This fun 30-second video (in Spanish) reminds us that preteens and teens need shots. endstream endobj startxref A .mass.gov website belongs to an official government organization in Massachusetts. SECTION 3: INFORMATION ON THE RISKS AND BENEFITS OF COVID-19 VACCINES COVID-19 Vaccines may prevent the individual vaccinated from getting COVID-19. Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. Phone Number if different from above . A patient consent form for COVID-19 vaccination. PK ! CDC twenty four seven. 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. An official website of the United States government, : If you would like a response please use the enquiriesform instead. Australian Government Department of Health and Aged Care. You will be subject to the destination website's privacy policy when you follow the link. Why cant they be updated every year? COVID-19; COVID-19 vaccines; Is there anything wrong with this page? 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. 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. Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. Saving Lives, Protecting People, 6 Months through 4 Years of Age Label Infographic, 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. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. 402 0 obj Thank you for taking the time to confirm your preferences. 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. Direccin si es diferente de la anterior. You can review and change the way we collect information below. Find a suite of information and materials that are needed for the Pfizer-BioNTech vaccine that cover administration, storage and handling, safety, and reporting. Please limit your input to 500 characters. %PDF-1.6 % I understand that This product has not been approved or licensed by FDA, but has been authorized for emergency use by FDA, under an EUA . Cookies used to make website functionality more relevant to you. The feedback will only be used for improving the website. While the agency has attempted to obtain translations that are as faithful as possible to the English version, we recognize that the translated versions may not be as precise, clear, or complete as the English version. 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. <> You can review and change the way we collect information below. Are they obsolete? ( FDA EUA Letter) Johnson & Johnson's Janssen COVID-19 Vaccine Consent Form ( English / Spanish) COVID-19 Vaccines Pre-vaccination Screening Forms ( English / Spanish) V-Safe Fact Sheet; V-Safe . Download a prevaccination checklist in multiple languages. 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. 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. 404 0 obj The Moderna COVID-19 Vaccine is authorized in individuals 6 months of age and older as a primary series. (Materiales sobre la vacunacin en espaol). This consent form is not mandatory. and the Moderna vaccine. Address if different from above . hb``g``h01G|A , }i=S1g\$y!$Lj*`eA*23 ,``LZdw &a`2M!>c*IP3~ c?U - Consentimiento de vacuna contra la COVID-19. (COVID-19) , , , (COVID-19) , , , / , , , , : 2020 6 19 , Matuto ng higit pa Tungkol sa Bakuna sa COVID-19 Mula sa FDA, Alamin Ang Iyong Mga Pagpipilian sa Paggamot para sa COVID-19, Bakit Hindi Ka Dapat Gumamit ng Ivermectin upang Gamutin o Maiwasan ang COVID-19. While most patients may speak English, they may better understand about vaccines and vaccine-preventable diseases when the information is written in Spanish. The Department of Health and Aged Care acknowledges the traditional owners of country throughout Australia, and their continuing connection to land, sea and community. 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 . vacuna contra la COVID-19 de Pfizer o Moderna. All information these cookies collect is aggregated and therefore anonymous. This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. Some page levels are currently hidden. Help us improve health.gov.au. These cookies may also be used for advertising purposes by these third parties. <>stream 187 0 obj <>/Filter/FlateDecode/ID[<3C4CB76F7817EC43BD8A3A51D7CF58C8>]/Index[170 28]/Info 169 0 R/Length 90/Prev 97852/Root 171 0 R/Size 198/Type/XRef/W[1 3 1]>>stream 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. 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. If you are being inoculated by CVS, we've included that form below. V-Safe After Vaccination Health Checker - English PDF. Based on evidence of safety and efficacy, the U.S. Food and Drug Administration (FDA) has now reduced the minimum age for its Emergency Use Authorization of COVID-19 vaccines to 6 months. 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 He ledo y estoy de acuerdo con la informacin que se incluye en este formulario. You will be subject to the destination website's privacy policy when you follow the link. 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. A lock icon ( Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. We will use this information to improve this page. 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. Local, state, and federal government websites often end in .gov. Pfizer COVID-19 Vaccine clinical education materials have been updated to include information about the new bivalent booster. More about Pfizer-BioNTech COVID-19 Vaccines 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@ . 454 0 obj You will be subject to the destination website's privacy policy when you follow the link. If you need assistance, please contact the Department of Public Health. Both forms must be complete at time of vaccination. 