Billgouldman - Bill Gouldman - Getting the flu vaccine is 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and date of birth in the designated fields. This information is crucial for identification purposes.
  3. Fill in your address, including city, state, and zip code. Accurate details ensure proper documentation.
  4. Select your sex from the options provided. This helps in maintaining accurate health records.
  5. Provide your phone number for any follow-up communication regarding your vaccination.
  6. Answer the medical history questions regarding allergies and previous reactions to vaccines. This section is vital for ensuring your safety during vaccination.
  7. Read through the consent statement carefully. Once you understand and agree, sign and date the form at the bottom.
  8. Finally, leave the area below for completion by a nurse after receiving your vaccine.

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CDC recommends annual flu vaccination for everyone ages 6 months and older with any flu vaccine licensed by FDA that is appropriate for the recipients age and health status.
A live attenuated vaccine delivered in the form of a nasal spray was first licensed in 2003, a vaccine using recombinant DNA technology was approved in 2013, and additional influenza vaccines based on newer technologies are being tested in clinical trials.
Seventeen pediatric deaths associated with seasonal influenza virus infection were reported this week, bringing the 2024-2025 season total to 151 pediatric deaths. CDC estimates that there have been at least 43 million illnesses, 560,000 hospitalizations, and 24,000 deaths from flu so far this season.
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