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. Questionaire and fact sheet to help determine if there is any reason a patient should not get the COVID-19 Vaccine. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 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. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 399 0 R/StructTreeRoot 26 0 R/Type/Catalog>> State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. (Materiales sobre la vacunacin en espaol). The Moderna COVID-19 Vaccine is authorized in individuals 6 months of age and older as a primary series. 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" ). hbbd```b``V D}IN0Y <>/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 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 <. Cookies used to make website functionality more relevant to you. Please do not include personal or contact information. Share sensitive information only on official, secure websites. 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. (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 (. We take your privacy seriously. 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. Read and print an information sheet about the use of VISs, including recordkeeping requirements. The recipients health condition or recommendations for vaccination may change from one visit to the next. 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. hb```RB eap`W?V%YOJtq(H~@AV f13::x_2@,6&AQu.RLWXn3gcbre+Z%|fbgi)|/i EXDA"' 0 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. CAIR Record web form. Please limit your input to 500 characters. %%EOF SECTION 3: INFORMATION ON THE RISKS AND BENEFITS OF COVID-19 VACCINES COVID-19 Vaccines may prevent the individual vaccinated from getting COVID-19. . Find answers to commonly asked questions. Vaccines for Preteens and Teens (Vacunas para adolescentes), Centers for Disease Control and Prevention. While consent before vaccination is mandatory in Australia, written consent is not required. The site is secure. 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. endstream Follow the COVID-19 vaccination schedule (below) based on age and medical condition. 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. An official website of the State of Georgia. 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. 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. 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. 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) . 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. You will be subject to the destination website's privacy policy when you follow the link. 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. 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. 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. This product (for ages 12 years and older) is no longer being distributed. Thank you for taking the time to confirm your preferences. This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. COVID-19. This product (for ages 12 years and older) is no longer being distributed. Are they obsolete? Nc ra tay ca bn c nm trong Danh sch cc sn phm bn khng nn s dng ca FDA khng? All information these cookies collect is aggregated and therefore anonymous. Both forms must be complete at time of vaccination. Before sharing sensitive information, make sure you're on a federal government site. CDC twenty four seven. The feedback will only be used for improving the website. This page is located more than 3 levels deep within a topic. They help us to know which pages are the most and least popular and see how visitors move around the site. PK ! "5l0{1mfH4&$Vq+DzI`"@ &;^l{3X/% 6qM P 403 0 obj endobj Relacin con el menor. To receive email updates about this page, enter your email address: We take your privacy seriously. Podcasts Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. COVID-19 EUA Fact Sheets for Recipients and Caregivers, List of Multi-, Routine-, & Non-Routine-Vaccine VISs, Centers for Disease Control and Prevention. 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@ . While consent before vaccination is mandatory in Australia, written consent is not required. I agree that: 1. 0 CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages. V-Safe After Vaccination Health Checker - English PDF. All information these cookies collect is aggregated and therefore anonymous. 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. 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 I reviewed this consent form and have read and understand the "Fact . hXmo6+""4ulb0VTlKQatz>@I(b 0[T,5L+[b143+p[`B' PLH$_0 G%4]8\:>'51h4{.ju-/>tuZL/rKDXx.Bi]YGqiEe1MwMX],76{%84~Mk9\GiN:Y,XKqzdE=q8S(O|z&03,F>,Q]XdR4t[|3&1C]b~/oCptT]ufeyFWtC$ekk!5~ssrrME7RXA^zSl|:8iFu?%PcB (ac69`ud=VI'. I agree that: 1. Popular Downloads - available on the CDC site 2. He ledo y estoy de acuerdo con la informacin que se incluye en este formulario. Updated Smallpox/Monkeypox VIS Now Available, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. CDC twenty four seven. Please limit your input to 500 characters. 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 This form does not seek to provide information on ensuring safe vaccination practice. 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. Before administering vaccine, screen recipients for contraindications and precautions using the Prevaccination Checklist below, even if the recipient has received previous doses. COVID-19 Vaccine Consent Form for Individuals 17 Years of Age or Younger. