Vaccine Information Statement: Attenuated Influenza Vaccine, Live ... - www2 laconiaschools 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Section 1 with the student's information, including their name, date of birth, and grade. Ensure all fields are completed accurately.
  3. In Section 2, provide health insurance details. This section is crucial for data purposes; ensure no fields are left blank.
  4. Proceed to Section 3 to screen for vaccine eligibility. Answer each question honestly; if any 'YES' responses apply, consult your child's doctor regarding vaccination options.
  5. In Section 4, indicate your consent for vaccination by signing and dating the form. Choose between injectable or nasal vaccine based on eligibility.
  6. Finally, review all sections for completeness before submitting the form through our platform for processing.

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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.
Everyone six months of age and older should receive the flu vaccine every year. There are many reasons to get a flu vaccine each year: Flu vaccines help keep you from getting very sick from flu. Flu vaccines lower chances of illness and hospitalization.
VISs are required by law 300aa-26 [2 pages]) to give the appropriate VIS to the patient (or parent or legal representative) prior to every dose of specific vaccines. The appropriate VIS must be given prior to the vaccination, and must be given prior to each dose of a multi-dose series.
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. Vaccination is particularly important for people who are at high risk of developing serious complications from the flu.
Live attenuated influenza vaccine is sold under the brand names FluMist and FluMist Quadrivalent in the United States; and the brand name Fluenz Tetra in the European Union. FluMist was first introduced in 2003 by MedImmune. In the United States, FluMist is approved for self- or caregiver-administration.
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Vaccine Information Statements are information sheets produced by CDC that explain both the benefits and risks of a vaccine to vaccine recipients. In the case of recipients under 18, they are provided to a parent or legal guardian. Federal law requires that VISs be handed out before each dose of certain vaccinations.