Skip to content
SafetyCulture
Template

COVID-19 Vaccine Checklist

by SafetyCulture

Free
Downloads: 19

Use this COVID-19 vaccine checklist (based on FDA Fact Sheets of Authorized Vaccines) to do the following: 1. Assess whether you should receive the vaccine based on previous allergic reactions to COVID-19 vaccine ingredients or to a previous dose of the vaccine 2. Provide information on your current medical condition such as allergies not related to COVID-19 vaccines, fever, bleeding disorder, compromised immune system, use of a blood thinner and/or medicine that affects your immune system, pregnancy, breastfeeding, as well as having received another COVID-19 vaccine

About author

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

You might also like

  • Vaccine Temperature Log
    SafetyCulture logo
    Template

    Vaccine Temperature Log

    This vaccine storage temperature log recognizes the CDC-recommended refrigerator and freezer temperature for vaccine storage. Anything out of range will prompt the inspector to inform superior for appropriate action to be taken.

    by SafetyCulture
    Downloads: 95
    Get
  • COVID-19 Inspection
    SafetyCulture logo
    Template

    COVID-19 Inspection

    Use this checklist to ensure you have taken all the preventative measures necessary to stop the spread of Covid-19

    by SafetyCulture
    Downloads: 5,874
    Get
  • COVID-19 Risk Assessment Template
    SafetyCulture logo
    Template

    COVID-19 Risk Assessment Template

    Inspired by the CDC's guidance for the identification and management of potentially exposed contacts of a confirmed case of COVID-19, use this risk assessment template to help determine steps to contain the spread of COVID-19.

    by SafetyCulture
    Downloads: 3,871
    Get
  • COVID-19 Cleaning and Personal Hygiene Inspection
    SafetyCulture logo
    Template

    COVID-19 Cleaning and Personal Hygiene Inspection

    Use this checklist to ensure you are following CDC guidelines for cleaning and hygiene to prevent the spread of Covid-19

    by SafetyCulture
    Downloads: 5,578
    Get