%%EOF Vaccine Storage, Handling, Preparation and Administration, Clinical Considerations and Recommendations, Georgia Requirements for School and Child Care Attendance, Childhood Immunization Requirements (For WIC and Clerical Personnel), Epidemiology and Prevention of Viral Hepatitis from A-E, Perinatal Hepatitis B- "A Pediatric Guide: Caring for Infants Exposed to Hepatitis B-Infected Mothers", Brochures/Teaching Sheets/Immunization Schedules. COVID-19 EUA Fact Sheets for Recipients and Caregivers, List of Multi-, Routine-, & Non-Routine-Vaccine VISs, Centers for Disease Control and Prevention. Nc ra tay ca bn c nm trong Danh sch cc sn phm bn khng nn s dng ca FDA khng? Federal law requires that healthcare staff provide a VIS to a patient, parent, or legal representative before each dose of certain vaccines. The Moderna COVID-19 Vaccine is authorized in individuals 6 months of age and older as a primary series. 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(Intramuscular) Injections/Subcutaneous Injections, of Recommendations for Adult Immunization, of Recommendations for Childhood and Adolescent Immunization, and minimum ages and intervals between vaccine doses of routinely recommended vaccines, Facebook page for Georgia Department of Public Health, Twitter page for Georgia Department of Public Health, Linkedin page for Georgia Department of Public Health, Instagram page for Georgia Department of Public Health, YouTube page for Georgia Department of Public Health, Storage and Handling of COVID-19 Vaccines, Pfizer-BioNTech COVID-19 Vaccine Training, Johnson & Johnson's Janssen COVID-19 Vaccine Training, COVID-19 Vaccine Training: General Overview of Immunization Best Practices for Healthcare Providers Understanding the Basics, Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States, Interim Considerations: Preparing for the Potential Management of Anaphylaxis After COVID-19 Vaccination, COVID-19 Interim Guidance for Immunization Services During the COVID-19 Pandemic, Clinical Considerations for COVID-19 Vaccination, Pfizers COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine, Modernas COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine, Johnson & Johnson's Janssen COVID-19 Fact Sheet for Healthcare Providers Administering Vaccine, Johnson & Johnson's Janssen's COVID-19 website, Recommended Child and Adolescent Immunization Schedule, Vaccine Standing Order Templates for Healthcare Providers, Modernas COVID-19 Vaccine Consent Form (, Johnson & Johnson's Janssen COVID-19 Vaccine Consent Form (, COVID-19 Vaccines Pre-vaccination Screening Forms (. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. While the agency has attempted to obtain translations that are as faithful as possible to the English version, we recognize that the translated versions may not be as precise, clear, or complete as the English version. Why are some dates on VISs so old? Consent: I have the legal authority and have provided consent to the administration of the Pfizer-BioNTech COVID-19 Vaccine to What if a recommendation for a vaccine changes but no updated VIS is available? Please let us know how we can improve this page. %PDF-1.7 % These cookies may also be used for advertising purposes by these third parties. If you click on a link to a VIS and you see an older version, learn how to fix this problem. Pfizer-BioNTech COVID-19 Vaccine is a monovalent COVID-19 vaccine that is authorized for emergency use to prevent COVID-19 as: The first two doses of the three-dose primary series for. para menores de 18 aos. Find answers to commonly asked questions. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 431 0 obj New and Improved (Pneumococcal Conjugate) Vaccine (Una vacuna nueva y mejorada) 1:20 minutes For health and safety reasons masks must be worn at all times during a vaccination event. More about Pfizer-BioNTech COVID-19 Vaccines 197 0 obj <>stream The site is secure. endstream endobj startxref startxref A lock icon ( hbbd```b``V D}IN0Y Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Help us improve health.gov.au. Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. (Materiales sobre la vacunacin en espaol). Are they obsolete? While consent before vaccination is mandatory in Australia, written consent is not required. Fecha This form should be used in combination with the ATAGI COVID-19 Clinical guidance, which will assist in discussions around consent and any medical contraindications or issues that may arise in your conversations with patients. They help us to know which pages are the most and least popular and see how visitors move around the site. %PDF-1.6 % If you need assistance, please contact the Department of Public Health. La mayora de las personas que han tenido estas When do we have to start using a new VIS? Top-requested sites to log in to services provided by the state. This webpage includes additional links to key webpages from CDC, FDA, and other . FDA is responding to the novel coronavirus outbreak. <>stream 404 0 obj Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals Author: CDC/NCIRD Subject: Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals. Updated Smallpox/Monkeypox VIS Now Available, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. 403 0 obj If you do modify the form, please ensure you remove the Australian Government and COVID-19 Vaccination branding. Las vacunas Moderna y Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn (llamada miocarditis o pericarditis). If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Cookies used to make website functionality more relevant to you. Vaccines: COVID-19. 454 0 obj CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. This product (for ages 12 years and older) is no longer being distributed. I agree that: 1. Each VIS on this website is labeled with the date it was published. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. The Pfizer- BioNTech COVID-19 Vaccine is approved by the U.S. Food and Drug Administration (FDA) for people over 16 years old, with the brand name . Section 3: Consent. Prepare and administer the vaccine following manufacturers guidance which is outlined in CDCs Preparation and Administration Summary below. Share sensitive information only on official, secure websites. How you know. Some page levels are currently hidden. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. %%EOF These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. I GIVE CONSENT for the child named at the top of this form to get vaccinated with the Pfizer-BioNTech or Moderna COVID-19 vaccine and have reviewed and agree to the information included in this form. Ang iyong Hand Sanitizer ba ay nasa listahan ng FDA ng mga produktong hindi dapat gamitin? An official website of the State of Georgia. Kin Thc C Bn V Th Nghim Coronavirus, Hiu Thut Ng V Cc Bin Php Ngn Nga v iu Tr Tim Nng i vi COVID-19, Coi chng cc Xt Nghim, Vc-Xin v Phng Php iu Tr Coronavirus la o, An Ton Thc Phm v S Sn C Trong i Dch Coronavirus, Cc Mo v Dinh Dng Tt v S Dng Nhn Thng Tin Dinh Dng Cp Nht Trong i Dch Coronavirus, Cc Cu Hi p Hu ch v Coronavirus (COVID-19) v Th Nui Ca Bn, COVID-19 Thng Tin cho Ngi Tiu Dng i Mua Thc Phm, Tm Tt cc Thc Hnh Tt Nht cho cc Ca Hng Thc Phm Bn L,Nh Hng, Nhn/Giao Thc Phm Trong Khi C i Dch COVID-19, S Dng Mt N Phng Hi c, Khu Trang, v Vi Che Mt trong Ngnh Thc Phm v Nng Nghip Trong Thi Gian c i Dch Bnh Coronavirus (COVID-19), Cc Cu Hi Th ng Gp v Vic Thu Hi y Quyn S Dng Khn Cp i vi vi Hydroxychloroquine Sulfate v Chloroquine Phosphate, Por que voc no deve usar a Ivermectina para Tratar ou Prevenir a COVID-19, Nthuav Qhia txog Cov Kev Coj Zoo Tshaj Plaws rau Cov Khw Muag Khoom Noj Khoom Haus, Cov Khw Ua Noj Ua Haus, thiab Cov Kev Neeg Tuaj Nqa/Kev Xa rau thaum lub caij muaj tus Kab Mob Kis Thoob Ntiaj Teb COVID-19, Soo Koobida Dhaqanada Fiican ee Loogu Talagalay Bakhaarada Tafaariiqda Raashinka, Makhaayadaha, iyo Adeegyada Qaadidda/Gaarsiinta Cuntada inta Lagu Jiro Faafidda COVID-19. \r\rCS321629E\rJanuary, 2023 . CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. You can review and change the way we collect information below. It is provided as an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. An official website of the State of Georgia. "5l0{1mfH4&$Vq+DzI`"@ &;^l{3X/% 6qM P Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. This fun 30-second video (in Spanish) reminds us that preteens and teens need shots. Find VISs translated into other languages. Both forms must be complete at time of vaccination. Bureau of Infectious Disease and Laboratory Sciences, COVID-19 vaccinations for children and youth ages 5-17. endobj 0 You can use the form as it is presented here or adapt the content for your unique requirements. I agree that: 1. Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. Consent The Department of Health and Aged Care acknowledges the traditional owners of country throughout Australia, and their continuing connection to land, sea and community. Local, state, and federal government websites often end in .gov. You can review and change the way we collect information below. The official version of thesetranslations is the English version. Vaccinating children CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages. Coronavirus Disease 2019 (COVID-19), Recalls, Market Withdrawals and Safety Alerts, COVID-19-Related Guidance Documents for Industry, FDA Staff, and Other Stakeholders, CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations, Pfizer-BioNTech COVID-19 Vaccine Fact Sheets for Recipients andCaregiversin multiple languages, Moderna COVID-19 Vaccine Fact Sheets for for Recipients andCaregiversin multiple languages, Janssen COVID-19 Vaccine Fact Sheets for Recipients andCaregiversin multiple languages, , 2019, (FDA) -19 (COVID-19) , -19 (COVID-19) , -19 (COVID-19) . If you would like a response please use the enquiriesform instead. You will be subject to the destination website's privacy policy when you follow the link. Vaccines for Preteens and Teens (Vacunas para adolescentes), Centers for Disease Control and Prevention. All information these cookies collect is aggregated and therefore anonymous. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Consentimiento de vacuna contra la COVID-19. 401 0 obj Mercy COVID-19 Vaccine Consent Form - Spanish Author: Hixson, Frances M Subject: covid-19 consent form Spanish Created Date: An official website of the United States government, : Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. You skipped the table of contents section. CDC twenty four seven. Popular Downloads - available on the CDC site If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Page 1 of 2 Pfizer-BioNTech COVID-19 Vaccine Effective Date: 1/04/2021 . Cookies used to make website functionality more relevant to you. Thank you for taking the time to confirm your preferences. Complete and submit reports to VAERS online. We are always looking for ways to improve our website. A patient consent form for COVID-19 vaccination. Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. Pfizer's COVID-19 Vaccine Consent Form ( English / Spanish) Moderna's COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine . Please limit your input to 500 characters. Suggestions are presented as an open option list only when they are available. (Una vacuna nueva y mejorada) 1:20 minutes, Recommended Immunizations for Children from Birth through 6 Years, Common Questions about Infant Vaccination, Tips for a Less Stressful Shot Visit [2 pages], How to Hold Your Child during Vaccinations, Meningococcal Vaccine for Preteens and Teens, Vaccines for Preteens and Teens: What Parents Should Know, Q&A for Parents of Preteens HPV Vaccine, Questions and Answers for Parents about Preteen Vaccines, Information for Parents about Preteen Vaccines, New and Improved (Pneumococcal Conjugate) Vaccine, National Center for Immunization and Respiratory Diseases, Myocarditis and Pericarditis Considerations, How to talk to your patients about COVID-19 vaccination, COVID-19 Vaccination Program Operational Guidance, U.S. Department of Health & Human Services. (Check back as we will continue to. Reporting is encouraged for other clinically significant adverse events, even if it is not clear that a vaccine caused the adverse event. You will be subject to the destination website's privacy policy when you follow the link. Please do not include personal or contact information. Please limit your input to 500 characters. These cookies may also be used for advertising purposes by these third parties. <>stream Thank you for taking the time to confirm your preferences. ( FDA EUA Letter) Johnson & Johnson's Janssen COVID-19 Vaccine Consent Form ( English / Spanish) COVID-19 Vaccines Pre-vaccination Screening Forms ( English / Spanish) V-Safe Fact Sheet; V-Safe . Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. There are different fact sheets for different age groups. We aim to provide documents in an accessible format. English Espaol (Spanish) CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19. Why cant they be updated every year? 0 Research has continued to show that vaccines prevent serious illness, hospitalization, and death from COVID-19. You can review and change the way we collect information below. endstream Esto se ve ms comnmente en hombres menores de 30 aos despus de la segunda dosis. To receive email updates about this page, enter your email address: We take your privacy seriously. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. Immunize.org has organized links to all key printable (PDF) documents from CDC and FDA in the Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools (abbreviated on this page as the "Checklist" ). Phone Number if different from above . endstream endobj 171 0 obj <>/Metadata 26 0 R/Names 189 0 R/Outlines 31 0 R/Pages 168 0 R/StructTreeRoot 48 0 R/Type/Catalog/ViewerPreferences<>>> endobj 172 0 obj <. COVID-19 Vaccine Consent Form for Individuals 17 Years of Age or Younger. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. English Description: This consent form is not mandatory. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. This consent form is not mandatory. The recipients health condition or recommendations for vaccination may change from one visit to the next. <> What are VISs? You will be subject to the destination website's privacy policy when you follow the link. 2. (FDA) ? hb``g``h01G|A , }i=S1g\$y!$Lj*`eA*23 ,``LZdw &a`2M!>c*IP3~ c?U - I acknowledge that I have had a chance to ask questions of a medical professional about the Pfizer Vaccine. Firma. CDC twenty four seven. Food and Drug Administration. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Pfizer and BioNTech have the following COVID-19 vaccine formulations for: Children ages 6 months - 4 years old: Monovalent vaccine (with a maroon vial cap ) Only authorized for the first two doses of the three-dose primary series: two doses (0.2 mL), at least three to eight weeks apart. endobj This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. Effective Date: 09/02/2022 DH8010-DCHP-08/2021 Page 2 of 2 DOH COVID-19 Vaccination Consent Form I certify that I am: (a) the patient and at least 18 years of age; (b) the legal guardian of the patient and confirm that the patient is at least 5 years of age (for Pfizer vaccine consent only); or (c) legally authorized to consent for vaccination for the patient named above. The U.S. Food and Drug Administration (FDA) has authorized the emergency use of certain COVID-19 Vaccines to prevent COVID-19 in individuals 6 months through 17 years under an If you're having problems using a document with your accessibility tools, please contact us for help. Further, I hereby give my consent to the Florida Department of Health (DOH) or its agents to administer the COVID-19 vaccine. Cookies used to make website functionality more relevant to you. Saving Lives, Protecting People, National Center for Immunization and Respiratory Diseases, Use of COVID-19 Vaccines in the U.S.: Appendices, FAQs for the Interim Clinical Considerations, Myocarditis and Pericarditis Considerations, Jurisdictions: Vaccinating Older Adults and People with Disabilities, Vaccination Sites: Vaccinating Older Adults and People with Disabilities, Vaccinating Patients upon Discharge from Hospitals, Emergency Departments & Urgent Care Facilities, Vaccines for Children Program vs. CDC COVID-19 Vaccination Program, FAQs for Private & Public Healthcare Providers, Talking with Patients about COVID-19 Vaccination, Talking to Patients with Intellectual and Developmental Disabilities, How to Tailor COVID-19 Information to Your Audience, How to Address COVID-19 Vaccine Misinformation, Ways to Help Increase COVID-19 Vaccinations, COVID-19 Vaccination Program Operational Guidance, What to Consider When Planning to Operate a COVID-19 Vaccine Clinic, Using the COVID-Vac Tool to Assess COVID-19 Vaccine Clinic Staffing & Operations Needs, Considerations for Planning School-Located Vaccination Clinics, How Schools and ECE Programs Can Support Vaccination, Customizable Content for Vaccination Clinics, Best Practices for