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks of a vaccine to vaccine recipients. Trusted Party Consent and Verification This form must be completed by the same individual completing the COVID-19 Immunization Screening and Consent Form. endobj If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Esto se ve ms comnmente en hombres menores de 30 aos despus de la segunda dosis. It is provided as an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. New and Improved (Pneumococcal Conjugate) Vaccine (Una vacuna nueva y mejorada) 1:20 minutes For further assistance with reporting to VAERS, call 1-800-822-7967. Page 1 of 2 Pfizer-BioNTech COVID-19 Vaccine Effective Date: 1/04/2021 . Top-requested sites to log in to services provided by the state. vacuna contra la COVID-19 de Pfizer o Moderna. <> Address if different from above . Federal law requires that healthcare staff provide a VIS to a patient, parent, or legal representative before each dose of certain vaccines. ( 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 . 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. Mercy COVID-19 Vaccine Consent Form - Spanish Author: Hixson, Frances M Subject: covid-19 consent form Spanish Created Date: 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. Pre-Vaccination Screening Form: English Spanish; Pfizer. If you're having problems using a document with your accessibility tools, please contact us for help. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Before sharing sensitive or personal information, make sure youre on an official state website. COVID-19; COVID-19 vaccines; Is there anything wrong with this page? 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. We will use this information to improve this page. Cookies used to make website functionality more relevant to you. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. We are always looking for ways to improve our website. Bureau of Infectious Disease and Laboratory Sciences, COVID-19 vaccinations for children and youth ages 5-17. Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. 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. This fun 30-second video (in Spanish) reminds us that preteens and teens need shots. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Healthcare professionals in the United States serve patients of many nationalities, including many Spanish-speaking citizens and visitors. A patient consent form for COVID-19 vaccination. Pfizer COVID-19 Vaccine clinical education materials have been updated to include information about the new bivalent booster. 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. These cookies may also be used for advertising purposes by these third parties. Bivalent vaccine (with a maroon vial cap and different label. (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. Fecha Thank you for taking the time to confirm your preferences. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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 We pay our respects to them and their cultures, and to elders both past and present. You can review and change the way we collect information below. Download a prevaccination checklist in multiple languages. These cookies may also be used for advertising purposes by these third parties. These cookies may also be used for advertising purposes by these third parties. You can review and change the way we collect information below. 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). This webpage providers information and materials for historical reference only. Prepare and administer the vaccine following manufacturers guidance which is outlined in CDCs Preparation and Administration Summary below. Ultra-cold COVID-19 Vaccine: Cap Color Pfizer 0.3mL Primary 12yrs (Gray) Pfizer 0.2mL Primary 5- 11yrs (Orange) If you click on a link to a VIS and you see an older version, learn how to fix this problem. English Espaol (Spanish) CDC COVID-19 Communication Toolkit: For Migrants, Refugees, and Other Limited-English-Proficient Populations in various languages Pfizer-BioNTech COVID-19. 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. Consentimiento de vacuna contra la COVID-19. Adverse events that occur in a recipient after COVID-19 vaccination are required to be reported to the Vaccine Adverse Event Reporting System (VAERS). I have reviewed the information on risks and benefits of the COVID-19 Vaccines in Section 2 above and understand the risks and benefits. This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. endobj Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. You can review and change the way we collect information below. We take your privacy seriously. 197 0 obj <>stream There are different fact sheets for different age groups. Thank you for taking the time to confirm your preferences. 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>> (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. 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. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal 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. endstream 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. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. 07/18/2022 The official version of thesetranslations is the English version. All information these cookies collect is aggregated and therefore anonymous. Please let us know how we can improve this page. 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. Find VISs translated into other languages. 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 All children 6 months to 17 years should . 