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COVID19 Spikevax (Moderna) Consent Form 20242025 HEALTH CARE PHARMACY, INC 1030 PRESIDENT AVENUE FALL RIVER, MA 02720 I am eligible for a booster dose of vaccine as I am over the age of 18 and at
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The COVID-19 vaccine near you is the vaccine available at local healthcare facilities, pharmacies, or vaccination centers in your area that protects against the COVID-19 virus.
Individuals who receive the COVID-19 vaccine are typically required to provide their vaccination information to health authorities or their employer if mandated, but it can vary based on local regulations.
To fill out the COVID-19 vaccine form near you, contact your local vaccination site or health department for instructions regarding the registration process and necessary information.
The purpose of the COVID-19 vaccine near you is to provide immunity against the coronavirus, reducing the risk of severe illness, hospitalization, and the spread of the virus within the community.
Information that must typically be reported includes your name, date of birth, vaccination date, vaccine type, and any adverse reactions experienced after receiving the vaccine.
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