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HHS Public Access Author manuscript Author ManuscriptPediatrics. Author manuscript; available in PMC 2017 December 19. Published in final edited form as: Pediatrics. 2015 June ; 135(6): 981989. doi:10.1542/peds.20143358.Tdap
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How to fill out parental-reported full influenza vaccination

01
Obtain the parental-reported vaccination form from your healthcare provider.
02
Gather all relevant medical information for the child, including previous vaccinations.
03
Fill in the child's personal details, including name, date of birth, and contact information.
04
Indicate the specific influenza vaccination details, such as the date it was administered and the type of vaccine used.
05
Ensure both parents or guardians review the information for accuracy.
06
Sign the form to validate the information provided.
07
Submit the completed form to the designated healthcare provider or institution.

Who needs parental-reported full influenza vaccination?

01
Children aged 6 months to 18 years.
02
Individuals with underlying health conditions that increase the risk of influenza complications.
03
Children in high-risk settings such as schools and daycare facilities.
04
Those who are receiving other routine vaccinations that coincide with the influenza vaccination period.
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Parental-reported full influenza vaccination refers to the process in which parents or guardians report that their child has received the complete influenza vaccination as recommended by health authorities.
Parents or guardians of children who are enrolled in certain educational or healthcare programs may be required to file parental-reported full influenza vaccination.
To fill out parental-reported full influenza vaccination, parents should provide their child's vaccination details, including dates of vaccination, the name of the vaccine, and the provider’s information on the designated form or online submission portal.
The purpose of parental-reported full influenza vaccination is to ensure that children are vaccinated against influenza to protect their health and that of the community, and to monitor vaccination rates for public health statistics.
Information that must be reported includes the child's full name, date of birth, vaccination dates, type of influenza vaccine, and the healthcare provider's name or facility where the vaccination was administered.
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