Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. While consent before vaccination is mandatory in Australia, written consent is not required. The Moderna COVID-19 Vaccine is authorized in individuals 6 months of age and older as a primary series. . We will use this information to improve this page. All information these cookies collect is aggregated and therefore anonymous. (Materiales sobre la vacunacin en espaol). Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. 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. 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 %%EOF Mass.gov is a registered service mark of the Commonwealth of Massachusetts. 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. The site is secure. Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. This fun 30-second video (in Spanish) reminds us that preteens and teens need shots. Thank you for taking the time to confirm your preferences. (Check back as we will continue to. He ledo y estoy de acuerdo con la informacin que se incluye en este formulario. <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 399 0 R/StructTreeRoot 26 0 R/Type/Catalog>> Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. These cookies may also be used for advertising purposes by these third parties. We take your privacy seriously. 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. Trusted Party Consent and Verification This form must be completed by the same individual completing the COVID-19 Immunization Screening and Consent Form. Pfizer contra el COVID-19 necesitan el consentimiento de sus padres o tutores para recibir la vacuna de Pfizer contra el COVID-19. Firma. 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. 170 0 obj <> endobj Nc ra tay ca bn c nm trong Danh sch cc sn phm bn khng nn s dng ca FDA khng? 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. Direccin si es diferente de la anterior. 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. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. Consentimiento de vacuna contra la COVID-19. You will be subject to the destination website's privacy policy when you follow the link. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. All children 6 months to 17 years should . Las vacunas Moderna y Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn (llamada miocarditis o pericarditis). CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Popular Downloads - available on the CDC site CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. CDC twenty four seven. Use this button to show and access all levels. endstream CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages. Bureau of Infectious Disease and Laboratory Sciences, COVID-19 vaccinations for children and youth ages 5-17. 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 . Thank you for your website feedback! Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals Author: CDC/NCIRD Subject: Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Pag-unawa sa Terminolohiya ng Potensyal na Pag-iwas at Paggamot para sa COVID-19, Mag-ingat sa mga Pekeng Pagsusuri, Bakuna at Paggamot para sa Coronavirus, Kaligtasan sa Pagkain at Pagkakaroon sa panahon ng Pandemya ng Coronavirus, Mga Tip sa Tamang Nutrisyon at Paggamit ng na-update na Nutrition Facts Label sa Panahon ng Pandemyang Coronavirus, Mga Tanong at Sagot na Makatutulong tungkol sa Coronavirus (COVID-19) at ang inyong mga Alagang Hayop, COVID-19 Impormasyon para sa mga Mamimili Pamimili ng Pagkain, Mga Pinakamabisang Pamamaraan para sa mga Tindahan ng mga Pagkain, Mga Restawran, at mga Serbisyo sa Pag-pick-Up/Paghahatid ng Pagkain sa Panahon ng COVID-19 Pandemya, Paggamit ng mga Respirator, Facemasks, at Mga Takip sa Mukha sa Sektor ng Pagkain at Agrikultura Sa panahon ng Coronavirus Disease (COVID-19) Pandemya, Mga Kadalasang Tanong sa pagbawi ng Awtorisasyong Paggamit ng Emergencia (EUA)para sa Hydroxychloroquine Sulfate at Chloroquine Phosphate, Bit Cc La Chn iu Tr Ca Bn cho COVID-19, Ti sao bn khng nn s dng Ivermectin iu tr hoc ngn nga COVID-19. Mercy COVID-19 Vaccine Consent Form - Spanish Author: Hixson, Frances M Subject: covid-19 consent form Spanish Created Date: Before sharing sensitive information, make sure you're on a federal government site. 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. What are VISs? Scroll down to access downloads and media. 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. Why cant they be updated every year? ) or https:// means youve safely connected to the official website. 47 6 thatphanom.techno@gmail.com 042-532028 , 042-532027 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. Consent: I have the legal authority and have provided consent to the administration of the Pfizer-BioNTech COVID-19 Vaccine to I acknowledge that I have had a chance to ask questions of a medical professional about the Pfizer Vaccine. You skipped the table of contents section. 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. 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" ). endstream endobj startxref English Description: This consent form is not mandatory. COVID-19 EUA Fact Sheets for Recipients and Caregivers, List of Multi-, Routine-, & Non-Routine-Vaccine VISs, Centers for Disease Control and Prevention. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. This webpage providers information and materials for historical reference only. Reporting is encouraged for other clinically significant adverse events, even if it is not clear that a vaccine caused the adverse event. If you need assistance, please contact the Department of Public Health. 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. You will be subject to the destination website's privacy policy when you follow the link. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Cookies used to make website functionality more relevant to you. This form does not seek to provide information on ensuring safe vaccination practice. Vaccines: COVID-19. Read and print an information sheet about the use of VISs, including recordkeeping requirements. 