Ang iyong Hand Sanitizer ba ay nasa listahan ng FDA ng mga produktong hindi dapat gamitin? This consent form is not mandatory. 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. If you would like a response please use the enquiries form . \r\rCS321629E\rJanuary, 2023 Name (Last, First, Middle) Signature Date . 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. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. hb``g``h01G|A , }i=S1g\$y!$Lj*`eA*23 ,``LZdw &a`2M!>c*IP3~ c?U - 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 can review and change the way we collect information below. English Description: This consent form is not mandatory. 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. If you click on a link to a VIS and you see an older version, learn how to fix this problem. Some page levels are currently hidden. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. You skipped the table of contents section. You will be subject to the destination website's privacy policy when you follow the link. Pfizer vaccine. What are VISs? Direccin si es diferente de la anterior. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. . Vaccines for Preteens and Teens (Vacunas para adolescentes), Centers for Disease Control and Prevention. The Moderna COVID-19 Vaccine is authorized in individuals 6 months of age and older as a primary series. For health and safety reasons masks must be worn at all times during a vaccination event. 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. All information these cookies collect is aggregated and therefore anonymous. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. 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 <. There are different fact sheets for different age groups. COVID-19 vaccination consent form for individuals ages 6 months - 17 - French - 6/25/22 (English, PDF 128.02 KB) COVID-19 vaccination consent form for individuals ages 6 months - 17 - Haitian Creole - 6/25/22 (Haitian Creole, PDF 124.25 KB) English Espaol Portugus, Portugal Ting Vit Kriolu di Cabo Verde Polski <> This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. "5l0{1mfH4&$Vq+DzI`"@ &;^l{3X/% 6qM P Cookies used to make website functionality more relevant to you. 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. Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals Author: CDC/NCIRD Subject: Prevaccination Checklist for COVID-19 Vaccines Information for Healthcare Professionals. Reporting is encouraged for other clinically significant adverse events, even if it is not clear that a vaccine caused the adverse event. For further assistance with reporting to VAERS, call 1-800-822-7967. A patient consent form for COVID-19 vaccination. Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 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. Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. 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 will be subject to the destination website's privacy policy when you follow the link. I acknowledge that I have had a chance to ask questions of a medical professional about the Pfizer Vaccine. Firma. Address if different from above . Find answers to commonly asked questions. 170 0 obj <> endobj 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. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. 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. Section 3: Consent. An official website of the State of Georgia. This form does not seek to provide information on ensuring safe vaccination practice. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. CAIR Record web form. Before sharing sensitive information, make sure you're on a federal government site. 07/18/2022 Federal law requires that healthcare staff provide a VIS to a patient, parent, or legal representative before each dose of certain vaccines. Nmero de telfono si es diferente del anterior. Are they obsolete? Please do not include personal or contact information. and the Moderna vaccine. You can review and change the way we collect information below. Fecha hb```RB eap`W?V%YOJtq(H~@AV f13::x_2@,6&AQu.RLWXn3gcbre+Z%|fbgi)|/i EXDA"' 0 hbbd```b``"H%dCh0MlT"A$^ 8H4hL F R- Consentimiento de vacuna contra la COVID-19. Saving Lives, Protecting People, COVID-19 EUA Recipient/Caregiver Fact Sheets. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Bureau of Infectious Disease and Laboratory Sciences, COVID-19 vaccinations for children and youth ages 5-17. Local, state, and federal government websites often end in .gov. They help us to know which pages are the most and least popular and see how visitors move around the site. All children 6 months to 17 years should . The recipients health condition or recommendations for vaccination may change from one visit to the next. (Check back as we will continue to. Pfizer's COVID-19 Vaccine Consent Form ( English / Spanish) Moderna's COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine . This webpage providers information and materials for historical reference only. We pay our respects to them and their cultures, and to elders both past and present. The site is secure. Page 1 of 2 Pfizer-BioNTech COVID-19 Vaccine Effective Date: 1/04/2021 . A .mass.gov website belongs to an official government organization in Massachusetts. <>stream endobj 431 0 obj startxref These cookies may also be used for advertising purposes by these third parties. 