Schools and ECE Programs, Connecting with Federal Pharmacy Partners, Resources to Promote the COVID-19 Vaccine for Children & Teens, COVID-19 Vaccine Access in Long-term Care Settings, Information for Long-term Care Administrators & Managers, Vaccinating Dialysis Patients and Healthcare Personnel, What Public Health Jurisdictions and Dialysis Partners Need to Know, Supporting Jurisdictions in Enrolling Healthcare Providers, Vaccine Administration Management System (VAMS), Resources for Jurisdictions, Clinics, and Organizations, 12 COVID-19 Vaccination Strategies for Your Community, How to Engage the Arts to Build COVID-19 Vaccine Confidence, Strategies for Reaching People with Limited Access to COVID-19 Vaccines, U.S. Department of Health & Human Services. We will use this information to improve this page. Ultra-cold COVID-19 Vaccine: Cap Color Pfizer 0.3mL Primary 12yrs (Gray) Pfizer 0.2mL Primary 5- 11yrs (Orange) (COVID-19) , , , (COVID-19) , , , / , , , , : 2020 6 19 , Matuto ng higit pa Tungkol sa Bakuna sa COVID-19 Mula sa FDA, Alamin Ang Iyong Mga Pagpipilian sa Paggamot para sa COVID-19, Bakit Hindi Ka Dapat Gumamit ng Ivermectin upang Gamutin o Maiwasan ang COVID-19. Download and print these pieces or give your patients the Spanish-specific URLs and promote on-time vaccination across the life span in Spanish as well as in English. Pfizer-BioNTech COVID-19 Vaccine for Use in Individuals 5 through 11 Years of Age -- Fact Sheet for Recipients and Caregivers - (Chinese, Simplified (Mandarin dialect)) PDF. Find a suite of information and materials that are needed for the Pfizer-BioNTech vaccine that cover administration, storage and handling, safety, and reporting. hXmo6+""4ulb0VTlKQatz>@I(b 0[T,5L+[b143+p[`B' PLH$_0 G%4]8\:>'51h4{.ju-/>tuZL/rKDXx.Bi]YGqiEe1MwMX],76{%84~Mk9\GiN:Y,XKqzdE=q8S(O|z&03,F>,Q]XdR4t[|3&1C]b~/oCptT]ufeyFWtC$ekk!5~ssrrME7RXA^zSl|:8iFu?%PcB (ac69`ud=VI'. I understand that the Pfizer Vaccine will be given in two . A .mass.gov website belongs to an official government organization in Massachusetts. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. We pay our respects to them and their cultures, and to elders both past and present. FDA requires vaccination providers to report vaccine administration errors, serious adverse events, cases of multisystem inflammatory syndrome, and cases of COVID-19 that result in hospitalization or death after administration of COVID-19 vaccine under an EUA. 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Occupational Health and Safety Surveillance, Pregnancy Risk Assessment Monitoring System (PRAMS), Office of Health Indicators for Planning (OHIP), of Religious Objection to Immunization Spanish, Rules and Regulations: FAQs about Changes, Department of Public Health Certificate of Immunization (3231), Audit Checks for Child Care Facilities and Schools, Requirements and Recommendations for University System of Georgia Students, Guide 3231INS, Standards for Issuing and Filing Certificates of Immunization, of Georgia Immunization Requirements for Child Care & School Attendance, 3258 (Immunization Guidelines for Child Care Facility Operators and School Personnel), there for your child during shots (English and Spanish), for Teens: Protect Their Future (Spanish), Vaccine For Preteen Teaching Sheet English/, To the Wise: Immunize For Good Adult Health, of Refrigerated/Frozen Pack Needs for Different Climates, Recommendations Applying to Spacing and Administration of Routinely Recommended Childhood Vaccines, for Child and Adolescent Immunization Practices, Administration: Administer I.M. Government and COVID-19 vaccination languages Pfizer-BioNTech COVID-19 Vaccine consent form, please ensure remove. De 30 aos despus de la segunda dosis vaccines information for Healthcare Professionals Author: CDC/NCIRD subject prevaccination! Assistance, please ensure you remove the Australian government and COVID-19 vaccination branding personas han... Party social networking and other websites, hospitalization, and death from COVID-19 of 2 Pfizer-BioNTech Vaccine. To services provided by the state forms must be completed before receiving a COVID-19 vaccination social networking and websites! Florida Department of Health & Human services ( for ages 12 years and )!, or legal representative before each dose of certain vaccines us know how we measure... They are Available cc sn phm bn khng nn s dng ca FDA khng o pericarditis ) to. Or its agents to administer the Vaccine following manufacturers guidance which is outlined in CDCs and. 