Fluzone high dose vis 2019
[DOCX File]Adenovirus vaccine side-effects
https://info.5y1.org/fluzone-high-dose-vis-2019_1_67a04c.html
Influenza vaccine (Fluzone) Chicken embryo. Egg protein, formaldehyde, gelatin (standard formulation only), octylphenol ethoxylate (Triton X-100), sodium phosphate, thimerosal (multi-dose containers only) Influenza vaccine (FluMist) Chicken kidney cells, chicken embryo. Arginine, dibasic potassium phosphate, egg protein, ethylenediaminetetraacetic acid, gentamicin sulfate, hydrolyzed porcine ...
Family Practice
INFLUENZA VACCINE (FLU SHOT) CONSENT FORM 2019 -2020. 1. Have you ever had a flu shot before? Y or N ; 2. Have you ever had an allergic reaction to the flu vaccine? Y or N . Are you allergic to eggs or egg products? Do you have a history of Guillian-Barre Syndrome? Y or N (A viral illness resulting in neurological symptoms like paralysis) Y or N . 5. Are you allergic to thermasol (a mercury ...
[DOC File]The completion of this form is necessary for every vaccine ...
https://info.5y1.org/fluzone-high-dose-vis-2019_1_d4a4f5.html
VIS Date VIS . Given IIV4. Fluzone Quadrivalent Sanofi Pasteur 0.25. 0.5 Yes. No Yes. No IM R Arm L Arm. R Leg L Leg August 7 2015 Fluzone High Dose (IIV3-HD) Sanofi Pasteur 0.5 No Yes IM R Arm. L Arm August 7 2015 Signature of Vaccine Administrator: _____ 2018-2019 Flu Insurance Information Form . Provider Name:
[DOC File]The completion of this form is necessary for every vaccine ...
https://info.5y1.org/fluzone-high-dose-vis-2019_1_730cab.html
Fluzone High Dose (IIV3-HD) Sanofi Pasteur 0.5 No Yes IM R Arm /L Arm. For Clinic/Office Use Only: Signature of Vaccine Administrator: _____ For children 18 years of age and younger: A. The following questions will help determine if the person to be vaccinated can get the 2018-2019 influenza vaccine. YES NO 1. Does the person to be vaccinated ...
[DOC File]The completion of this form is necessary for every vaccine ...
https://info.5y1.org/fluzone-high-dose-vis-2019_1_5aad96.html
VIS Date VIS . Given IIV4 Yes. No Yes. No 0.25. 0.5 IM R Arm L Arm. R Leg L Leg LAIV4 AstraZeneca Yes. No Yes 0.2 Intranasal N/A Flucelvax (ccIIV4) Seqirus Yes Yes 0.5 IM R Arm. L Arm IIV3 No Yes. No 0.5 IM R Arm L Arm. R Leg L Leg Fluzone High Dose (IIV3-HD) Sanofi Pasteur No Yes 0.5 IM R Arm. L Arm Fluad (aIIV3) Seqirus No Yes 0.5 IM R Arm. L Arm Flublok (RIV4) Sanofi Pasteur No Yes 0.5 IM …
[DOC File]Flu Vaccine Questionnaire/ Consent Form - RMIDS
https://info.5y1.org/fluzone-high-dose-vis-2019_1_634b24.html
Vaccine: Fluzone Vaccine: Pediatric Fluzone Prefilled Syringe Sanofi .25ml Prefilled Syringe Sanofi .25ml Lot # U36ZODA Lot # U3581BA
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