Declination Letter For Flu Shot Force
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FAQ
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.
People who SHOULD NOT get a flu shot include: Children younger than 6 months of age are too young to get a flu shot. People with severe, life-threatening allergies to any ingredient in a vaccine, including flu vaccine (other than egg proteins), should not get that vaccine.
? 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.__________________________________________________
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%).
