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Pneumococcal Polysaccharide Vaccine Consent Form I have read the Centers for Disease Control CDC Vaccine Information Statement Pneumococcal Polysaccharide Vaccine What You Need To Know 10/6/09 and have had an opportunity to ask questions.

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Administer pneumococcal polysaccharide vaccine (PPSV23) intramuscularly or subcutaneously. Administer pneumococcal conjugate vaccines (PCV13, PCV15, and PCV20) intramuscularly. The preferred site for PCV13 or PCV15 vaccination in infants and young children is the vastus lateralis muscle in the anterolateral thigh.

Because PCV13-type disease is at historically low levels among adults ≥65 years and most pneumococcal disease among these adults is due to non-PCV13 serotypes, ACIP no longer recommends their routine vaccination with PCV13.

PPSV23 protects against 23 types of bacteria that cause pneumococcal disease. pneumococcal disease. Most people need only one dose of PPSV23. A second dose of PPSV23, and another type of pneu- mococcal vaccine called PCV13, are recommended for certain high-risk groups.

Administer PNEUMOVAX 23 intramuscularly or subcutaneously into the deltoid muscle or lateral mid-thigh. Do not inject intravascularly or intradermally.

CDC recommends routine administration of pneumococcal conjugate vaccine (PCV13 or PCV15) for all children younger than 2 years of age: Give PCV13 or PCV15 to infants as a series of 4 doses, one dose at each of these ages: 2 months, 4 months, 6 months, and 12 through 15 months.

Pneumovax23®: Doctors give this vaccine to children 2 through 18 years old who need it. Doctors also give it to adults who receive PCV15 or who have received PCV13. This vaccine helps protect against serious infections caused by 23 types of pneumococcal bacteria.

You must also document, in the patient's medical record or office log, the publication date of the VIS and the date it was given to the patient. If vaccine was not administered, record the reason(s) for non-receipt of the vaccine (e.g., medical contraindication, patient refusal).

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232