New Jersey Hepatitis B Vaccine Acceptance Declination Form
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How to fill out Hepatitis B Vaccine Acceptance Declination Form?
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FAQ
If an employee initially declines the vaccination, and then decides to have it, the employer must pay for the initial vaccination series and post-vaccination testing, and second vaccination series and testing, if necessary.
It is also possible that a person who does not respond to the vaccine may already be infected with hepatitis B. Therefore, testing for the presence of the hepatitis B virus (hepatitis B surface antigen or HBsAg) is recommended before diagnosing a person as a "vaccine non-responder."
Employers must ensure that workers who decline vaccination sign a declination form. The purpose of this is to encourage greater participation in the vaccination program by stating that a worker declin- ing the vaccination remains at risk of acquiring hepatitis B.
The main risk of the baby not getting the vaccine is that they may contract the hepatitis B virus. Hepatitis B primarily attacks the liver, causing inflammation that can damage this organ over time. An acute infection lasts for less than 6 months and may cause no symptoms in some people.
People who are non-responders after receiving the booster should be tested for hepatitis B virus infection. If negative, they are recommended to receive 2 more doses of hepatitis B vaccine 1 month apart. Count the 4th booster dose as the 1st of the 3 repeat doses.
I Decline the Hepatitis B Vaccination I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease.
For instance, sometimes the hepatitis B vaccination is delayed if a baby is premature, has a low birth weight, or is medically challenged. Still, parents always have the option to refuse a vaccination if they want to. But the risks associated with a hepatitis B infection far outweigh the risks of the vaccine.
All babies should get the first shot of hepatitis B vaccine within 24 hours of birth. This shot reduces the risk of your baby getting the disease from you or family members who may not know they are infected with hepatitis B.
It is recommended that your baby is given a dose of hepatitis B vaccine at birth or within the first 7 days of life, followed by a further three doses of hepatitis B vaccine at 6 weeks, 4 months and 6 months of age. Extensive experience shows that hepatitis B vaccine is safe and well tolerated by newborn babies.
