hep b vaccine form
hepatitis b vaccine acceptance/declination form
I have been given the opportunity to be vaccinated with Hepatitis B vaccine. In addition, I have re ceived information regarding the Hepatitis B (HBV) vaccine.
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HEPATITIS B VACCINE RECOGNITION Signature Date
I have already been vaccinated against the Hepatitis B virus. Documentation of this vaccination is included on my Immunization Record, included in my
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HIGHLIGHTS OF PRESCRIBING INFORMATION
The safety and effectiveness of VAXELIS in infants less than 6 weeks of age and in children and adolescents 5 through 17 years of age have not been established.
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