birth, and healthcare provider's information.
04
Check off any relevant medical conditions or allergies that may impact vaccine administration.
05
Sign and date the VIS to verify that you have received and understood the information provided.

Who needs vaccine information statements are?

01
Vaccine information statements are typically needed by individuals receiving vaccines, healthcare providers administering vaccines, and parents or legal guardians of minors receiving vaccines.
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Vaccine Information Statements (VIS) are documents that inform recipients or caregivers about the benefits and risks of a vaccine. These statements are required by law and provide information about the vaccine's effectiveness, expected side effects, and what to do in case of an adverse reaction.
Healthcare providers who administer vaccines are required to provide and file Vaccine Information Statements (VIS). This includes doctors, nurses, and clinics.
Vaccine Information Statements (VIS) should be filled out by providing accurate information regarding the vaccine being administered, including the name of the vaccine, the date it was administered, the recipient's information, and the signature of the person administering the vaccine.
The purpose of Vaccine Information Statements (VIS) is to educate vaccine recipients and their caregivers about the benefits and risks of vaccines, ensuring informed consent prior to vaccination.
Vaccine Information Statements (VIS) must report information including the vaccine's name, manufacturer, lot number, expiration date, administration date, and details about the vaccine recipient.
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