Vaccine information statement pneumococcal conjugate vaccine
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Commonly Used Spanish Patient Forms: Consent, Refusal ...
www.cigna.comTdap Influenza Hep B 1 Meningococcal-Conjugate IPV 1 Pneumococcal Hep B 2 Other: _____ ... “I have read or have had explained to me the information contained in the Vaccine Information Statements (VISs) for the above marked immunizations and about the following disease(s) and vaccine(s): Polio, ...
Immunization Requirements for School Attendance NEW …
www.health.ny.govPneumococcal Conjugate Vaccine (PCV) Meningococcal Vaccine (MenACWY) A New York State licensed physician must complete this medical exemption statement and provide their information below: Name (print) NYS Medical License # …
History of Vaccine Information Statements
www.cdc.govthe first vaccine information document in compliance with the second condition of this clause – an “Important Information Statement” (IIS) for bivalent “Swine and Victoria Influenza” vaccine. 5. Over the next decade, more than 50 IISs were issued for other vaccines, such as DTP (diphtheria, tetanus, and pertussis), MMR (and its single-
Meningococcal Conjugate Vaccines (MCV4)
dph.georgia.gov1 PCV is Pneumococcal Conjugate Vaccine; ensure at least one supplemental dose of PCV13 (Prevnar13®) is given to children with asplenia 2 MCV4/MENVEO may be given to children age 2 years and older with PCV or at any interval before/after PCV
IMMUNIZATION RELIGIOUS EXEMPTION FORM- IMM-2
chfs.ky.govVaccine preventable diseases continue to exist. Immunizations are one of the most cost effective measures to protect children, adolescents, and adults from harmful vaccine preventable diseases and possible death. A high proportion of children and adolescents must be immunized to prevent outbreaks of disease in school settings and