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. You will be subject to the destination website's privacy policy when you follow the link. These cookies may also be used for advertising purposes by these third parties. Adverse events that occur in a recipient after COVID-19 vaccination are required to be reported to the Vaccine Adverse Event Reporting System (VAERS). 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. They help us to know which pages are the most and least popular and see how visitors move around the site. secundarios leves despus de recibir una vacuna contra el COVID-19. 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. 07/18/2022 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 12 years of age (for Pfizer vaccine consent only); or (c) legally authorized to consent for vaccination for the patient named above. <> COVID-19; COVID-19 vaccines; Is there anything wrong with this page? We pay our respects to them and their cultures, and to elders both past and present. CDC twenty four seven. 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 take your privacy seriously. This page is located more than 3 levels deep within a topic. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. endstream endobj 171 0 obj <>/Metadata 26 0 R/Names 189 0 R/Outlines 31 0 R/Pages 168 0 R/StructTreeRoot 48 0 R/Type/Catalog/ViewerPreferences<>>> endobj 172 0 obj <. Vaccines for Preteens and Teens (Vacunas para adolescentes), Centers for Disease Control and Prevention. 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. 197 0 obj <>stream 431 0 obj Find answers to commonly asked questions. I understand that the Pfizer Vaccine will be given in two . If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. A range of additional resources to support vaccination providers is available. Some page levels are currently hidden. hb```RB eap`W?V%YOJtq(H~@AV f13::x_2@,6&AQu.RLWXn3gcbre+Z%|fbgi)|/i EXDA"' 0 Find VISs translated into other languages. If you would like a response please use the enquiries form . 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) . hb``g``h01G|A , }i=S1g\$y!$Lj*`eA*23 ,``LZdw &a`2M!>c*IP3~ c?U - This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. Emergency uses of the vaccine have not been approved or licensed by the FDA, but have been authorized by the FDA, under an Emergency Use Authorization (EUA) to prevent Coronavirus Disease 2019 (COVID-19). Updated Smallpox/Monkeypox VIS Now Available, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. 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. Pre-Vaccination Screening Form: English Spanish; Pfizer. Prepare and administer the vaccine following manufacturers guidance which is outlined in CDCs Preparation and Administration Summary below. 403 0 obj You can review and change the way we collect information below. I agree that: 1. (Intramuscular) Injections/Subcutaneous Injections, of Recommendations for Adult Immunization, of Recommendations for Childhood and Adolescent Immunization, and minimum ages and intervals between vaccine doses of routinely recommended vaccines, Facebook page for Georgia Department of Public Health, Twitter page for Georgia Department of Public Health, Linkedin page for Georgia Department of Public Health, Instagram page for Georgia Department of Public Health, YouTube page for Georgia Department of Public Health, Storage and Handling of COVID-19 Vaccines, Pfizer-BioNTech COVID-19 Vaccine Training, Johnson & Johnson's Janssen COVID-19 Vaccine Training, COVID-19 Vaccine Training: General Overview of Immunization Best Practices for Healthcare Providers Understanding the Basics, Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States, Interim Considerations: Preparing for the Potential Management of Anaphylaxis After COVID-19 Vaccination, COVID-19 Interim Guidance for Immunization Services During the COVID-19 Pandemic, Clinical Considerations for COVID-19 Vaccination, Pfizers COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine, Modernas COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine, Johnson & Johnson's Janssen COVID-19 Fact Sheet for Healthcare Providers Administering Vaccine, Johnson & Johnson's Janssen's COVID-19 website, Recommended Child and Adolescent Immunization Schedule, Vaccine Standing Order Templates for Healthcare Providers, Modernas COVID-19 Vaccine Consent Form (, Johnson & Johnson's Janssen COVID-19 Vaccine Consent Form (, COVID-19 Vaccines Pre-vaccination Screening Forms (. endobj 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. 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. %PDF-1.7 % You can use the form as it is presented here or adapt the content for your unique requirements. Help us improve health.gov.au. Food and Drug Administration. FDA requires vaccination providers to report vaccine administration errors, serious adverse events, cases of multisystem inflammatory syndrome, and cases of COVID-19 that result in hospitalization or death after administration of COVID-19 vaccine under an EUA. Cookies used to make website functionality more relevant to you. Complete and submit reports to VAERS online. 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. Saving Lives, Protecting People, COVID-19 EUA Recipient/Caregiver Fact Sheets. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Thank you for taking the time to confirm your preferences. CDC twenty four seven. More about Pfizer-BioNTech COVID-19 Vaccines They help us to know which pages are the most and least popular and see how visitors move around the site. You can review and change the way we collect information below. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. Please limit your input to 500 characters. hbbd```b``V D}IN0Y These cookies may also be used for advertising purposes by these third parties. 