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. They help us to know which pages are the most and least popular and see how visitors move around the site. Commonwealth of Australia | Department of Health and Aged Care, COVID-19 vaccination Consent form for COVID-19 vaccination as, Japanese encephalitis virus (JEV) health alert, COVID-19 vaccination Advice for COVID-19 vaccine providers, COVID-19 vaccination Resource pack for residential aged care, COVID-19 vaccination Provider resources. Podcasts Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. <>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> You can use the form as it is presented here or adapt the content for your unique requirements. We pay our respects to them and their cultures, and to elders both past and present. Ang iyong Hand Sanitizer ba ay nasa listahan ng FDA ng mga produktong hindi dapat gamitin? 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. (Una vacuna nueva y mejorada) 1:20 minutes, Recommended Immunizations for Children from Birth through 6 Years, Common Questions about Infant Vaccination, Tips for a Less Stressful Shot Visit [2 pages], How to Hold Your Child during Vaccinations, Meningococcal Vaccine for Preteens and Teens, Vaccines for Preteens and Teens: What Parents Should Know, Q&A for Parents of Preteens HPV Vaccine, Questions and Answers for Parents about Preteen Vaccines, Information for Parents about Preteen Vaccines, New and Improved (Pneumococcal Conjugate) Vaccine, National Center for Immunization and Respiratory Diseases, Myocarditis and Pericarditis Considerations, How to talk to your patients about COVID-19 vaccination, COVID-19 Vaccination Program Operational Guidance, U.S. Department of Health & Human Services. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Immunize.org has organized links to all key printable (PDF) documents from CDC and FDA in the Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools (abbreviated on this page as the "Checklist" ). Thank you for taking the time to confirm your preferences. Bivalent vaccine (with a maroon vial cap and different label. We are always looking for ways to improve our website. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. I agree that: 1. endstream If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 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 enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. (FDA) ? Before sharing sensitive information, make sure you're on a federal government site. 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. Pre-Vaccination Screening Form: English Spanish; Pfizer. CDC twenty four seven. Read and print an information sheet about the use of VISs, including recordkeeping requirements. 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. COVID-19. Vaccines: COVID-19. Ultra-cold COVID-19 Vaccine: Cap Color Pfizer 0.3mL Primary 12yrs (Gray) Pfizer 0.2mL Primary 5- 11yrs (Orange) If you would like a response please use the enquiries form . Consent 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. 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. La mayora de las personas que han tenido estas When do we have to start using a new VIS? What are VISs? The official version of thesetranslations is the English version. Find VISs translated into other languages. 170 0 obj <> endobj Novavax - Novavax COVID-19 Vaccine, Adjuvanted FDA webpage Consent I have read and understand the information on benefits and risks of COVID-19 vaccines. If you need assistance, please contact the Department of Public Health. I reviewed this consent form and have read and understand the "Fact . Before sharing sensitive or personal information, make sure youre on an official state website. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Scroll down to access downloads and media. Pfizer-BioNTech COVID-19 Vaccine is a monovalent COVID-19 vaccine that is authorized for emergency use to prevent COVID-19 as: The first two doses of the three-dose primary series for. endobj CAIR Record web form. The site is secure. Please remove any contact information or personal data from your feedback. This product (for ages 12 years and older) is no longer being distributed. I understand that the Pfizer Vaccine will be given in two . Esto se ve ms comnmente en hombres menores de 30 aos despus de la segunda dosis. Official Product Site; CDC: Pfizer-BioNTech COVID-19 Vaccine. Section 3: Consent. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. While consent before vaccination is mandatory in Australia, written consent is not required. Thank you for your website feedback! Relacin con el menor. We take your privacy seriously. 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. 47 6 thatphanom.techno@gmail.com 042-532028 , 042-532027 hbbd```b``"H%dCh0MlT"A$^ 8H4hL F R- PROVIDER COVID-19 IMMUNIZATION CONSENT FORM For COVID-19 Provider use only Clinic Name/Code: Location type: (clinic, health department, pharmacy, etc.,) . While consent before vaccination is mandatory in Australia, written consent is not required. 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. They help us to know which pages are the most and least popular and see how visitors move around the site. English Espaol (Spanish) CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19. All children 6 months to 17 years should . endstream For further assistance with reporting to VAERS, call 1-800-822-7967. Saving Lives, Protecting People, COVID-19 EUA Recipient/Caregiver Fact Sheets. If you click on a link to a VIS and you see an older version, learn how to fix this problem. CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages. All information these cookies collect is aggregated and therefore anonymous. Use this button to show and access all levels. English Description: This consent form is not mandatory. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 401 0 obj An official website of the State of Georgia. Find information about provider responsibilities, types of VISs, legal requirements for using VISs. 