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Job Aid Date of administration. Vaccine manufacturer. Vaccine lot number. Name and title of the person who administered the vaccine and address of the facility where the permanent record will reside. Vaccine information statement (VIS) Date printed on the VIS. Date the VIS was given to the patient or parent/guardian.
Documentation details The lot number and expiration date of the vaccine; The date of administration; The name, address, title and signature (electronic is acceptable) of the person administering the vaccine; The edition date of the Vaccine Information Statement (VIS) and date the patient or parent receives the VIS.
Tdap (Tetanus, Diphtheria, and Pertussis) and Td (Tetanus and Diphtheria) Vaccine. Tdap vaccine protects against tetanus, diphtheria, and whooping cough (pertussis).
Many pregnant women refuse the Tdap and influenza vaccines23 for a variety of reasons,24 including common misperceptions (It will make me sick), concerns for the safety of the fetus or neonate, and personal health beliefs (I never get the flu shot).
What information does federal law require us to document when we immunize a patient? The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered. The name, office address, and title of the healthcare provider administering the vaccine.
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Document each patients vaccine administration information and follow up in the following places: Medical record: Record the date the vaccine was administered, the manufacturer and lot number, the vaccination site and route, and the name and title of the person administering the vaccine.
90714 Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals 7 years or older, for intramuscular use 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use 90716 Varicella virus vaccine
Pregnant women need to get the flu vaccine anytime during pregnancy and Tdap vaccine (best between 27- 36 weeks) with every pregnancy. All adults and adolescents in contact with the baby need to get the flu and Tdap vaccines. This includes: partners, fathers, grandparents, caregivers, and siblings.

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