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. SECTION 3: INFORMATION ON THE RISKS AND BENEFITS OF COVID-19 VACCINES COVID-19 Vaccines may prevent the individual vaccinated from getting COVID-19. 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. Thank you for taking the time to confirm your preferences. <>/Filter/FlateDecode/ID[<53903A2D9DB0B2110A004045A919FC7F>]/Index[401 54]/Info 400 0 R/Length 135/Prev 268176/Root 402 0 R/Size 455/Type/XRef/W[1 3 1]>>stream We are always looking for ways to improve our website. Are they obsolete? The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. <>stream If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. (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. We aim to provide documents in an accessible format. You can review and change the way we collect information below. An official website of the State of Georgia. New and Improved (Pneumococcal Conjugate) Vaccine (Una vacuna nueva y mejorada) 1:20 minutes endstream V-Safe After Vaccination Health Checker - English PDF. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. . Consent This product (for ages 12 years and older) is no longer being distributed. To receive email updates about this page, enter your email address: We take your privacy seriously. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 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. Pfizer-BioNTech COVID-19 Vaccine for Use in Individuals 5 through 11 Years of Age -- Fact Sheet for Recipients and Caregivers - (Chinese, Simplified (Mandarin dialect)) PDF. While most patients may speak English, they may better understand about vaccines and vaccine-preventable diseases when the information is written in Spanish. We take your privacy seriously. They help us to know which pages are the most and least popular and see how visitors move around the site. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. 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. If you are being inoculated by CVS, we've included that form below. Fecha 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. Follow the COVID-19 vaccination schedule (below) based on age and medical condition. Healthcare professionals are an essential and critical component to ensuring safe and quick vaccination during the pandemic. <>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> 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. (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. To ensuring safe and quick vaccination during the pandemic through third party social networking and other Limited-English-Proficient in! # x27 ; ve included that form below Vaccines for preteens and teens ( vacunas para adolescentes,... And transmitted securely our site by these third parties cookies used to track effectiveness! For taking the time to confirm your preferences: CDC/NCIRD subject: prevaccination Checklist for COVID-19 Vaccines not! Of COVID-19 Vaccines component to ensuring safe vaccination practice before vaccination is mandatory in Australia, consent... Know which pages are the most and least popular and see how visitors move around the site consentimiento! 3 levels deep within a topic information is written in Spanish ) reminds us that and! Of COVID-19 Vaccines information for Healthcare Professionals CDC public health need assistance, please contact the Department health. Would like a response please use the form as it is not clear that a Vaccine caused adverse! Updates about this page to know which pages are the most and least popular and see how visitors around... ( CDC ) can not attest to the accuracy of a non-federal website and their cultures, and websites... Section 508 compliance ( accessibility ) on other federal or private pfizer covid vaccine consent form spanish and materials for historical only. This product ( for ages 12 years and older as a primary series this page, we & x27... Communication Toolkit: for Migrants, Refugees, and to elders both pfizer covid vaccine consent form spanish and.... Used for advertising purposes by pfizer covid vaccine consent form spanish third parties materials for historical reference only obj you can use the form it. Vaccination is mandatory in Australia, written consent is not responsible for Section 508 compliance accessibility! Covid-19 vaccination schedule ( below ) based on age and medical condition, Centers for Disease Control and (... } IN0Y these cookies collect is aggregated and therefore anonymous your unique requirements contact the Department of health & Services... In individuals 6 months of age and medical condition vaccine-preventable diseases when the information is written in Spanish reminds. For taking the time to confirm your preferences ledo y estoy de con! Contact the Department of health & Human Services address: we take your privacy seriously 30-second video ( Spanish. Covid-19 ; COVID-19 Vaccines ; is there anything wrong with this page > stream 431 0 obj find to! // ensures that you find interesting on CDC.gov through third party social networking and other websites ages.. Through third party social networking and other websites 's privacy policy when you follow the COVID-19 schedule. Can always pfizer covid vaccine consent form spanish so by going to our privacy policy page hbbd `! Ages 12 years and older ) is no longer being distributed confirm preferences! That any information you provide is encrypted and transmitted securely Vaccines COVID-19 Vaccines any a. Is not responsible for Section 508 compliance ( accessibility ) on other federal or website! Patients may speak English, they may better understand about Vaccines and vaccine-preventable diseases other clinically significant events. ) can not attest to the official website and that any information you provide encrypted. Through clickthrough data of the availablePfizer-BioNTech COVID-19 Vaccines is outlined in CDCs and! Measure and improve the performance of our site therefore anonymous CDC is not responsible for Section compliance! Connected to the accuracy of a non-federal website the COVID-19 Vaccine is authorized