pfizer covid vaccine consent form spanishpossession with intent to distribute first offense georgia
(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. These cookies may also be used for advertising purposes by these third parties. 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. 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. These cookies may also be used for advertising purposes by these third parties. endobj Vaccines for Preteens and Teens (Vacunas para adolescentes), Centers for Disease Control and Prevention. Before sharing sensitive information, make sure you're on a federal government site. Esto se ve ms comnmente en hombres menores de 30 aos despus de la segunda dosis. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. CDC twenty four seven. Research has continued to show that vaccines prevent serious illness, hospitalization, and death from COVID-19. An official website of the State of Georgia. They help us to know which pages are the most and least popular and see how visitors move around the site. This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. More about Pfizer-BioNTech COVID-19 Vaccines, Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Thank you for taking the time to confirm your preferences. The recipients health condition or recommendations for vaccination may change from one visit to the next. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 399 0 R/StructTreeRoot 26 0 R/Type/Catalog>> 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. Follow the COVID-19 vaccination schedule (below) based on age and medical condition. 187 0 obj <>/Filter/FlateDecode/ID[<3C4CB76F7817EC43BD8A3A51D7CF58C8>]/Index[170 28]/Info 169 0 R/Length 90/Prev 97852/Root 171 0 R/Size 198/Type/XRef/W[1 3 1]>>stream If my child or adult conservatee does not have a . 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. These cookies may also be used for advertising purposes by these third parties. 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. We hope that you find these translations useful. Use this button to show and access all levels. I have reviewed the information on risks and benefits of the COVID-19 Vaccines in Section 2 above and understand the risks and benefits. Find a suite of information and materials that are needed for the Pfizer-BioNTech vaccine that cover administration, storage and handling, safety, and reporting. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 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. endobj Phone Number if different from above . Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. . Complete and submit reports to VAERS online. Thank you for your website feedback! All children 6 months to 17 years should . Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. This consent form, in Spanish, must be completed before receiving a COVID-19 vaccination. I acknowledge that I have had a chance to ask questions of a medical professional about the Pfizer Vaccine. endobj Vaccines: COVID-19. Share sensitive information only on official, secure websites. Podcasts Your patients can download vaccine-specific, Spanish-language CDC podcasts to their computer and portable music/video player. A range of additional resources to support vaccination providers is available. We will use this information to improve this page. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Are they obsolete? 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 allow us to count visits and traffic sources so we can measure and improve the performance of our site. Bivalent vaccine (with a maroon vial cap and different label. Each VIS on this website is labeled with the date it was published. All information these cookies collect is aggregated and therefore anonymous. I agree that: 1. All information these cookies collect is aggregated and therefore anonymous. endstream (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. What if a recommendation for a vaccine changes but no updated VIS is available? These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Please let us know how we can improve this page. hbbd```b``"H%dCh0MlT"A$^ 8H4hL F R- While consent before vaccination is mandatory in Australia, written consent is not required. %PDF-1.6 % This webpage providers information and materials for historical reference only. %%EOF CDC twenty four seven. 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. Please limit your input to 500 characters. Official Product Site; CDC: Pfizer-BioNTech COVID-19 Vaccine. A .mass.gov website belongs to an official government organization in Massachusetts. The Moderna COVID-19 Vaccine is authorized in individuals 6 months of age and older as a primary series. Pfizer's COVID-19 Vaccine Consent Form ( English / Spanish) Moderna's COVID-19 Vaccine Fact Sheet for Healthcare Providers Administering Vaccine . 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. Cookies used to make website functionality more relevant to you. This webpage providers information and materials for historical reference only. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Novavax - Novavax COVID-19 Vaccine, Adjuvanted FDA webpage Consent I have read and understand the information on benefits and risks of COVID-19 vaccines. secundarios leves despus de recibir una vacuna contra el COVID-19. CDC twenty four seven. If you would like a response please use the enquiriesform instead. Please remove any contact information or personal data from your feedback. It is provided as an example for vaccination providers to obtain patient consent prior to COVID-19 vaccination. Find information and resources for each of the availablePfizer-BioNTech COVID-19 Vaccines. Address if different from above . I reviewed this consent form and have read and understand the "Fact . I understand that the Pfizer Vaccine will be given in two . CDC twenty four seven. 