Flu shot declination form 2020 2021-2025

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Who cannot have the flu vaccine. Most people who are eligible for the flu vaccine can have it. You only cannot have the vaccine if youve had a serious allergic reaction (anaphylaxis) to a previous dose of the vaccine or an ingredient in the vaccine. Some of the flu vaccines used in the UK contain egg protein.
Objection to vaccination was also related to: faith in divine protection and healing for Protestants, Catholics, Jewish and Muslims (10); the use of aborted fetal cells for vaccines production among Amish and Catholic communities (including during the COVID-19 outbreak when Senior Catholic leaders from the US and
I have been given the opportunity to be vaccinated against this infection at no charge to me. However, I decline this vaccination at this time. I understand that by declining this vaccine, I continue to be at increased risk of acquiring influenza.
6 reasons patients avoid flu vaccination Im healthy, so I dont need a flu vaccine. The flu vaccine isnt safe and can give me the flu. It is better to get sick with the flu. Ill wait until flu hits my area. I hate getting injections. I was vaccinated last year.
This facility has recommended that I receive influenza vaccination in order to protect myself and the patients I serve. I DO NOT WANT A FLU SHOT. I acknowledge that I am aware of the following facts: Influenza is a serious respiratory disease; on average, 36,000 Americans die every year from influenza-related causes.
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There are medical reasons that the flu shot is not for everybody- are called medical exemptions. You should not get the flu shot if you have a documented severe allergy to the vaccine or any vaccine component or if you have a history of Guillain-Barr Syndrome within 6 weeks of a receiving a flu shot.
my health and the health of everyone with whom I have contact, including my coworkers and all patients in this healthcare facility. Despite these facts, I am choosing to decline influenza vaccination for the following reasons: I understand that I can change my mind at any time and accept influenza vaccination.

flu declination form pdf