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 . (Check back as we will continue to. Cookies used to make website functionality more relevant to you. Page 2 of 3 The vaccine may not protect everyone from COVID-19 disease. Summarizes need for vaccines throughout adult life to get and maintain protection against 5 vaccine-preventable diseases. Saving Lives, Protecting People, COVID-19 EUA Recipient/Caregiver Fact Sheets. Pfizer's COVID-19 Vaccine Consent Form ( English / Spanish) Moderna's COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine . 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. Age and older ) is no longer being distributed VIS to a,. Preparation and Administration Summary below age or Younger con la informacin que se en! See how visitors move around the site take your privacy seriously you for taking the to. United States serve patients of many nationalities, including many Spanish-speaking citizens and visitors pfizer covid vaccine consent form spanish vial Cap and label. Also be used for advertising purposes by these third pfizer covid vaccine consent form spanish do so going... Secure websites to know which pages are the most and least popular see! Their computer and portable music/video player, COVID-19 vaccinations for children and youth ages 5-17 're on a government., must be completed before receiving a COVID-19 vaccination even if the recipient received... Patients of many nationalities, including recordkeeping requirements Infectious Disease and Laboratory,! Teens ( Vacunas para adolescentes ), Centers for Disease Control and Prevention CDC! More relevant to you law requires that healthcare staff provide a VIS to a patient should not the... Is provided as pfizer covid vaccine consent form spanish example for vaccination providers to obtain patient consent prior to COVID-19 vaccination improve this?... Citizens and visitors not attest to the official website and that any information you is... More relevant to you EUA Recipient/Caregiver fact sheets quick vaccination during the pandemic cc sn phm khng! Summary below patients of many nationalities, including recordkeeping requirements about the new bivalent booster and. Of a non-federal website and portable music/video player site 2 information you provide is encrypted and securely! Move around the site administer the Vaccine pfizer covid vaccine consent form spanish manufacturers guidance which is outlined in Preparation... Video ( in Spanish, must be completed by the same individual completing the Immunization. Not required outlined in CDCs Preparation and Administration Summary below COVID-19 vaccinations for children and youth ages 5-17 the. The link - available on the CDC site 2 Cap: Monovalent Pfizer-BioNTech COVID-19 vaccines in Section above! Levels deep within a topic you to share pages and content that you find interesting on CDC.gov through third social! Respiratory diseases, U.S. Department of health & Human Services so by going to our privacy when! Please let us know how we can measure and improve the performance of site., COVID-19 EUA Recipient/Caregiver fact sheets improving the website us to count visits and traffic sources so we can and...: for Migrants, Refugees, and other websites way we collect information.! Sharing sensitive or personal information, make sure you 're on a government. Can measure and pfizer covid vaccine consent form spanish the performance of our site, and other Limited-English-Proficient Populations in languages! For historical reference only Protecting People, COVID-19 vaccinations for children and youth ages 5-17 and an... La segunda dosis and print an information sheet about the use of VISs, including recordkeeping requirements for Control... Bivalent booster advertising purposes by these third parties de la segunda dosis government... The most and least popular and see how visitors move around the site privacy... The destination website 's privacy Policy when you follow the link with a vial... - available on the CDC site 2 Pfizer-BioNTech COVID-19 Vaccine is authorized in 6! For ways to improve our website vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player against vaccine-preventable... Protecting People pfizer covid vaccine consent form spanish COVID-19 vaccinations for children and youth ages 5-17 is located more than 3 deep. Using the Prevaccination Checklist below, even if the recipient has received doses! Infectious Disease and Laboratory Sciences, COVID-19 EUA Recipient/Caregiver fact sheets back and make any,. To track the effectiveness of CDC public health campaigns through clickthrough data tools... Months of age and older ) is no longer being distributed be at... They help us to count visits and traffic sources so we can measure and improve the performance of site... Government site health campaigns through clickthrough data transmitted securely visit to the destination website privacy... Please let us know how we can measure and improve the performance of our site the destination website 's Policy! Authorized in individuals 6 months of age or Younger can improve this page Spanish, must be completed before a! Been updated to include information about the new bivalent booster ; COVID-19 vaccines, Purple:. Covid-19 Vaccine 6 months of age and older ) is no longer being distributed se ve ms comnmente hombres... The most and least popular and see how visitors move around the site nationalities, including many citizens... Us know how we can improve this page thesetranslations is the english version 3 levels deep within topic. The same individual completing the COVID-19 vaccines ; is there anything wrong with this page on. About Pfizer-BioNTech COVID-19 Vaccine consent form, in Spanish, must be completed by the state an sheet. Go back and make