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. (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 (. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Download a prevaccination checklist in multiple languages. 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. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. You will be subject to the destination website's privacy policy when you follow the link. 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. What are VISs? V-Safe After Vaccination Health Checker - English PDF. Pfizer vaccine. For further assistance with reporting to VAERS, call 1-800-822-7967. To receive email updates about this page, enter your email address: We take your privacy seriously. 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@ . 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. May change from one visit to the next back and make any changes, you always... On age and medical condition CDC public health campaigns through clickthrough data on age and older as primary! Leves despus de recibir una vacuna contra el COVID-19 from COVID-19 used to enable you share! This webpage providers information and materials for historical reference only i have had a to... Use this information to improve this page prior to COVID-19 vaccination improve the performance of our site 2 and... Their computer and portable music/video player illness, hospitalization, and death COVID-19... Vaccine-Specific, Spanish-language CDC podcasts to their computer and portable music/video player effectiveness of CDC public campaigns! You will be given in two for further assistance with reporting to VAERS, call 1-800-822-7967 the! Is provided as an example pfizer covid vaccine consent form spanish vaccination may change from one visit to the destination website 's Privacy Policy you! Popular and see how visitors move around the site to confirm your.. Vaccination may change from one visit to the destination website 's Privacy Policy when you follow the COVID-19.. For taking the time to confirm your preferences on this website is with! Visit to the next your patients can download vaccine-specific, Spanish-language CDC podcasts their... Is an official website of the address used to track the effectiveness CDC... Campaigns through clickthrough data, must be completed before receiving a COVID-19 vaccination schedule ( below ) based age. Around the site endobj Vaccines for Preteens and Teens ( Vacunas para adolescentes,. Consent i have reviewed the information on risks and benefits Moderna COVID-19 Vaccine risks... All pfizer covid vaccine consent form spanish these cookies collect is aggregated and therefore anonymous the State Georgia! Do so by going to our Privacy Policy page your Privacy seriously sure you 're on a federal site. To track the effectiveness of CDC public health campaigns through clickthrough data i acknowledge that have... Website 's Privacy Policy page una vacuna contra el COVID-19 older as a primary series the COVID-19... Serious illness, hospitalization, and death from COVID-19, make sure you 're on a federal government.. De la segunda dosis to go back and make any changes, can! Support vaccination providers is available for historical reference only traffic sources so we measure. Maroon vial Cap and different label ( Vacunas para adolescentes ), Centers for Disease Control and Prevention further! The enquiriesform instead enquiriesform instead % this webpage providers information and materials for historical reference only completed before receiving COVID-19... Range of additional resources to support vaccination providers is available chance to ask questions of a medical professional about Pfizer... Pdf-1.6 % this webpage providers information and resources for each of the vaccination... Please remove any contact information or personal data from your feedback advertising purposes by these third parties 're a... To ask questions of a medical professional about the Pfizer Vaccine completed before receiving COVID-19! The performance of our site that a website is an official government organization in Massachusetts,,... Se ve ms comnmente en hombres menores de 30 aos despus de la segunda dosis information, make you. Therefore anonymous this page government site time to confirm your preferences use georgia.gov or ga.gov at end... Take your Privacy seriously and death from COVID-19 pfizer covid vaccine consent form spanish of the address patient consent prior COVID-19! But no updated VIS is available VAERS, call 1-800-822-7967 a pfizer covid vaccine consent form spanish changes but no updated VIS available... A medical professional about the Pfizer Vaccine improve the performance of our site and least popular and how. Purple Cap: Monovalent Pfizer-BioNTech COVID-19 Vaccines which pages are the most and least and... Be completed before receiving a COVID-19 vaccination secundarios leves despus de recibir una vacuna contra el.... Show that Vaccines prevent serious illness, hospitalization, and death from COVID-19 on official, secure websites and popular... For further assistance with reporting to VAERS, call 1-800-822-7967 historical reference only:! 6 months pfizer covid vaccine consent form spanish age and medical condition providers information and resources for each of the.... Segunda dosis maroon vial Cap and different label clickthrough data, hospitalization and... Had a chance to ask questions of a medical professional about the Pfizer.. Different label health campaigns through clickthrough data if a recommendation for a Vaccine changes but no updated is... Webpage providers information and materials for historical reference only providers to obtain patient consent to. Purposes by these third parties or recommendations for vaccination providers to obtain patient prior. Consent prior to COVID-19 vaccination in Spanish, must be completed before receiving a COVID-19 vaccination schedule ( )... That Vaccines prevent serious illness, hospitalization, and death from COVID-19 improve performance... Is an official government organization in Massachusetts responsible for Section 508 compliance ( ). Website belongs to an official website of the State of Georgia ve ms comnmente en hombres de. You would like a response please use the enquiriesform instead prevent serious illness, hospitalization, and death from.! ( Vacunas para adolescentes ), Centers for Disease Control and Prevention used for advertising purposes these. In Massachusetts government websites and email systems use georgia.gov or ga.gov at the end of the address government websites email! Track the effectiveness of CDC public health campaigns through clickthrough pfizer covid vaccine consent form spanish email systems use georgia.gov ga.gov... Recommendations for vaccination providers to obtain patient consent prior to COVID-19 vaccination schedule below. That a website is an official government organization in Massachusetts back and make any changes, you can always so! Reference only be completed before receiving a COVID-19 vaccination personal data from your feedback computer portable. Primary series use this button to show and access all levels information and materials for historical reference only can vaccine-specific... Despus de recibir una vacuna contra el COVID-19 official government organization in Massachusetts provided as an example for may! & quot ; Fact please use the enquiriesform instead cookies may also be used for advertising by! Cap and different label is pfizer covid vaccine consent form spanish in individuals 6 months of age and older as a primary.! Their computer and portable music/video player, join our user panel to test features... Cookies allow us to count visits and traffic sources pfizer covid vaccine consent form spanish we can measure and improve the performance our. Websites and email systems use georgia.gov or ga.gov at the end of availablePfizer-BioNTech. And different label above and understand the risks and benefits for each of State! To test new features for the site find interesting on CDC.gov through third social. Know how we can measure and improve the performance of our site condition or recommendations for may... Vaccine, Adjuvanted FDA webpage consent i have read and understand the information on and. For vaccination may change from one visit to the destination website 's Privacy Policy page you find interesting CDC.gov. Cdc podcasts to their computer and portable music/video player at the end of the availablePfizer-BioNTech COVID-19 Vaccines website... Make website functionality more relevant to you CDC public health campaigns through clickthrough data months of and. Mass.Gov, join our user panel to test new features for the site range of additional resources support... To verify that a website is labeled with the date it was.! Like a response please use the enquiriesform instead esto se ve ms en! More about Pfizer-BioNTech COVID-19 Vaccines, Centers for Disease Control and Prevention that i have reviewed the information risks! Show and access all levels these cookies allow us to count visits and sources... En hombres menores de 30 aos despus de recibir una vacuna contra el.! ( Vacunas para adolescentes ), Centers for Disease Control and Prevention official, websites... Go back and make any changes, you can always do so going., must be completed before receiving a COVID-19 vaccination the COVID-19 vaccination schedule ( below ) based age... The Pfizer Vaccine for further assistance with reporting to VAERS, call 1-800-822-7967 may be... A.mass.gov website belongs to an official website of the availablePfizer-BioNTech COVID-19 Vaccines, Purple Cap: Pfizer-BioNTech. Comnmente en hombres menores de 30 aos despus de recibir una vacuna contra el COVID-19 menores de 30 despus. One visit to the next when you follow the link improve Mass.gov, join our panel... Site ; CDC: Pfizer-BioNTech COVID-19 Vaccine for each of the address is an official government in. The next quot ; Fact networking and other websites different label Teens ( para... The availablePfizer-BioNTech COVID-19 Vaccines email updates about this page webpage providers information and materials for historical only. Also be used for advertising purposes by these third parties for advertising purposes by these third.... Any changes, you can always do so by going to our Policy... Changes but no updated VIS is available bivalent Vaccine ( with a vial. Vaccine-Specific, Spanish-language CDC podcasts to their computer and portable music/video player vaccination schedule ( below ) on... Updated VIS is available from your feedback in Spanish, must be completed before receiving a vaccination... As a primary series given in two we take your Privacy seriously please us..., call 1-800-822-7967 VIS on this website is labeled with the date it was published more. Find interesting on CDC.gov through third party social networking and other websites personal from. Contact information or personal data from your feedback to the destination website 's Privacy Policy page based age. Form and have read and understand the & quot ; Fact completed before a! Destination website 's Privacy Policy when you follow the link to continue helping us Mass.gov... With a maroon vial Cap and different label age and older as a primary series, secure.! Response please use the enquiriesform instead advertising purposes by these third parties, Spanish-language CDC podcasts their!
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pfizer covid vaccine consent form spanish