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Page 1 of 2 PfizerBioNTech COVID19 Vaccine, COMIRNATY (COVID19 VACCINE, mRNA)Consent and Screening Form for Individuals 5 through 17 years of age SECTION 1: INFORMATION ABOUT MINOR CHILD TO RECEIVE
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Schedule an appointment with a healthcare provider to receive the Pfizer-BioNTech COVID-19 vaccine Comirnaty.
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Complete any necessary paperwork or registration forms.
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Follow instructions from the healthcare provider on how to prepare for the vaccine, such as fasting or avoiding certain medications.
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Comirnaty is the brand name for the Pfizer-BioNTech COVID-19 vaccine, which is an mRNA vaccine aimed at providing immunity against the SARS-CoV-2 virus that causes COVID-19.
Healthcare providers who administer the vaccine, as well as organizations that distribute or report vaccination data, are required to file relevant information regarding its administration.
Healthcare providers need to complete the vaccination reporting form by entering relevant patient information, vaccine details, and administration dates. This can typically be done through an electronic health system or designated reporting platform.
The primary purpose of Comirnaty is to provide protection against COVID-19 by preparing the immune system to recognize and fight the SARS-CoV-2 virus.
Providers must report patient demographics, the date of vaccination, vaccine lot number, and any adverse events following vaccination.
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