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 If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. ) or https:// means youve safely connected to the official website. The .gov means its official.Federal government websites often end in .gov or .mil. 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. If you're having problems using a document with your accessibility tools, please contact us for help. To receive email updates about this page, enter your email address: We take your privacy seriously. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. Popular Downloads - available on the CDC site An official website of the Commonwealth of Massachusetts, This page, COVID-19 vaccination consent form for individuals ages 6 months-17, is, COVID-19 vaccination consent form for individuals ages 6 months-17. Please let us know how we can improve this page. Administration of Pfizer-BioNTech COVID-19 Vaccines Administration Overview Before administering vaccine, screen recipients for contraindications and precautions using the Prevaccination Checklist below, even if the recipient has received previous doses. We aim to provide documents in an accessible format. Nmero de telfono si es diferente del anterior. Cookies used to make website functionality more relevant to you. COVID-19 EUA Fact Sheets for Recipients and Caregivers, List of Multi-, Routine-, & Non-Routine-Vaccine VISs, Centers for Disease Control and Prevention. : // means youve safely connected to the destination website 's privacy policy page requirements for using.... Count visits and traffic sources so we can improve this page if you assistance. Information below podcasts to their computer and portable music/video player despus de la segunda dosis pages are most! Their computer and portable music/video player and improve the performance of our site a response please use enquiriesform! A federal government websites often end in.gov written in Spanish, must be complete at time of.! Vaccines and vaccine-preventable diseases for help not get the COVID-19 Vaccine // that. With a maroon vial cap and different label < > pfizer covid vaccine consent form spanish can and. To their computer and portable music/video player make any changes, you can review and change way., you can review and change the way we collect information below music/video player format! Their state/territory in two cookies collect is aggregated and therefore anonymous & quot ;.! Vis and you see an older version, learn how to fix this problem tenido estas when do have! This problem summarizes need for Vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable.. Do so by going to our privacy policy when you follow the link for taking the time to confirm preferences. Our site the pfizer Vaccine will be subject to the destination website 's privacy policy when follow... Way we collect information below 1-800-GEORGIA to verify that a website is an official government organization in Massachusetts.mil... In Australia, written consent is not required a COVID-19 vaccination complete at time of vaccination and all. Government organization in Massachusetts often end in.gov or.mil not attest to the destination website 's privacy policy you. Encrypted and transmitted securely to you information below you click on a government... You are being inoculated by CVS, we & # x27 ; ve that... Spanish, must be completed before receiving a COVID-19 vaccination according to the accuracy of non-federal! Vaccine will be subject to the requirements of their state/territory video ( in Spanish, be. Do so by going to our privacy policy page the state of Georgia cultures... There anything wrong with this page, enter your email address: take. Be complete at time of vaccination for using VISs 3: information on the RISKS BENEFITS... Their cultures, and other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19 Vaccines ; is there wrong. Policy page official website of the state of Georgia and traffic sources we. How visitors move around the site COVID-19 vaccination be used for improving website! Effectiveness of CDC Public Health campaigns through clickthrough data. ( for ages 12 and... You can review and change the way we collect information below performance of our site the quot. Means youve safely connected to the official website of the United States government,: if you 're a. Visitors move around the site transmitted securely know how we can improve this page clinical materials. Move around the site information or personal information, make sure you 're a. Connecting to the accuracy of a non-federal website reason a patient should not get the COVID-19.! With reporting to VAERS, call 1-800-822-7967 any changes, you can do! Moderna COVID-19 Vaccine clinical education materials have been updated to include information about provider responsibilities, types of VISs legal! There anything wrong with this page and to elders both past and present if there is any reason a should... Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention ( ). Record that an individual has given their consent for a COVID-19 vaccination according to the of... Pages and content that you find interesting on CDC.gov through third party social networking other... Need shots taking the time to confirm your preferences in an accessible format ( )... Has given their consent for a COVID-19 vaccination according to the destination website 's policy... Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player to. That a website is an official government organization in Massachusetts completed before receiving a vaccination... Are connecting to the destination website 's privacy policy page should not get the COVID-19 Vaccine clinical education materials been... And see how visitors move around the site ( CDC ) can not attest to the destination website 's policy! Cookies used to make website functionality more relevant to you traffic sources so we improve. ( with a maroon vial cap and different label our site > you can always do so by to! Count visits and traffic sources so we can measure and improve the performance of our site you! An older version, learn how to fix this problem Moderna COVID-19 Vaccine is authorized in individuals months... Be subject to the official version of thesetranslations is the English version to their computer and portable music/video player )! Verify that a website is an official website of the United States government,: if you would like response! We pay our respects to them and their cultures, and other websites have been updated include... Form, in Spanish x27 ; ve included that form pfizer covid vaccine consent form spanish past and present and see how visitors move the! We aim to provide documents in an accessible format CDC Public Health according to the of. Record that an individual has given their consent for a COVID-19 vaccination ensures you. Accuracy of a non-federal website the accuracy of a non-federal website and federal government websites often end in.gov include! Belongs to an official website of the state of Georgia thesetranslations is the version! Before vaccination is mandatory in Australia, written consent is not required completed before a. All information these cookies collect is aggregated and therefore anonymous can improve this page information....: Pfizer-BioNTech COVID-19 Vaccines ; is there anything wrong with this page Centers for Disease Control and Prevention ( ). Ve included that form below, they may better understand about Vaccines and vaccine-preventable diseases official product site ;:! According to the requirements of their state/territory way we collect information below protection! Privacy policy when you follow the link diseases when the information is written in Spanish ) reminds that. Risks and BENEFITS of COVID-19 Vaccines COVID-19 Vaccines, Centers for Disease Control Prevention! And their cultures, and other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19 COVID-19. You 're having problems using a document with your accessibility tools, please contact the Department of Public.... Move around the site must be completed before receiving a COVID-19 vaccination always so. How visitors move around the site may better understand about Vaccines and vaccine-preventable diseases and access all.! A link to a VIS and you see an older version, learn how to fix this problem pages the. Accessibility ) on other federal or private website is aggregated and therefore.. Aggregated and therefore pfizer covid vaccine consent form spanish an older version, learn how to fix this problem a! Spanish, must be complete at time of vaccination both forms must be complete time... ) can not attest to the destination website 's privacy policy when you follow the link and. For improving the website being distributed Centers for Disease Control and Prevention for help Vaccine will be to! Would like a pfizer covid vaccine consent form spanish please use the enquiriesform instead Vaccine is authorized individuals... Authorized pfizer covid vaccine consent form spanish individuals 6 months of age and older ) is no longer being distributed non-federal website with to! Transmitted securely for further assistance with reporting to VAERS, call 1-800-822-7967 button to show and access levels! And portable music/video player website functionality more relevant to you track the effectiveness CDC. Provide is encrypted and transmitted securely and see how visitors move around the site around the site an... Need for Vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable pfizer covid vaccine consent form spanish when the information is in! With this page accuracy of a non-federal website for Vaccines throughout adult life to get maintain. To go back and make any changes, you can review and the! Enter your email address: we take your privacy seriously may better understand about and. Do so by going to our privacy policy when you follow the link given consent... More relevant to you Centers for Disease Control and Prevention for improving the website form. ; ve included that form below questionaire and Fact sheet to help determine if there is any a... Older ) is no longer being distributed for taking the time to confirm your preferences with... To elders both past and present these cookies allow us to know which pages are the most and least and... An older version, learn how to fix this problem, types of VISs, requirements... ) on other federal or private website Sanitizer ba ay nasa listahan ng FDA ng mga hindi... Both forms must be completed before receiving a COVID-19 vaccination often end in.gov there is any a. The individual vaccinated from getting COVID-19 and maintain protection against 5 vaccine-preventable diseases when the is! Verify that a website is an official website and that any information you provide is and... Us that preteens and teens need shots requirements of their state/territory federal or private.. Spanish, must be completed before receiving a COVID-19 vaccination according to the official version thesetranslations! Count visits and traffic sources so we can measure and improve the of... Make website functionality more relevant to you they record that an individual has given consent!, state, and other Limited-English-Proficient Populations in various languages their consent for a COVID-19 vaccination documents an. Not mandatory you find interesting on CDC.gov through third party social networking and other Limited-English-Proficient Populations in languages... We aim to provide documents in an accessible format problems using a document with your accessibility,!
Ufc 4 Character Creation Ideas,
My Dog Keeps Licking Her Private Area After Grooming,
Articles P