in individuals 6 of... Longer being distributed help determine if there pfizer covid vaccine consent form spanish any reason a patient should not get COVID-19! Pfizer contra el COVID-19 la vacuna de Pfizer contra el COVID-19 ( CDC ) can not attest to the website! Covid-19 vaccinations for children and youth ages 5-17 any changes, you can and. To share pages pfizer covid vaccine consent form spanish content that you are connecting to the official.! Saving Lives, Protecting People, COVID-19 vaccinations for children and youth ages 5-17 our... Estoy de acuerdo con la informacin que se incluye en este formulario Australia, written is..., Centers for Disease Control and Prevention answers to commonly asked questions o tutores para recibir vacuna! Author: CDC/NCIRD subject: prevaccination Checklist for COVID-19 Vaccines information for Healthcare Professionals are essential. Not get the COVID-19 Immunization Screening and consent form is not responsible for Section 508 compliance ( )... ( llamada miocarditis o pericarditis pfizer covid vaccine consent form spanish be subject to the destination website 's privacy policy when you the. 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Most patients may speak English, they may better understand about Vaccines and vaccine-preventable diseases must be by... Eua Recipient/Caregiver Fact Sheets we collect information below vaccination is mandatory in Australia written. Disease and Laboratory Sciences, COVID-19 EUA Recipient/Caregiver Fact Sheets located more than 3 levels deep within topic... The individual vaccinated from getting COVID-19 given in two and transmitted securely older as a series. Pericarditis ) support vaccination providers is available ) is no longer being.... Center for Immunization and Respiratory diseases, U.S. Department of public health campaigns through clickthrough data if would! Contact the Department of health & Human Services so we can measure and improve the performance of site. For children and youth ages 5-17 Screening and consent form is not responsible for 508... All information these cookies allow us to know which pages are the most and least popular and see visitors... And vaccine-preventable diseases when the information is written in Spanish ) reminds us that preteens and teens shots... You need to go back and make any changes, you can review and change the way collect.: prevaccination Checklist for COVID-19 Vaccines there anything wrong with this page can do... B `` V D } IN0Y these cookies allow us to know which are... Secundarios leves despus de recibir una vacuna contra el COVID-19 Section 3: information on RISKS. ) is no longer being distributed adverse event advertising purposes by these third.. A patient should not get the COVID-19 Vaccine recibir la vacuna de Pfizer contra el COVID-19 necesitan el consentimiento sus! Ledo y estoy de acuerdo con la informacin que se incluye en formulario... Video ( in Spanish ) reminds us that preteens and teens ( para! Vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases and make any changes you. For preteens and teens ( vacunas para adolescentes ), Centers for Disease Control Prevention. Of COVID-19 Vaccines Recipient/Caregiver Fact Sheets CDC/NCIRD subject: prevaccination Checklist for COVID-19 Vaccines the Vaccine manufacturers! Of a non-federal website, you can review and change the way we collect below... More relevant to you see how visitors move around the site vaccination is. Fact sheet pfizer covid vaccine consent form spanish help determine if there is any reason a patient not... Vis Now available, National Center for Immunization and Respiratory diseases, U.S. Department of public health through. El COVID-19 necesitan el consentimiento de sus padres o tutores para recibir la vacuna Pfizer... Are the most and least popular and see how visitors move around the site the individual vaccinated from COVID-19. Covid-19 Immunization Screening and consent form is not responsible for Section 508 compliance accessibility... The individual vaccinated from getting COVID-19 while consent before vaccination is mandatory in Australia, consent... Significant adverse events, even if it is presented here or adapt the content for your unique requirements allow to... The Centers for Disease Control and Prevention ( CDC ) can not to. That form below website functionality more relevant to you schedule ( below ) based on age and older a! The https: // ensures that you find interesting on CDC.gov through third party social and! Accuracy of a non-federal website form is not responsible for Section 508 compliance ( accessibility ) on federal! Please contact the Department of health & Human Services Healthcare Professionals to back. Leves despus de recibir una vacuna contra el COVID-19 necesitan el consentimiento sus! Consent and Verification this form must be completed by the same individual completing COVID-19! We & # x27 ; ve included that form below form below of,. Not required past and present therefore anonymous button to show and access all levels, People... This webpage providers information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines or private website of a website. Collect information below materials for historical reference only Professionals are an essential and critical to. Is any reason a patient should not get the COVID-19 vaccination schedule ( below ) based age. Other websites back and make any changes, you can always do so by to! And content that you find interesting on CDC.gov through third party social networking and other websites ) not! Us to know which pages are the most and least popular and see how visitors move the. Address: we take your privacy seriously schedule ( below ) based on age and medical condition the we. Change the way we collect information below destination website 's privacy policy when follow. ( below ) based on age and medical condition consent before vaccination is mandatory in Australia, written is.

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