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  • Flu Vaccine Consent Form

Get Flu Vaccine Consent Form

Injectable 20152016 SEASONAL INFLUENZA VACCINE CONSENT FORM Information collected on this form will be used to document permission for your child to receive the 20152016 seasonal influenza vaccine.

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Current influenza vaccines have moderate efficacy, good safety, and acceptable tolerability; however, they have unsatisfactory efficacy in older adults, are dependent on egg supply for production, and are time-consuming to manufacture. This review outlines the unmet medical needs of current influenza vaccines.

Other reasons included thinking they do not need a flu vaccine, fear of getting sick, fear of side effects from vaccination, being allergic to the vaccine, and thinking that flu vaccination is not good for you. Source: CDC, 2016.

I understand that I cannot get influenza from the influenza vaccine. my health and the health of those with whom I have contact, including all patients in this healthcare facility, coworkers, my family and my community. procedure masks in areas where patients or residents may be present during the influenza season.

Reasons for Refusing the Flu Vaccine “I do not need the vaccination” (17.3%) “I might experience side effects or get sick from the vaccine” (12.2%) “I don't think the vaccination is effective in preventing flu” (11.8%).

The FDA is also responsible for ensuring that released lots of influenza vaccines meet appropriate standards. Each vaccine undergoes quality control tests, including testing for sterility.

Babies younger than six months old, people who have had a life-threatening reaction to a flu shot in the past, and people who are currently very sick with a high fever should not get a flu shot.

Four influenza vaccines will be available under the National Immunisation Program in 2023: Vaxigrip Tetra® and Tetra® for eligible people aged 6 months to 64 years. Afluria® Quad for eligible people aged 5 years to 64 years. Fluad® Quad for people aged 65 years and over.

□ My philosophical or religious beliefs prohibit vaccination. □ I have an allergy or medical contraindication to receiving the vaccine. □ I do not wish to say why I decline. □ Other reason – please tell us.__________________________________________________

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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