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Sample Declination of Infuenza Vaccination Form

Sample Declination of Infuenza Vaccination Form 2025

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The document is a declination form for influenza vaccination, acknowledging the importance of vaccination for healthcare workers to protect patients and others from influenza. It outlines the risks associated with not getting vaccinated, including the potential spread of the virus and severe illness. The individual signing the form states their reasons for declining the vaccine while understanding they can change their decision later.

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How do I write a letter to not get the 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.

What are valid reasons to decline a flu shot?

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.

Why am I not eligible for the flu vaccine?

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.

What to say to decline a flu shot?

Table of Contents 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.

What are the reasons for flu shot exemption?

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.

How to document a flu vaccine?

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.

What are valid reasons to decline the flu vaccine?

Other reasons included thinking they do not need a flu vaccine, fear of getting sick, fear of side effects from vaccination, being allergic to the vaccine, and thinking that flu vaccination is not good for you. Source: CDC, 2016.

What is a religious reason for not getting the flu shot?

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

Sample Declination of Infuenza Vaccination Form 2025

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