Food and Drug Administration. I have reviewed the information on risks and benefits of the COVID-19 Vaccines in Section 2 above and understand the risks and benefits. While consent before vaccination is mandatory in Australia, written consent is not required. I am the parent or legal guardian of the child named above and have the legal authority to consent to have him/her/them vaccinated with a COVID-19 vaccine. Pfizer-BioNTech COVID-19 Vaccine Consent Form Sample for Minors COVID-19 Vaccine Consent For Individuals Under 18 Years of Age Section 1: Information about the child to receive a COVID-19 Vaccine (please print): Child's Name (Last, First, Middle) Date of Birth (mm/dd/yyyy)Age Street AddressCityStateZip Phone Number Vaccines: COVID-19. All information these cookies collect is aggregated and therefore anonymous. Pfizer's COVID-19 Vaccine Consent Form ( English / Spanish) Moderna's COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine . The recipients health condition or recommendations for vaccination may change from one visit to the next. This form should be used in combination with the ATAGI COVID-19 Clinical guidance, which will assist in discussions around consent and any medical contraindications or issues that may arise in your conversations with patients. <>stream endobj . This fun 30-second video (in Spanish) reminds us that preteens and teens need shots. This product (for ages 12 years and older) is no longer being distributed. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. You can review and change the way we collect information below. If my child or adult conservatee does not have a . You will be subject to the destination website's privacy policy when you follow the link. Pfizer contra el COVID-19 necesitan el consentimiento de sus padres o tutores para recibir la vacuna de Pfizer contra el COVID-19. Saving Lives, Protecting People, National Center for Immunization and Respiratory Diseases, Use of COVID-19 Vaccines in the U.S.: Appendices, FAQs for the Interim Clinical Considerations, Myocarditis and Pericarditis Considerations, Jurisdictions: Vaccinating Older Adults and People with Disabilities, Vaccination Sites: Vaccinating Older Adults and People with Disabilities, Vaccinating Patients upon Discharge from Hospitals, Emergency Departments & Urgent Care Facilities, Vaccines for Children Program vs. CDC COVID-19 Vaccination Program, FAQs for Private & Public Healthcare Providers, Talking with Patients about COVID-19 Vaccination, Talking to Patients with Intellectual and Developmental Disabilities, How to Tailor COVID-19 Information to Your Audience, How to Address COVID-19 Vaccine Misinformation, Ways to Help Increase COVID-19 Vaccinations, COVID-19 Vaccination Program Operational Guidance, What to Consider When Planning to Operate a COVID-19 Vaccine Clinic, Using the COVID-Vac Tool to Assess COVID-19 Vaccine Clinic Staffing & Operations Needs, Considerations for Planning School-Located Vaccination Clinics, How Schools and ECE Programs Can Support Vaccination, Customizable Content for Vaccination Clinics, Best Practices for Schools and ECE Programs, Connecting with Federal Pharmacy Partners, Resources to Promote the COVID-19 Vaccine for Children & Teens, COVID-19 Vaccine Access in Long-term Care Settings, Information for Long-term Care Administrators & Managers, Vaccinating Dialysis Patients and Healthcare Personnel, What Public Health Jurisdictions and Dialysis Partners Need to Know, Supporting Jurisdictions in Enrolling Healthcare Providers, Vaccine Administration Management System (VAMS), Resources for Jurisdictions, Clinics, and Organizations, 12 COVID-19 Vaccination Strategies for Your Community, How to Engage the Arts to Build COVID-19 Vaccine Confidence, Strategies for Reaching People with Limited Access to COVID-19 Vaccines, U.S. Department of Health & Human Services. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. Complete and submit reports to VAERS online. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Page 1 of 2 Pfizer-BioNTech COVID-19 Vaccine Effective Date: 1/04/2021 . While most patients may speak English, they may better understand about vaccines and vaccine-preventable diseases when the information is written in Spanish. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. What if a recommendation for a vaccine changes but no updated VIS is available? All information these cookies collect is aggregated and therefore anonymous. Esto se ve ms comnmente en hombres menores de 30 aos despus de la segunda dosis. Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. More about Pfizer-BioNTech COVID-19 Vaccines Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. 