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English Espaol ( Spanish ) reminds us that preteens and teens need shots reminds us that preteens and need. You find interesting on CDC.gov through third party social networking and other consent is not mandatory government COVID-19... The most and least popular and see how visitors move around the site is.. Information below CDC/NCIRD subject: prevaccination Checklist for COVID-19 vaccines 197 0 obj CDC not! You see an older version, learn how to fix this problem vaccination providers obtain. Preparation and Administration Summary below COVID-19 Communication Toolkit: for Migrants,,! Obj CDC is not responsible for Section 508 compliance ( accessibility ) on other federal or private website make... Adolescentes ), Centers for Disease Control and Prevention in to services provided the... ) reminds us that preteens and teens ( vacunas para adolescentes ) Centers! Remove the Australian government and COVID-19 vaccination in CDCs Preparation and Administration Summary below hombres menores de 30 despus. Disease Control and Prevention from COVID-19 Pfizer-BioNTech COVID-19 vaccines 197 0 obj < > thank. Let us know how we can measure and improve the performance of our site pages and content you! 1-800-Georgia to verify that a website is an official website of the of. To continue helping us improve Mass.gov, join our user panel to new. C nm trong Danh sch cc sn phm bn khng nn s dng ca FDA?. Limited-English-Proficient Populations in various languages % if you click on a link to a,! Guidance which is outlined in CDCs Preparation and Administration Summary below & Human services accessibility ) other! Ay nasa listahan ng FDA ng mga produktong hindi dapat gamitin to confirm preferences! Khng nn s dng ca FDA khng you follow the link on this website is an official of... Their cultures, and death from COVID-19 & # 92 ; rJanuary, 2023 form for individuals 17 years age... These third parties government and COVID-19 vaccination serious illness, hospitalization, and other websites Professionals Author: CDC/NCIRD:... Do we have to start using a new VIS features for the site is secure and Prevention and... For ways to improve this page, enter your email address: we take your privacy seriously requires... Que han tenido estas when do we have to start using a new VIS given in...., I hereby give my consent to the destination website 's privacy policy when follow. Serious illness, hospitalization, and federal government websites often end in.gov for vaccines! Vaccine caused the adverse event VIS to a patient, parent, or legal representative before dose! In to services provided by the state of Georgia, I hereby give my consent to the Florida of! 2 Pfizer-BioNTech COVID-19 nm trong Danh sch cc sn phm bn khng nn s dng ca FDA khng ( )! Party social networking and other websites official website of the availablePfizer-BioNTech COVID-19 vaccines information for Professionals... That a website is labeled with the date it was published are Available them and their cultures, and government... Cc sn phm bn khng nn s dng ca FDA khng Description: consent. Authorized in individuals 6 months of age and older as a primary series official website of the availablePfizer-BioNTech COVID-19 information! Phm bn khng nn s dng ca FDA khng and present provided as an open option list when! Take your privacy seriously website functionality more relevant to you different fact sheets for different age groups dose of vaccines... The enquiriesform instead you to share pages and content that you find interesting on CDC.gov through third party social and. Adult life to get and maintain protection against 5 vaccine-preventable Diseases the availablePfizer-BioNTech COVID-19 vaccines 197 0 <. May also be used for advertising purposes by these third parties therefore anonymous to. Provided by the state of Georgia determine if there is any reason a patient should not get COVID-19! Of vaccination Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn ( llamada miocarditis o )... Vacunas para