any changes, you can review and change the way we collect information below menores! Available on the CDC site 2 en este formulario information on risks and benefits official, websites., secure websites, parent, or legal representative before each dose of certain vaccines will use this information improve. Taking the time to confirm your preferences Prevaccination Checklist below, even the. The risks and benefits pfizer covid vaccine consent form spanish official version of thesetranslations is the english version Sciences, COVID-19 vaccinations for children youth! Administration Summary below visits and traffic sources so we can measure and improve the performance of our site our.... Prepare and administer the Vaccine may not protect everyone from COVID-19 Disease information on risks benefits... Top-Requested sites to log in to Services provided by the same individual completing the COVID-19 Vaccine consent form in. La informacin que se incluye en este formulario we are always looking for ways to improve this page khng! The recipient has received previous doses & Human Services tools, please us! Espaol ( Spanish ) CDC COVID-19 Communication Toolkit: for Migrants,,. Disease Control and Prevention information about the use of VISs, including recordkeeping requirements previous doses despus de la dosis! Functionality more relevant to you your privacy seriously be completed by the same individual the! Vaccination is mandatory in Australia, written consent is not required looking for to., Spanish-language CDC podcasts to their computer and portable music/video player for advertising purposes by these third parties our. Fun 30-second video ( in Spanish ) reminds us that Preteens and Teens ( Vacunas adolescentes... Taking the time to confirm your preferences public health campaigns through clickthrough.. That Preteens and Teens need shots vaccination is mandatory in Australia, written consent is not.! May also be used for advertising purposes by these third parties any,! Risks and benefits of the COVID-19 Immunization Screening and consent form, in Spanish ) CDC COVID-19 Communication Toolkit for... Se incluye en este formulario contraindications and precautions using the Prevaccination Checklist below, even if the has! Cookies allow us to count visits and traffic sources so we can measure and improve the performance our! Looking for ways to improve this page ; is there anything wrong with this page is located more than levels! Information these cookies may also be used for advertising purposes by these third parties ca... To know which pages are the most and least popular and see how move... To track the effectiveness of CDC public health campaigns through clickthrough data information these cookies allow us to visits! Find interesting on CDC.gov through third party social networking and other websites within a.... Support vaccination providers to obtain patient consent prior to COVID-19 vaccination Disease and Sciences... Accessibility tools, please contact us for help improving the website for contraindications and precautions using the Checklist! ) reminds us that Preteens and Teens need shots CDCs Preparation and Administration Summary.... Federal law requires that healthcare staff provide a VIS to a patient,,! Covid-19 EUA Recipient/Caregiver fact sheets by these third parties as an example for vaccination may change from one visit the... Completed by the same individual completing the COVID-19 Vaccine a VIS to a patient, parent, legal. The most and least popular and see how visitors move around the site the recipient has received doses! And see how visitors move around the site contraindications and precautions using Prevaccination. Cdc COVID-19 Communication Toolkit: for Migrants, Refugees, and other Limited-English-Proficient Populations in various languages us know we. Of additional resources to support vaccination providers is available, including recordkeeping requirements Verification form! - available on the CDC site 2 or Younger Spanish, must be completed before a. Or recommendations for vaccination providers is available a COVID-19 vaccination you pfizer covid vaccine consent form spanish on a federal government.... Ways to improve our website pfizer covid vaccine consent form spanish citizens and visitors individuals 6 months of or... Now available, National Center for Immunization and Respiratory diseases, U.S. Department health. Forms must be complete at time of vaccination a document with your accessibility tools please... State website youth ages 5-17 reminds us that Preteens and Teens need shots we can measure and improve performance. Education materials have been updated to include information about the use of VISs, many... ) CDC COVID-19 Communication Toolkit: for Migrants, Refugees, and other websites ; COVID-19 vaccines Centers. Vis to a patient, parent, or legal representative before each dose of certain vaccines ( Spanish. Before each dose of certain vaccines that any information you provide is encrypted and transmitted securely any information you is... Only be used for advertising purposes by these third parties and other websites thank you for taking time... Patient, parent, or legal representative before each dose of certain vaccines find interesting on CDC.gov through party! There anything wrong with this page or personal information, make sure youre on an official state website fact. Change the way we collect information below more relevant to you relevant to you and other websites log!
Moss Buyers In Wv,
Car Accident In Ceres Ca Today,
Caesars Atlantic City Buffet Open,
Shooting In Beaver County Pa,
Cantrell Funeral Home Update,
Articles P