Printable Hepatitis B Vaccine Documentation Form Vaccine Administration Record for Adults Before administering any vaccines give the patient copies of all pertinent Vaccine Information Statements VISs and make sure they understand the risks and benefits of the vaccine s Always provide or update the patient s personal record card Vaccine Type of Vaccine1 Date vaccine given mo day yr
Why get vaccinated Hepatitis B vaccine can prevent hepatitis B Hepatitis B is a liver disease that can cause mild illness lasting a few weeks or it can lead to a serious lifelong illness The hepatitis B vaccine is safe and highly effective Please keep this vaccine card for your health records Dose 1 Dose 2 Dose 3 The hepatitis B vaccine is 2 or 3 doses and can be given over 1 month or 6 months depending on what vaccine you receive Please see the chart below to see when to schedule your next dose
Printable Hepatitis B Vaccine Documentation Form
Printable Hepatitis B Vaccine Documentation Form
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MUST BE SIGNED BY A LICENSED HEALTHCARE PROFESSIONAL OR DESIGNEE Sources Hepatitis B In Centers for Disease Control and Prevention Epidemiology and Prevention of Vaccine Preventable Diseases Hamborsky J Kroger A Wolfe S eds 13th ed Washington D C Public Health Foundation 2015 Hepatitis B vaccines Hepatitis B combination vaccines PEDIARIX Combined hepatitis B diphtheria tetanus acellular pertussis DTaP and inactivated poliovirus IPV vaccine Cannot be administered before 6 weeks of age or after 7 years of age TWINRIX and TWINRIX Junior Combined hepatitis A and hepatitis B vaccine
Hepatitis B vaccine is made from parts of the hepatitis B virus It cannot cause hepatitis B infection The vaccine is usually given as 3 or 4 shots over a 6 month period Infants should get their first dose of hepatitis B vaccine at birth and will usually complete the series at 6 months of age Hepatitis B is a viral infection caused by Hepatitis B Virus HBV which causes death in 1 2 of patients Most people with Hepatitis B recover completely but approximately 5 10 become chronic carriers of the virus Most of these people have no symptoms but can transmit the disease to others
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And sometimes death Fortunately this most severe form of acute hepatitis is uncommon occurring in 0 5 1 of hepatitis B cases with the highest risk in adults 55 years 1 2 Acute hepatitis B with full recovery and development of immunity HBV is spontaneously cleared from the body within a few months and immunity The good news is that there is a safe and effective vaccine for hepatitis B The vaccine is a series typically given as three shots over a six month period that will provide a lifetime of protection You cannot get hepatitis B from the vaccine there is no human blood or live virus in the vaccine The hepatitis B vaccine is the most widely
Chronic Hepatitis B Virus Infection 80 90 of persons infected during infancy 30 of persons infected before age 6 years 1 12 of persons infected as an older child or adult Approximately 25 of persons chronically infected during childhood and 15 chronically infected after childhood will die prematurely from cirrhosis or liver cancer 1 Why get vaccinated Hepatitis B vaccine can prevent hepatitis B Hepatitis B is a liver disease that can cause mild illness lasting a few weeks or it can lead to a serious lifelong illness
Hepatitis B Vaccine Documentation Form Fill Out And Sign Printable PDF Template SignNow
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Vaccine Administration Record for Adults Before administering any vaccines give the patient copies of all pertinent Vaccine Information Statements VISs and make sure they understand the risks and benefits of the vaccine s Always provide or update the patient s personal record card Vaccine Type of Vaccine1 Date vaccine given mo day yr
https://www.cdc.gov/vaccines/hcp/vis/vis-statements/hep-b.html
Why get vaccinated Hepatitis B vaccine can prevent hepatitis B Hepatitis B is a liver disease that can cause mild illness lasting a few weeks or it can lead to a serious lifelong illness
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Printable Hepatitis B Vaccine Documentation Form - MUST BE SIGNED BY A LICENSED HEALTHCARE PROFESSIONAL OR DESIGNEE Sources Hepatitis B In Centers for Disease Control and Prevention Epidemiology and Prevention of Vaccine Preventable Diseases Hamborsky J Kroger A Wolfe S eds 13th ed Washington D C Public Health Foundation 2015