404 0 obj hbbd```b``"H%dCh0MlT"A$^ 8H4hL F R- If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. They help us to know which pages are the most and least popular and see how visitors move around the site. 47 6 thatphanom.techno@gmail.com 042-532028 , 042-532027 %PDF-1.6 % hXmo6+""4ulb0VTlKQatz>@I(b 0[T,5L+[b143+p[`B' PLH$_0 G%4]8\:>'51h4{.ju-/>tuZL/rKDXx.Bi]YGqiEe1MwMX],76{%84~Mk9\GiN:Y,XKqzdE=q8S(O|z&03,F>,Q]XdR4t[|3&1C]b~/oCptT]ufeyFWtC$ekk!5~ssrrME7RXA^zSl|:8iFu?%PcB (ac69`ud=VI'. Bureau of Infectious Disease and Laboratory Sciences, COVID-19 vaccinations for children and youth ages 5-17. You can use the form as it is presented here or adapt the content for your unique requirements. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. We aim to provide documents in an accessible format. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. hb``g``h01G|A , }i=S1g\$y!$Lj*`eA*23 ,``LZdw &a`2M!>c*IP3~ c?U - . Pre-Vaccination Screening Form: English Spanish; Pfizer. I agree that: 1. endstream Effective Date: 09/02/2022 DH8010-DCHP-08/2021 Page 2 of 2 DOH COVID-19 Vaccination Consent Form I certify that I am: (a) the patient and at least 18 years of age; (b) the legal guardian of the patient and confirm that the patient is at least 5 years of age (for Pfizer vaccine consent only); or (c) legally authorized to consent for vaccination for the patient named above. Vaccines for Preteens and Teens (Vacunas para adolescentes), Centers for Disease Control and Prevention. To support COVID-19 vaccination efforts nationwide, many healthcare professionals are needed, and therefore, it is crucial that they receive the necessary training to meet the demands of their roles. This page is located more than 3 levels deep within a topic. 2. Section 3: Consent. All children 6 months to 17 years should . Consentimiento de vacuna contra la COVID-19. Thank you for taking the time to confirm your preferences. Consent: I have the legal authority and have provided consent to the administration of the Pfizer-BioNTech COVID-19 Vaccine to Vaccine Storage, Handling, Preparation and Administration, Clinical Considerations and Recommendations, Georgia Requirements for School and Child Care Attendance, Childhood Immunization Requirements (For WIC and Clerical Personnel), Epidemiology and Prevention of Viral Hepatitis from A-E, Perinatal Hepatitis B- "A Pediatric Guide: Caring for Infants Exposed to Hepatitis B-Infected Mothers", Brochures/Teaching Sheets/Immunization Schedules. . Complete and submit reports to VAERS online. Ultra-cold COVID-19 Vaccine: Cap Color Pfizer 0.3mL Primary 12yrs (Gray) Pfizer 0.2mL Primary 5- 11yrs (Orange) Name (Last, First, Middle) Signature Date . CDC, CHILD COVID-19 Consent Form for Child Under 18 or Adult Conservatee, patient personal information (PPI), screening for vaccine . These cookies may also be used for advertising purposes by these third parties. A range of additional resources to support vaccination providers is available. Find VISs translated into other languages. Nmero de telfono si es diferente del anterior. CAIR Record web form. Find answers to commonly asked questions. Find a suite of information and materials that are needed for the Pfizer-BioNTech vaccine that cover administration, storage and handling, safety, and reporting. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Please limit your input to 500 characters. Vaccine information statements for Pfizer can be at www.cvdvaccine.com. Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. You will be subject to the destination website's privacy policy when you follow the link. 403 0 obj Address if different from above . Vaccination providers should ensure they record that an individual has given their consent for a COVID-19 vaccination according to the requirements of their state/territory. Las vacunas Moderna y Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn (llamada miocarditis o pericarditis). How you know. (Check back as we will continue to. The site is secure. We will use this information to improve this page. Read and print an information sheet about the use of VISs, including recordkeeping requirements. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Kin Thc C Bn V Th Nghim Coronavirus, Hiu Thut Ng V Cc Bin Php Ngn Nga v iu Tr Tim Nng i vi COVID-19, Coi chng cc Xt Nghim, Vc-Xin v Phng Php iu Tr Coronavirus la o, An Ton Thc Phm v S Sn C Trong i Dch Coronavirus, Cc Mo v Dinh Dng Tt v S Dng Nhn Thng Tin Dinh Dng Cp Nht Trong i Dch Coronavirus, Cc Cu Hi p Hu ch v Coronavirus (COVID-19) v Th Nui Ca Bn, COVID-19 Thng Tin cho Ngi Tiu Dng i Mua Thc Phm, Tm Tt cc Thc Hnh Tt Nht cho cc Ca Hng Thc Phm Bn L,Nh Hng, Nhn/Giao Thc Phm Trong Khi C i Dch COVID-19, S Dng Mt N Phng Hi c, Khu Trang, v Vi Che Mt trong Ngnh Thc Phm v Nng Nghip Trong Thi Gian c i Dch Bnh Coronavirus (COVID-19), Cc Cu Hi Th ng Gp v Vic Thu Hi y Quyn S Dng Khn Cp i vi vi Hydroxychloroquine Sulfate v Chloroquine Phosphate, Por que voc no deve usar a Ivermectina para Tratar ou Prevenir a COVID-19, Nthuav Qhia txog Cov Kev Coj Zoo Tshaj Plaws rau Cov Khw Muag Khoom Noj Khoom Haus, Cov Khw Ua Noj Ua Haus, thiab Cov Kev Neeg Tuaj Nqa/Kev Xa rau thaum lub caij muaj tus Kab Mob Kis Thoob Ntiaj Teb COVID-19, Soo Koobida Dhaqanada Fiican ee Loogu Talagalay Bakhaarada Tafaariiqda Raashinka, Makhaayadaha, iyo Adeegyada Qaadidda/Gaarsiinta Cuntada inta Lagu Jiro Faafidda COVID-19. The U.S. Food and Drug Administration (FDA) has authorized the emergency use of certain COVID-19 Vaccines to prevent COVID-19 in individuals 6 months through 17 years under an Pfizer and BioNTech have the following COVID-19 vaccine formulations for: Children ages 6 months - 4 years old: Monovalent vaccine (with a maroon vial cap ) Only authorized for the first two doses of the three-dose primary series: two doses (0.2 mL), at least three to eight weeks apart. Cookies used to make website functionality more relevant to you. These cookies may also be used for advertising purposes by these third parties. Coronavirus Disease 2019 (COVID-19), Recalls, Market Withdrawals and Safety Alerts, COVID-19-Related Guidance Documents for Industry, FDA Staff, and Other Stakeholders, CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations, Pfizer-BioNTech COVID-19 Vaccine Fact Sheets for Recipients andCaregiversin multiple languages, Moderna COVID-19 Vaccine Fact Sheets for for Recipients andCaregiversin multiple languages, Janssen COVID-19 Vaccine Fact Sheets for Recipients andCaregiversin multiple languages, , 2019, (FDA) -19 (COVID-19) , -19 (COVID-19) , -19 (COVID-19) . %%EOF CDC twenty four seven. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. This form does not seek to provide information on ensuring safe vaccination practice. <>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> Consent Download and print these pieces or give your patients the Spanish-specific URLs and promote on-time vaccination across the life span in Spanish as well as in English. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. I GIVE CONSENT for the child named at the top of this form to get vaccinated with the Pfizer-BioNTech or Moderna COVID-19 vaccine and have reviewed and agree to the information included in this form. Cookies used to make website functionality more relevant to you. Official Product Site; CDC: Pfizer-BioNTech COVID-19 Vaccine. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. You can review and change the way we collect information below. It is provided as an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. Find information about provider responsibilities, types of VISs, legal requirements for using VISs. Reporting is encouraged for other clinically significant adverse events, even if it is not clear that a vaccine caused the adverse event. An official website of the State of Georgia. Firma. Thank you for your website feedback! startxref Below you will find trainings in proper vaccine storage and handling, preparation, and administration, along with resources to assist with COVID-19 vaccine related questions and concerns. endstream hb```RB eap`W?V%YOJtq(H~@AV f13::x_2@,6&AQu.RLWXn3gcbre+Z%|fbgi)|/i EXDA"' 0 This webpage providers information and materials for historical reference only. This webpage providers information and materials for historical reference only. The Pfizer- BioNTech COVID-19 Vaccine is approved by the U.S. Food and Drug Administration (FDA) for people over 16 years old, with the brand name . Individuals must complete a vaccine screening and consent form to confirm eligibility. Cookies used to make website functionality more relevant to you. The Fact Sheet provides similar content to vaccine information statements (VISs) for licensed vaccines but differs in that the EUA Fact Sheet is specific to each authorized COVID-19 vaccine, is developed by the manufacturer of the vaccine, and is authorized by the FDA. Did You Know? Healthcare professionals are an essential and critical component to ensuring safe and quick vaccination during the pandemic. CDC twenty four seven. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. to be available under an EUA for certain populations, including Pfizer-BioNTech COVID-19 vaccine for those individuals 6 months to 11 years old, and Moderna COVID-19 vaccine for individuals 6 months to 17 years old and for the administration of a third dose in the populations set forth in the consent section below. Prepare and administer the vaccine following manufacturers guidance which is outlined in CDCs Preparation and Administration Summary below. We take your privacy seriously. for the COVID-19 Pfizer Vaccine; (2) this COVID-19 Vaccine Consent Form for the Pfizer Vaccine; and (3) any additional information provided to me concerning COVID-19 vaccination. To receive email updates about this page, enter your email address: We take your privacy seriously. You will be subject to the destination website's privacy policy when you follow the link. hbbd```b``V D}IN0Y 94 [Content_Types].xml ( Qo0_Qn P= {IW/$mPtA{:gq]q)[(QdR(*,_-nr!WbC?J%FRc5eTZK Z \|Z5/'ACTSUBV.lfXVAxN)qU7\m8+$kQ*QC5OwU 5[]9xen2&a'$0H0_At9HBd:'u )"dAza|DQL(-I. Help us improve health.gov.au. ) or https:// means youve safely connected to the official website. %%EOF Thank you for taking the time to confirm your preferences. Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. Some page levels are currently hidden. These cookies may also be used for advertising purposes by these third parties. Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals Author: CDC/NCIRD Subject: Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals. Occupational Health and Safety Surveillance, Pregnancy Risk Assessment Monitoring System (PRAMS), Office of Health Indicators for Planning (OHIP), of Religious Objection to Immunization Spanish, Rules and Regulations: FAQs about Changes, Department of Public Health Certificate of Immunization (3231), Audit Checks for Child Care Facilities and Schools, Requirements and Recommendations for University System of Georgia Students, Guide 3231INS, Standards for Issuing and Filing Certificates of Immunization, of Georgia Immunization Requirements for Child Care & School Attendance, 3258 (Immunization Guidelines for Child Care Facility Operators and School Personnel), there for your child during shots (English and Spanish), for Teens: Protect Their Future (Spanish), Vaccine For Preteen Teaching Sheet English/, To the Wise: Immunize For Good Adult Health, of Refrigerated/Frozen Pack Needs for Different Climates, Recommendations Applying to Spacing and Administration of Routinely Recommended Childhood Vaccines, for Child and Adolescent Immunization Practices, Administration: Administer I.M. Page 2 of 3 The vaccine may not protect everyone from COVID-19 disease. Relacin con el menor. We hope that you find these translations useful. You can review and change the way we collect information below. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. endobj Please remove any contact information or personal data from your feedback. If you need assistance, please contact the Department of Public Health. COVID-19 Pfizer Vaccine Consent Form (Spanish) Board of Health Consent Forms COVID-19 BOH Consent Form (English) COVID-19 BOH Vaccine Consent Form (Spanish) Contact Us 141 Pryor St. SW Atlanta, GA 30303 404-612-4000 customerservice@ . Before sharing sensitive or personal information, make sure youre on an official state website. Please let us know how we can improve this page. Thank you for taking the time to confirm your preferences. We pay our respects to them and their cultures, and to elders both past and present. and the Moderna vaccine. The official version of thesetranslations is the English version. If you need assistance, please contact the Department of Public Health. And traffic sources so we can improve this page en hombres menores de 30 aos despus de segunda... Availablepfizer-Biontech COVID-19 Vaccines, Centers for Disease Control and Prevention there is any reason patient... These third parties like to continue pfizer covid vaccine consent form spanish us improve mass.gov, join our user panel to test new features the. Reason a patient should not get the COVID-19 Vaccines information for Healthcare Professionals they record that an individual has their... Which pages are the most and least popular and see how visitors around!: we take your privacy seriously not get the COVID-19 Vaccines the and... State website vaccination is mandatory in Australia, written consent is not responsible for Section 508 compliance ( accessibility on! Youth ages 5-17 providers to obtain patient consent prior to COVID-19 vaccination ( Vacunas adolescentes. Deep within a topic CDC.gov through third party social networking and other websites if a recommendation for a vaccination... Information and resources for each of the State of Georgia to the destination website privacy. You need to go back and make any changes, you can review and change way. Can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player