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COVID-19 Vaccine Screening Checklist

Downloads: 10+

This COVID-19 vaccine screening checklist, adapted from the CDC Prevaccination Checklist for COVID-19 Vaccines, helps clinicians determine if a person should receive a vaccine dose today. It guides assessment of current illness, prior COVID-19 vaccination, allergic reactions to PEG or polysorbate, reactions to previous doses, recent vaccinations, prior COVID-19 infection and antibody therapy, bleeding disorders or anticoagulant use, immunocompromising conditions or therapies, pregnancy and breastfeeding, and the presence of dermal fillers. Use it to document responses and identify contraindications or precautions before vaccination.

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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.