实用文档
Informed Consent Form for Vaccination Program Immune Vaccine (2)
3. MMR vaccine 4. Chicken pox attenuation and inactivation vaccine
Preventable diseases: measles, mumps, rubella. People who have serious diseases, acute and chronic infection, fever or allergic history with eggs shall not inoculate. Contraindication Pregnant women are forbidden to use, fertile women who inoculate shall avoid pregnancy within 3 months after inoculation.
1. Within 6 to 11 days, few children may appear transient fever reaction or slight rash which will automatically Possible relieve less than 2 days. reactions after 2. Adult women occasionally appear inoculation slight arthralgia, and need no special treatment normally. Expectant treatment can be made when necessary. Measles 99% Rubella 99% Mumps Protective effect 85%
文案大全
Preventable diseases: water mark – herpes zoster. Domestic Imported 1. People who have serious diseases and 1. Same with other vaccine, people who have fever shall delay the acute serious fever diseases shall delay the inoculation. inoculation, however, for healthy people, slight 2. People who have infection is not immune contraindication. allergy history and 2. People whose total lymphocyte is less than pregnant women shall 1200 / mm3 or proved to lack cellular immune Contraindication be forbidden to use. function shall be forbidden to use. 3. Patients of leukemia, 3. People who are known as hypersensitive with tumor, neomycin shall be forbidden to use, but people immunodeficiency, etc. who have contact dermatitis with neomycin are shall use with caution not included in the contraindication. under doctor’s 4. Forbidden to use in pregnancy duration. guidance. 1. Usually no side 1. Healthy people: comprehensive reactogenicity reaction after injection, of all the age groups are quite low, and the occasionally with slight reactions of injection position are usually slight partial reaction. and temporary. Possible 2. Rarely seen slight or 2. High risk patients: the reactions of injection reactions after medium fever, position are usually slight; Papule inoculation transient eruption for vesiculobullous rash may appear within several less than 3 days. days or weeks after immune treatment, rarely Expectant treatment with slight to medium fever, and only less than can be made when 1/4 leukemia patients have these reactions. necessary. These rashes are usually slight and short. Protective effect 99% 实用文档
Children’s Planned Immunization Program Immunization Appointment
Birth Date: March 15, 2005
Vaccines Meningo-AGE BCG HBV OPV DPT MV Encephalitis coccus A Vaccine 0month Base Base① 1month Base② 2month Base① 3month Base② Base① 4month Base③ Base② 5month Base③ 6month Base③ 7month 8month Base Second 9month 1year 1.5years Booster Booster Boo 2years ster Booster Booster 4years Booster Booster 6years Booster BooDT ster Booster Booster
文案大全
Date of Date of AppointmenVaccine AppointmenVaccine t t March 31, 2015 HBIG November Morning, 13, 2007 influenza vaccine 3 years influenza vaccine Tuesday Morning Please check if your child has completed the immunization as scheduled
实用文档
Immunization Appointment Immunization Record (I)
Date of Date of Vaccine Vaccine Appointment Appointment Please check if your child has completed the immunization as
scheduled
文案大全
Lot Date of Number Unit of Vaccines Signature Immunization of Immunization Vaccine March 15, 2004060Primaryimm 202+ 2005 47-1 BCG PPD July 21, 2005 12×12 202+ March 15, 2004080First Lina Zhao HBIG 2005 2 Second 202+ March 15, 2004064Heping District 2005 9 Tuberculosis Control HBV Base April 15, 2005 Gao September 15, 2005902Yuan 2005 -2 Gao May 17, 2005 Base June 27, 2005 Gao OPV September 28, Yuan 2005 2010090July 14, 2011 District Center Yuan Booster 6
实用文档
Immunization Record (II) Immunization Record (III)
Vaccines Date of Lot Number of Unit of Signature Immunization Vaccine Immunization
DPT Base June 27, 2005 Gao July 28, 2005 Yuan August 30, 2005 Yuan Booster October 8, 2006 Yuan DP Booster August 18, 2011 YC37B045AA Gao MV Base November 25, Yuan 2005 Booster August 1 Encephalitis B Base April 18, 2006 200411 Yuan Vaccine 2501 April 27, 2006 200411 Chen 2501 Booster May 24, 2007 06110301 Yuan June 16, 2011 20110106-1 District Center Gao
文案大全
Vaccines Date of Lot Number Unit of Signature Immunizatioof Vaccine Immunization n Meningococc1 March 16, 200506 us 2006 1402 A Vaccine 2 June 29, 200506 2006 2903 3 July 27, 2010 090910 4 July 30, 2013 Rubella Vaccine MMR August 1, 2006 MM MR Varicella June 14, Vaccine 2006 Pneumococc al Vaccine 实用文档
Immunization Record (IV) Immunization Record (V)
Vaccines Date of Lot Unit of Signature
Vaccines Date of Lot Unit of Signature Immunization Number Immunization Of Vaccines HIB 1 2 3 4 HAV Attenuation 1 August 27 2 Deactivation 1 May 12, 09141303 Yuan 2011 2 April 19, 20122016 District Gao 2012 Center Influenza Vaccines
文案大全
ImmunizaNumber Immunization Of tion Vaccines Influenza Novembe070729 District Yuan Vaccine r 20, 2007 Center 实用文档
Record Abnormal Reaction Unit and Vaccines Lot number Unit of Date of Conditioof Product Immunization Reaction n of Reaction Record of Infectious Disease Date of Disease Infectious Diseases Clinic Remarks Mother: HBsAg (+,–) HBeAg (+,–)
文案大全
Instructions for Post BCG Vaccination 1. When BCG has been vaccinated for one month, there will be a blister at the vaccination position, and the pus will flow out. The blister will gradually scab, and this is the normal reaction. 2. The blister shall not be squeezed, pay attention to keep dry and clean, 3. Individual newborn: after vaccinating for about a month, there may be small lumps at left axilla or left clavicle; if the vaccination position still has pus to flow out after three months, please contact various tuberculosis controls. Telephones of the Tuberculosis Controls in each County (City) Heping: 23262448 Dongling: 24821443 Xinmin: 87853562 Shenhe: 24844095 Yuhong: 25306689 Liaozhong: 87805638 Dadong: 24312094 Sujiatun: 89814846 Faku: 87122890 Huanggu: 86243204 Xinchengzi: 89862700 Kangping: 87347727 Tiexi: 25855402 Hunnan: 23821814 Telephones of Disease Prevention and Control Centers in Various District (County) Heping 23508243 Dongling: 24825287 Faku: 87123543 Shenhe: 31001561 Sujiatun: 89813277 Hunnan: 23825090 Dadong: 24312358 Yuhong: 25308304 Qipanshan: 88050032 Huanggu: 86230946 Xinmin: 62278778 Huishan: 88043445 Tiexi: 62382325 Liaozhong: 87882961 Huishan: 88043445 Xinchengzi: 89862118 Kangping: 87335887
预防接种证-英文 - 图文
