The site where it was administered as either RA (right arm), - odh ohio 2025

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The document is a Vaccine Administration Record for children and teens, detailing the process for administering vaccines, including necessary information such as patient details, vaccine types, dates given, funding sources, routes of administration, and manufacturer information. It emphasizes the importance of providing Vaccine Information Statements (VISs) to parents or legal representatives before vaccination and maintaining accurate records for each vaccine administered.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's name, birthdate, and chart number at the top of the form.
In the 'Vaccine' section, record the type of vaccine administered using either its generic abbreviation or trade name.
Fill in the date given (month/day/year) for each vaccine administered.
Indicate the funding source of each vaccine as either F (federal), S (state), or P (private).
Specify the route and site of administration, noting whether it was intramuscular (IM), subcutaneous (SC), etc., along with where it was given (e.g., RA for right arm).
Record the lot number and manufacturer details for each vaccine.
Ensure to document the date on each Vaccine Information Statement (VIS) provided to the patient.
Finally, have a vaccinator sign off with their initials and title to complete the record.

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