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Consent form for COVID-19 vaccination Before you fill out this form, make sure you read the information sheet on the vaccine you will be getting: Valeria (AstraZeneca), Community (Pfizer), Spike (Moderna),
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Vaxzevria is a COVID-19 vaccine developed by AstraZeneca. It was previously known as the AstraZeneca COVID-19 vaccine and is designed to provide immunity against the COVID-19 virus.
Individuals who received the Vaxzevria vaccine may need to provide their vaccination details to health authorities, particularly for travel, employment, or entry into certain venues.
To fill out documentation related to the Vaxzevria vaccine, individuals should include personal identification information, vaccination date, lot number, and the healthcare provider information.
The purpose of the Vaxzevria vaccine is to induce an immune response against the SARS-CoV-2 virus, thereby preventing COVID-19 infection and reducing the severity of symptoms if infected.
Information that must be reported includes the vaccination date, batch/lot number, vaccine manufacturer, and any adverse reactions experienced post-vaccination.
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