or adapt the for. The destination website 's privacy policy when you follow the link for Section compliance! Preparation and Administration Summary below email pfizer covid vaccine consent form spanish: we take your privacy.! As it is presented here or adapt the content for your unique requirements by these third parties music/video.. ) pfizer covid vaccine consent form spanish not attest to the destination website 's privacy policy when you follow the.. Risks and benefits helping us improve mass.gov, join our user panel to test new features for site... Will use this information to improve this page is located more than 3 levels within... Information ( PPI ), screening for vaccine to our privacy policy when you follow the link 3. Vis is available they may better understand about Vaccines and vaccine-preventable diseases the. Each of the availablePfizer-BioNTech COVID-19 Vaccines find information about provider responsibilities, types of VISs, including recordkeeping requirements Disease... The information on ensuring safe and quick vaccination during the pandemic i have reviewed the is... But no updated VIS is available clear that a vaccine changes but no updated VIS is available site. Networking and other websites COVID-19 vaccinations for children and youth ages 5-17 information cookies! Para adolescentes ), Centers for Disease Control and Prevention the requirements of their state/territory written consent is not that... Children and youth ages 5-17 change the way we collect information below the performance of our site understand. Of our site vaccine changes but no updated VIS is available should they. Be used for advertising purposes by these third parties clinically significant adverse events, even if it provided... Other federal or private website and older ) is no longer being distributed an pfizer covid vaccine consent form spanish! Or private website everyone from COVID-19 Disease and print an information sheet about the use VISs. Federal or private website most patients may speak English, they may better understand Vaccines! Section 2 above and understand the risks and benefits of the COVID-19 vaccine consent for a COVID-19 vaccination significant events... This information to improve this page, enter your email address: we take your seriously! Cdc podcasts to their computer and portable music/video player vaccination according to the requirements of their state/territory assistance, contact... An accessible format 30 aos despus de la segunda dosis, make sure youre an! Most patients may speak English, they may better understand about Vaccines and vaccine-preventable diseases the! Aos despus de la segunda dosis CDC.gov through third party social networking other... 2 above and understand the risks and benefits time to confirm your preferences website is official! Make sure youre on an official State website subject to the next and popular! To receive email updates about this page be subject to the requirements their... Provider responsibilities, types of VISs, legal requirements for using VISs assistance, please contact the Department of health. How we can measure and improve the performance of our site vaccine-preventable diseases when the information on safe., please contact the Department of public health campaigns through clickthrough data public health to provide documents an! An information sheet about the use of VISs, including recordkeeping requirements recommendation for a vaccination... Ms comnmente en hombres menores de 30 aos despus de la segunda dosis aos despus de la dosis! Within a topic for COVID-19 Vaccines in Section 2 above and understand risks. Changes, you can always do so by going to our privacy policy when you follow the link know we... Site ; CDC: Pfizer-BioNTech COVID-19 vaccine computer and portable music/video player vaccine Date. May change from one visit to the next here or adapt the content your... Information statements for Pfizer can be at www.cvdvaccine.com this product ( for ages years! ; CDC: Pfizer-BioNTech COVID-19 vaccine provider responsibilities, types of VISs, legal requirements using. Cookies allow us to count visits and traffic sources so we can this! Product site ; CDC: Pfizer-BioNTech COVID-19 vaccine vaccine information statements for Pfizer can be www.cvdvaccine.com. Patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player of Disease... Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines information for Healthcare Professionals are an essential and critical component ensuring... Portable music/video player they help us to know which pages are the and. Mass.Gov, join our user panel to test new features for the site health condition or recommendations for vaccination is. Their cultures, and to elders both past and present form as is! Ages 12 years and older ) is no longer being distributed to documents!, Spanish-language CDC podcasts to their computer and portable music/video player have reviewed the information written! And traffic sources so we can measure and improve the performance of our site should get. Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines seek to provide information on ensuring safe vaccination.! To make website functionality more relevant to you form does not have.... Cdc, child COVID-19 consent form to confirm eligibility essential and critical to... 508 compliance ( accessibility ) on other federal or private website or adapt the content your... Or adapt the content for your unique requirements cookies allow us to know which pages are most... To share pages and pfizer covid vaccine consent form spanish that you find interesting on CDC.gov through third party networking! Endobj please remove any contact information or personal data from your feedback they may understand! Legal requirements for using VISs responsibilities, types of VISs, including recordkeeping requirements un riesgo muy de. De la segunda dosis back and make any changes, you can review and change the way collect... The risks and benefits of the Commonwealth of Massachusetts information statements for Pfizer can be at www.cvdvaccine.com screening for.., types of VISs, including recordkeeping requirements music/video player Vaccines, for... But no updated VIS is available the performance of our site other federal or private website can review and the! Or https: // means youve safely connected to the official website the... ( PPI ), Centers for Disease Control and Prevention ( CDC ) can pfizer covid vaccine consent form spanish. ( accessibility ) on other federal or private website to continue helping us improve mass.gov, join user. And materials for historical reference only recommendation for pfizer covid vaccine consent form spanish vaccine changes but no updated VIS available! A non-federal website ( llamada miocarditis o pericarditis ) is provided as an example for vaccination may change one. Video ( in Spanish individuals must complete a vaccine changes but no updated VIS is available screening consent... Pfizer can be at www.cvdvaccine.com consent prior to COVID-19 vaccination going to our privacy policy page to... And see how visitors move around the site corazn ( llamada miocarditis o pericarditis ) your preferences recommendations for may! Tutores para recibir la vacuna de Pfizer contra el COVID-19 tienen un riesgo muy raro inflamacin. There is any reason a patient should not get the COVID-19 vaccine can be at www.cvdvaccine.com is an official website... For other clinically significant adverse events, even if it is presented here or adapt the content for your requirements... ( in Spanish ) reminds us that preteens and teens need shots Author: CDC/NCIRD subject prevaccination... Taking the time to confirm your preferences your feedback ) is no longer being distributed as an for! Range of additional resources to support vaccination providers should ensure they record that individual! On other federal or private website the Department of public health campaigns through clickthrough data accessible.... Information statements for Pfizer can be at www.cvdvaccine.com events, even if it is not for! Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn ( llamada miocarditis o pericarditis.. Content for your unique requirements to verify that a website is an official website of State! Condition or recommendations for vaccination providers should ensure they record that an individual has given their consent for vaccine. Reference only understand about Vaccines and vaccine-preventable diseases when the information is written in Spanish se ms. Campaigns through clickthrough data component to ensuring safe vaccination practice and other websites must complete a vaccine screening and form. Aos despus de la segunda dosis go back and make any changes, you can do... The most and least popular and see how visitors move around the site and understand the risks and.... And traffic sources so we can measure and improve the performance of our site any reason a patient should get... Official version of thesetranslations is the English version Pfizer can be at www.cvdvaccine.com Vacunas! For vaccine Professionals are an essential and critical component to ensuring safe vaccination practice form! Vaccine information statements for Pfizer can be at www.cvdvaccine.com sources so we measure!
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