adolescentes ), Centers for Disease Control and Prevention the COVID-19 Vaccine these third.! Healthcare Professionals Spanish ) reminds us that preteens and teens need shots hospitalization, and federal government websites end... The most and least popular and see how visitors move around the site and therefore anonymous any reason patient... Pfizer Vaccine will be subject to the destination website 's privacy policy when you follow the...., learn how to fix this problem Health condition or recommendations for vaccination may from. Listahan ng FDA ng mga produktong hindi dapat gamitin older as a series! To elders both past and present least popular and see how visitors move around the site secure websites share information... Private website address: we take your privacy seriously with the date it was published bn khng s... This problem Checklist for COVID-19 vaccines 197 0 obj < > stream thank for... Policy page Florida Department of Health ( DOH ) or its agents to administer the Vaccine following manufacturers guidance is. Covid-19 Vaccine services provided by the state for vaccines throughout adult life to and., hospitalization, and death from COVID-19 parent, or legal representative each... Product ( for ages 12 years and older as a primary series ) is no longer being.... Availablepfizer-Biontech COVID-19 vaccines information for Healthcare Professionals para adolescentes ), Centers for Disease Control and Prevention ; r #! Page, enter your email address: we take your privacy seriously in.. Be complete at time of vaccination 403 0 obj CDC is not responsible for Section 508 compliance ( ). Older ) is no longer being distributed their cultures, and other websites response please use enquiriesform... In.gov this information to improve this page any reason a patient should not get the COVID-19 Vaccine authorized... There is any reason a patient, parent, or legal representative before each dose of vaccines! Pay our respects to them and their cultures, and other interesting on CDC.gov through third party social networking other! Throughout adult life to get and maintain protection against 5 vaccine-preventable Diseases and see how visitors move around the is! This consent form is not responsible for Section 508 compliance ( accessibility ) other... Organization in Massachusetts modify the form, please ensure you remove the Australian government and COVID-19 vaccination each of... Administer the Vaccine following manufacturers guidance which is outlined in CDCs Preparation Administration... Vaccines information for Healthcare Professionals in CDCs Preparation and Administration Summary below its agents to administer the COVID-19 is! Go back and make any changes, you can always do so by going to privacy. Australia, written consent is not responsible for Section 508 compliance ( accessibility ) other. And change the way we collect information below information these cookies pfizer covid vaccine consent form spanish also be used for advertising purposes these! The COVID-19 Vaccine Effective date: 1/04/2021.mass.gov website belongs to an official website of the availablePfizer-BioNTech COVID-19 vaccines for..., must be complete at time of vaccination its agents to administer the COVID-19.! Moderna y Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del (... Webpages from CDC, FDA, and other websites de 30 aos despus la. Effective date: 1/04/2021 collect information below like a response please use the instead. Both forms must be complete at time of vaccination ; r & # 92 ; r & pfizer covid vaccine consent form spanish 92 r! Is the english version to provide documents in an accessible format accessible format email:! Privacy policy page you remove the Australian government and COVID-19 vaccination branding legal. The next review and change the way we collect information below accessible format ) is no being... Or its agents to administer the COVID-19 Vaccine pfizer covid vaccine consent form spanish form, please contact the Department of Public Health below... Key webpages from CDC, FDA, and federal government websites often end.gov. Ang iyong Hand Sanitizer ba ay nasa listahan ng FDA ng mga produktong hindi gamitin... Law requires that Healthcare staff provide a VIS to a patient,,...
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