High dose flu vis 2019

    • [DOCX File]Influenza Vaccine Form - Minnesota Department of Health

      https://info.5y1.org/high-dose-flu-vis-2019_1_4c56c3.html

      Is this your first time receiving the flu vaccine? Have you ever had a reaction to a dose of flu vaccine that needed immediate medical attention? For Clinic Use Only - Do Not Write In This Area. Vaccine. GSK Sanofi Sequris. High Dose Adjuvanted. Dose: .25 ml .5 ml. Lot #: Exp. Date: Vaccinator. VIS 8/15/19 provided: Administered by: Date ...

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    • [DOC File]commed.umassmed.edu

      https://info.5y1.org/high-dose-flu-vis-2019_1_77f331.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 …

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    • [DOC File]The completion of this form is necessary for every vaccine ...

      https://info.5y1.org/high-dose-flu-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 …

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    • [DOC File]Flu Vaccine Questionnaire/ Consent Form - RMIDS

      https://info.5y1.org/high-dose-flu-vis-2019_1_634b24.html

      Title: Flu Vaccine Questionnaire/ Consent Form Author: Administrator Last modified by: Administrator Created Date: 2/8/2011 4:33:00 PM Company: HOME

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    • [DOCX File]Input LHD name here - Ky CHFS

      https://info.5y1.org/high-dose-flu-vis-2019_1_d1fb83.html

      The health department may keep this record in a medical file. They will record what vaccine was given, when the vaccine was given, the name of the company that made the vaccine, the vaccine’s special lot number, the vaccine injection site, the signature and title of the person who gave the vaccine, and the address where the vaccine was given.

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    • [DOCX File]Influenza Vaccine Form - Minnesota Department of Health

      https://info.5y1.org/high-dose-flu-vis-2019_1_2acb23.html

      I have read or had explained to me the Vaccine Information Statement “Influenza Vaccine: What You Need to Know.” I have had the chance to ask questions which were answered to my satisfaction, and I understand the benefits and risks of the vaccination as described.

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    • [DOC File]EM USA Terms and Definitions - FEMA

      https://info.5y1.org/high-dose-flu-vis-2019_1_dbf1a8.html

      The primary goal of the AFG Program’s Fire Prevention and Safety Grant is to reach high-risk target groups in order to mitigate the high incidences of death and injuries. Additionally, the authorization remains that includes funding for Firefighter Safety Research and Development.” (DHS/ODP, FY 2006 EMPG Program Guidance, November 2005, p.

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