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Division of Allergy, Immunology, and Transplantation (DAIT) National Institute of Allergy and Infectious Diseases (NIAID) / Protocol Number DAITCOVID19004Page 1 of 13MODERNA INFORMED CONSENT FORM
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How to fill out moderna informed consent form

01
Review the entire informed consent form thoroughly.
02
Fill in all personal information accurately.
03
Read and understand all the risks and benefits of the Moderna vaccine.
04
Sign and date the form to indicate your consent.
05
Ask any questions to clarify any doubts before signing the form.

Who needs moderna informed consent form?

01
Individuals who are planning to receive the Moderna vaccine
02
Healthcare professionals administering the Moderna vaccine to patients
03
Research participants involved in clinical trials for the Moderna vaccine
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Moderna informed consent form is a document provided to participants before they enroll in a clinical trial to provide them with information about the trial.
Researchers conducting the clinical trial are required to have participants fill out the moderna informed consent form.
Participants must carefully read the form, ask any questions they may have, and then sign the form to indicate their informed consent.
The purpose of the moderna informed consent form is to ensure that participants are fully informed about the risks and benefits of the clinical trial before they decide to participate.
The moderna informed consent form must include information about the purpose of the study, potential risks and benefits, procedures involved, confidentiality, compensation, and contact information for questions.
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