Transcription of Influenza/Pneumococcal Immunization Record
{{id}} {{{paragraph}}}
Example: quiz answers
Influenza/Pneumococcal Immunization Record
Site/Clinic Location: influenza / pneumococcal Immunization Record Last Name First Name Initial Gender Provincial Health Care Number/ULI Age Date of Birth (yyyy-Mon-dd). Alberta Address Phone (Home). City Province Postal Code Phone (Other). Out of Province Address (if applicable) Province Status: New to Alberta Visitor influenza Vaccine Informed Consent Vaccine (Manufacturer): Priority List by Reason Code: Fluzone (SF) mL IM Lot # _____. 03 Health care worker FluLaval (GSK) mL IM Lot # _____. Other _____ Lot # _____. 46 Pregnant women 02 65 years of age and older Site: Arm Left Right 45 6 months up to and including 23 months Leg Left Right 60 24 months up to and including 59 months 63 5 years up to and including 8 years of age For children requiring a 2nd dose: 64 9 years up t
Care After Immunization . Side Effects Many people have no reaction to these vaccines. If reactions happen, they are usually mild and go away in a few days.
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: