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Reporting is encouraged for other clinically significant adverse events, even if it is not clear that a vaccine caused the adverse event. %PDF-1.6 % 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. endobj English Espaol (Spanish) CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19. Direccin si es diferente de la anterior. Pre-Vaccination Screening Form: English Spanish; Pfizer. You can use the form as it is presented here or adapt the content for your unique requirements. 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. 197 0 obj <>stream endstream endobj startxref Below you will find trainings in proper vaccine storage and handling, preparation, and administration, along with resources to assist with COVID-19 vaccine related questions and concerns. Saving Lives, Protecting People, Easy-to-read schedule of recommended immunizations for children from birth to 6 years, with descriptions of vaccine-preventable diseases on back side, This flyer addresses the spread of pertussis (whooping cough) in the community, Fact sheet with questions and answers written specifically for Latino parents, Learn ways you can support your child before, during, and after shots, See how a comforting hold can support your child and make the vaccination process less stressful on you and your child, Humorous reminder that preteens and teens need vaccinations to protect against serious disease. Complete and submit reports to VAERS online. Top-requested sites to log in to services provided by the state. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. 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. hbbd```b``"H%dCh0MlT"A$^ 8H4hL F R- startxref Healthcare professionals in the United States serve patients of many nationalities, including many Spanish-speaking citizens and visitors. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Bivalent vaccine (with a maroon vial cap and different label. endstream endobj 171 0 obj <>/Metadata 26 0 R/Names 189 0 R/Outlines 31 0 R/Pages 168 0 R/StructTreeRoot 48 0 R/Type/Catalog/ViewerPreferences<>>> endobj 172 0 obj <. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Cookies used to make website functionality more relevant to you. You can review and change the way we collect information below. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. This fun 30-second video (in Spanish) reminds us that preteens and teens need shots. Consent: I have the legal authority and have provided consent to the administration of the Pfizer-BioNTech COVID-19 Vaccine to This consent form is not mandatory. "5l0{1mfH4&$Vq+DzI`"@ &;^l{3X/% 6qM P 47 6 thatphanom.techno@gmail.com 042-532028 , 042-532027 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. If you are being inoculated by CVS, we've included that form below. I agree that: 1. vacuna contra la COVID-19 de Pfizer o Moderna. Scroll down to access downloads and media. You skipped the table of contents section. An official website of the State of Georgia. Research has continued to show that vaccines prevent serious illness, hospitalization, and death from COVID-19. (Materiales sobre la vacunacin en espaol). Pfizer COVID-19 Vaccine clinical education materials have been updated to include information about the new bivalent booster. V-Safe After Vaccination Health Checker - English PDF. Based on evidence of safety and efficacy, the U.S. Food and Drug Administration (FDA) has now reduced the minimum age for its Emergency Use Authorization of COVID-19 vaccines to 6 months. endobj 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. The feedback will only be used for improving the website. Follow the COVID-19 vaccination schedule (below) based on age and medical condition. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. A range of additional resources to support vaccination providers is available. You can review and change the way we collect information below. 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. 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. When do we have to start using a new VIS? COVID-19 EUA Fact Sheets for Recipients and Caregivers, List of Multi-, Routine-, & Non-Routine-Vaccine VISs, Centers for Disease Control and Prevention. English Description: This consent form is not mandatory. This page is located more than 3 levels deep within a topic. COVID-19; COVID-19 vaccines; Is there anything wrong with this page? Reporting is encouraged for other clinically significant adverse events, even if it is not clear that a vaccine caused the adverse event. It is provided as an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. Some page levels are currently hidden. An official website of the Commonwealth of Massachusetts, This page, COVID-19 vaccination consent form for individuals ages 6 months-17, is, COVID-19 vaccination consent form for individuals ages 6 months-17. For further assistance with reporting to VAERS, call 1-800-822-7967. (Haga clic para ver este divertido video que nos recuerda que los preadolescentes y los adolescentes necesitan vacunarse.). endobj Why cant they be updated every year? If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 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" ). <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 399 0 R/StructTreeRoot 26 0 R/Type/Catalog>> Download a prevaccination checklist in multiple languages. You can review and change the way we collect information below. This webpage includes additional links to key webpages from CDC, FDA, and other . 431 0 obj Thank you for your website feedback! Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. You will be subject to the destination website's privacy policy when you follow the link. The site is secure. Please let us know how we can improve this page. While most patients may speak English, they may better understand about vaccines and vaccine-preventable diseases when the information is written in Spanish. <>stream The Department of Health and Aged Care acknowledges the traditional owners of country throughout Australia, and their continuing connection to land, sea and community. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Thank you for taking the time to confirm your preferences. If you need assistance, please contact the Department of Public Health. I acknowledge that I have had a chance to ask questions of a medical professional about the Pfizer Vaccine. If my child or adult conservatee does not have a . I reviewed this consent form and have read and understand the "Fact . How you know. Las vacunas Moderna y Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn (llamada miocarditis o pericarditis). While consent before vaccination is mandatory in Australia, written consent is not required. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Cookies used to make website functionality more relevant to you. La mayora de las personas que han tenido estas endstream Before sharing sensitive information, make sure you're on a federal government site. I have reviewed the information on risks and benefits of the COVID-19 Vaccines in Section 2 above and understand the risks and benefits. Vaccine information statements for Pfizer can be at www.cvdvaccine.com. You will be subject to the destination website's privacy policy when you follow the link. These cookies may also be used for advertising purposes by these third parties. Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. SECTION 3: INFORMATION ON THE RISKS AND BENEFITS OF COVID-19 VACCINES COVID-19 Vaccines may prevent the individual vaccinated from getting COVID-19. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. <>/Filter/FlateDecode/ID[<53903A2D9DB0B2110A004045A919FC7F>]/Index[401 54]/Info 400 0 R/Length 135/Prev 268176/Root 402 0 R/Size 455/Type/XRef/W[1 3 1]>>stream More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. (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 (. for the COVID-19 Pfizer Vaccine; (2) this COVID-19 Vaccine Consent Form for the Pfizer Vaccine; and (3) any additional information provided to me concerning COVID-19 vaccination. We take your privacy seriously. The official version of thesetranslations is the English version. You will be subject to the destination website's privacy policy when you follow the link. All children 6 months to 17 years should . CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Food and Drug Administration. If you're having problems using a document with your accessibility tools, please contact us for help. CDC twenty four seven. <> An official website of the State of Georgia.

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