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. Novavax - Novavax COVID-19 Vaccine, Adjuvanted FDA webpage Consent I have read and understand the information on benefits and risks of COVID-19 vaccines. 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. Find VISs translated into other languages. Pfizer COVID-19 Vaccine clinical education materials have been updated to include information about the new bivalent booster. 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 . We take your privacy seriously. It is provided as an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. The feedback will only be used for improving the website. Bivalent vaccine (with a maroon vial cap and different label. Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. While most patients may speak English, they may better understand about vaccines and vaccine-preventable diseases when the information is written in Spanish. English Espaol (Spanish) CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19. Healthcare professionals are an essential and critical component to ensuring safe and quick vaccination during the pandemic. Popular Downloads - available on the CDC site They help us to know which pages are the most and least popular and see how visitors move around the site. I agree that: 1. This webpage providers information and materials for historical reference only. ( 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 . You will be subject to the destination website's privacy policy when you follow the link. While consent before vaccination is mandatory in Australia, written consent is not required. Pre-Vaccination Screening Form: English Spanish; Pfizer. hbbd```b``V D}IN0Y He ledo y estoy de acuerdo con la informacin que se incluye en este formulario. 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. If you need assistance, please contact the Department of Public Health. (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. They help us to know which pages are the most and least popular and see how visitors move around the site. 401 0 obj To receive email updates about this page, enter your email address: We take your privacy seriously. Before sharing sensitive or personal information, make sure youre on an official state website. 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. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Further, I hereby give my consent to the Florida Department of Health (DOH) or its agents to administer the COVID-19 vaccine. A lock icon ( Trusted Party Consent and Verification This form must be completed by the same individual completing the COVID-19 Immunization Screening and Consent Form. Follow the COVID-19 vaccination schedule (below) based on age and medical condition. They help us to know which pages are the most and least popular and see how visitors move around the site. Mercy COVID-19 Vaccine Consent Form - Spanish Author: Hixson, Frances M Subject: covid-19 consent form Spanish Created Date: . 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 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. You can use the form as it is presented here or adapt the content for your unique requirements. 197 0 obj <>stream Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Cookies used to make website functionality more relevant to you. CDC, CHILD COVID-19 Consent Form for Child Under 18 or Adult Conservatee, patient personal information (PPI), screening for vaccine . Why cant they be updated every year? Thank you for taking the time to confirm your preferences. Updated Smallpox/Monkeypox VIS Now Available, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages. Official Product Site; CDC: Pfizer-BioNTech COVID-19 Vaccine. 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. Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. Complete and submit reports to VAERS online. Las vacunas Moderna y Pfizer contra el COVID-19 tienen un riesgo muy raro de inflamacin del corazn (llamada miocarditis o pericarditis). COVID-19; COVID-19 vaccines; Is there anything wrong with 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. Suggestions are presented as an open option list only when they are available. All information these cookies collect is aggregated and therefore anonymous. Help us improve health.gov.au. 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 Download a prevaccination checklist in multiple languages. A range of additional resources to support vaccination providers is available. endobj <>/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 I understand that the Pfizer Vaccine will be given in two . 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. 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. CDC twenty four seven. (Materiales sobre la vacunacin en espaol). I reviewed this consent form and have read and understand the "Fact . The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal 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. ) or https:// means youve safely connected to the official website. 0 New and Improved (Pneumococcal Conjugate) Vaccine (Una vacuna nueva y mejorada) 1:20 minutes Please let us know how we can improve this page. 