This COVID-19 vaccine checklist helps patients and providers pre-screen for vaccination eligibility. It covers allergies to vaccine ingredients, previous severe reactions, current health status such as fever, bleeding disorders, immunocompromised conditions or medications, and pregnancy or plans to become pregnant. It also records whether another COVID-19 vaccine was received and which one. Based on FDA Fact Sheets, this tool supports safe, informed vaccination decisions and efficient clinic intake.
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With SafetyCulture you can
Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log
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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.