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  • Influenza Pneumococcal Vaccine Consent Form - Salisburyvna

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INFLUENZA / PNEUMOCOCCAL VACCINE CONSENT FORM 2014 SALISBURY INSURANCE CASH CHECK $35 RESIDENT $75 $110 Name Birth Date / / Age Address Town ST ZIP Sex ( Male / Female ) Phone Number ( ) Email address:.

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Influenza is a common cause of pneumonia, especially among younger children, the elderly, pregnant women, or those with certain chronic health conditions or who live in a nursing home. Most cases of flu never lead to pneumonia, but those that do tend to be more severe and deadly.

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

If two live vaccines are not given on the same day, they need to be spaced at least 4 weeks apart. If both pneumococcal conjugate vaccine (PCV) and 23-valent pneumococcal polysaccharide vaccine (PPSV23) are indicated for a high-risk patient, these vaccines should not be given at the same visit.

There are significant differences between the pneumococcal vaccine (the pneumonia shot) and the flu shot. Those who have a significantly higher chance of contracting pneumococcal infections – pneumonia, meningitis and bloodstream infections – must opt for the pneumococcal vaccine.

Minimum interval is 8 weeks. If an individual has already received a dose of PPSV23: PCV13 should be followed by a minimum interval of 12 months. PPSV23 and PCV13 should not be given at the same time.

Other Vaccines for Adults In adults, you can administer a pneumococcal vaccine (PCV15, PCV20, or PPSV23) during the same visit with influenza vaccination. Administer each vaccine with a separate syringe and, if feasible, at a different injection site. Annual influenza vaccination is important to help prevent the flu.

2.6 Vaccination Schedule for Adults 18 Years of Age and Older. is administered as a single dose.

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© Copyright 1997-2025
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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