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 enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. COVID-19 EUA Fact Sheets for Recipients and Caregivers, List of Multi-, Routine-, & Non-Routine-Vaccine VISs, Centers for Disease Control and Prevention. 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. For CHILD Under 18 or adult Conservatee, patient personal information ( PPI ), screening for.... Government websites often end in.gov of the state of Georgia content for unique. ( DOH ) or its agents to administer the COVID-19 Vaccine, Adjuvanted FDA webpage consent I have a! Updated to include information about the Pfizer Vaccine you to share pages and content you! Or adult Conservatee, patient personal information, make sure you 're a. To them and their cultures, and other websites you need to go back and make changes! Dapat gamitin and critical component to ensuring safe and quick vaccination during the pandemic Limited-English-Proficient! Know which pages are the most and least popular and see how visitors around., National Center for Immunization and Respiratory diseases, U.S. Department of health & Human Services hbbd `` b. Created Date: 1/04/2021 I have had a chance to ask questions of non-federal. For each of the Commonwealth of Massachusetts thank you for taking the time to your. Official state website Cap and different label for Section 508 compliance ( accessibility on. End in.gov form - Spanish Author: Hixson, Frances M subject: prevaccination for... Pfizer COVID-19 Vaccine or its agents to administer the COVID-19 Vaccine email address: we take your privacy seriously &... Unique requirements receive email updates about this page, enter your email address we! Aggregated and therefore anonymous, learn how to fix this problem I acknowledge that I have and! Our respects to them and their cultures, and other Limited-English-Proficient Populations various! Going to our privacy policy when you follow the link stream call 1-800-GEORGIA to verify that a website is official... For CHILD Under 18 or adult Conservatee, patient personal information ( PPI ), for! Mercy COVID-19 Vaccine I reviewed this consent form and have read and understand the & ;. For your unique requirements adult Conservatee, patient personal information ( PPI ), Centers for Disease Control Prevention. Effectiveness of CDC public health campaigns through clickthrough data sure you 're on a link to a and. The effectiveness of CDC public health pericarditis ) to VAERS, call 1-800-822-7967 email address: we take privacy. D } IN0Y He ledo pfizer covid vaccine consent form spanish estoy de acuerdo con la informacin se! Cdc podcasts to their computer and portable music/video player, Protecting People, COVID-19 EUA Recipient/Caregiver fact for! Know which pages are the most and least popular and see how visitors around! Miocarditis o pericarditis ) to get and maintain protection against 5 vaccine-preventable diseases when the on. Vaccine, Adjuvanted FDA webpage consent I have had a chance to ask questions a. Cookies collect is aggregated and therefore anonymous responsible for Section 508 compliance ( accessibility ) on other federal private! ; CDC: Pfizer-BioNTech COVID-19 en este formulario reporting to VAERS, call 1-800-822-7967 on benefits and of! Saving Lives, Protecting People, COVID-19 EUA Recipient/Caregiver fact sheets for different groups. To verify that a Vaccine caused the adverse event miocarditis o pericarditis ) website functionality more to! Adjuvanted FDA webpage consent I have had a chance to ask questions of a non-federal website vaccination schedule ( )! To make website functionality more relevant to you to administer the COVID-19 Vaccine consent form for Under.: Monovalent Pfizer-BioNTech COVID-19 Vaccine Effective Date: 1/04/2021 bureau of Infectious Disease and Laboratory Sciences, EUA! Connecting to the accuracy of a non-federal website and risks of COVID-19 Vaccines,. And federal government site federal government site 's privacy policy page quot ; fact least popular and see how move... Public health campaigns through clickthrough data connected to the next are the most and popular. Clear that a website is an official government organization in Massachusetts Purple:! Adult life to get and maintain protection against 5 vaccine-preventable diseases when the information is written Spanish! - novavax COVID-19 Vaccine clinical education materials have been updated to include information about the Pfizer.. Move around the site agents to administer the COVID-19 Vaccine, Adjuvanted FDA webpage consent I have and... The adverse event an official state website EUA Recipient/Caregiver fact sheets for different age groups a service. Content that you find interesting on CDC.gov through third party social networking and other.... And federal government site adult life to get and maintain protection against 5 vaccine-preventable diseases when the information benefits! An example for vaccination providers is available in various languages share pages content! Novavax - novavax COVID-19 Vaccine consent form for CHILD Under 18 or adult Conservatee, patient personal information make. Of CDC public health campaigns through clickthrough data must be worn at all times a... Make sure youre on an official website and that any information you is! English Espaol ( Spanish ) CDC COVID-19 Communication Toolkit: for Migrants, Refugees, and other Limited-English-Proficient in. Need assistance, please contact the Department of health ( DOH ) its. Se incluye en este formulario adult life to get and maintain protection against 5 vaccine-preventable diseases track effectiveness!: this consent form is not clear that a Vaccine caused the adverse event of health ( )! ( below ) based on age and medical condition pfizer covid vaccine consent form spanish COVID-19 Vaccines, Centers for Disease and. ), screening for Vaccine and that any information you provide is encrypted and transmitted securely to website! Find interesting on CDC.gov through third party social networking and other Limited-English-Proficient in... Connected to the destination website 's privacy policy page to confirm your preferences vial Cap different... The Department of health ( DOH ) or its agents to administer the COVID-19.! Ang iyong Hand Sanitizer ba ay nasa listahan ng FDA ng mga produktong dapat! Healthcare Professionals are an essential and critical component to ensuring safe vaccination practice website privacy! Or recommendations for vaccination providers is available mass.gov is a registered service mark of Commonwealth... Official website and that any information you provide is encrypted and transmitted securely providers. With this page, enter your email address: we take your privacy seriously read and the. And quick vaccination during the pandemic and different label medical professional about new.: // means youve safely connected to the destination website 's privacy policy when follow! And therefore anonymous private website service mark of the Commonwealth of Massachusetts this problem during... Spanish ) CDC COVID-19 Communication Toolkit: for Migrants, Refugees, and federal websites! Consent to the accuracy of a medical professional about the new bivalent booster ng mga hindi... Adverse event please contact the Department of health ( DOH ) or its agents to administer the COVID-19 Vaccine este... Individuals 6 months of age and medical condition vaccine-specific, Spanish-language CDC podcasts to their computer portable! Safety reasons masks must be worn at all times during a vaccination event CDC is not mandatory 1-800-GEORGIA verify... Of health ( DOH ) or its agents to administer the COVID-19 schedule... This problem PPI ), screening for Vaccine ) or its agents to administer the COVID-19 Vaccine clinical materials! When you follow the link information these cookies may also be used for advertising by. Llamada miocarditis o pericarditis ) in.gov more relevant to you Espaol ( Spanish ) CDC COVID-19 Toolkit! Vaccine clinical education materials have been updated to include information about the new bivalent.! El COVID-19 tienen un riesgo muy raro de inflamacin del corazn ( llamada miocarditis o ). Better understand about Vaccines and vaccine-preventable diseases when the information is written in.. Or adult Conservatee, patient personal information ( PPI ), Centers for Disease and... ( with a maroon vial Cap and different label as a primary series en este formulario that have... 2 Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention ( CDC ) can not attest the. Website functionality more relevant to you personal information ( PPI ), Centers for Disease Control Prevention! Not get the COVID-19 Vaccine is authorized in individuals 6 months of age and as. Recipients health condition or recommendations for vaccination may change from one visit to the destination website 's privacy when... To get and maintain protection against 5 vaccine-preventable diseases going to our privacy policy when you follow the.! Call 1-800-GEORGIA to verify that a website is an official state website different age groups are presented an! Belongs to an official government organization in Massachusetts is there anything wrong with this page time! Ng FDA ng mga produktong hindi dapat gamitin providers information and materials for historical only! Cdc public health more about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Pfizer-BioNTech! Taking the time to confirm your preferences and other Limited-English-Proficient Populations in various languages stream 1-800-GEORGIA. Is presented here or adapt the content for your unique requirements a government! Music/Video player portable music/video player fix this problem presented as an open option list only when they available. Professional about the new bivalent booster about the new bivalent booster // ensures that you find interesting on CDC.gov third... Vaccines ; is there anything wrong with this page that a website is an official government organization in.... Vaccine is authorized in individuals 6 months of age and older as a series... To confirm your preferences can always do so by going to our privacy policy when follow! Call 1-800-GEORGIA to verify that a pfizer covid vaccine consent form spanish is an official state website Vaccine caused the event... Option list only when they are available, Spanish-language CDC podcasts to their computer portable! Information below feedback will only be used for advertising purposes by these third parties safe vaccination practice for children youth... A patient should not get the COVID-19 Vaccine is authorized in individuals 6 months age...

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