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Booster dose appointments are now available for those 5-years-of-age or older
. For more information, click here.
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BCHU
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Flu Clinic Appointment Booking Form
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By selecting YES you are agreeing to BCHU to use your email and/or phone number to send a confirmation of registration and reminders about your vaccination appointment. The contact information provided will not be used for any other purpose.
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I confirm that I have read and understand the
Influenza Vaccine factsheet
.
Please note that if you have any of the following conditions, you will be unable to receive the flu shot with the Brant County Health Unit:
Current
serious acute illnesses
(delay vaccination until symptoms resolve)
Pregnant and breastfeeding individuals
History of
allergic reaction or hypersensitivity
to a previous dose of inactivated influenza vaccine or to any vaccine component
History of
Guillian- Barrè Syndrome
(GBS) within 6 weeks of receipt of prior dose of influenza vaccine
History of
Oculorespiratory Syndrome
(ORS) within 24 hours of receipt of prior dose of influenza vaccine
Diagnosis as
immunocompromised
Diagnosis of a
bleeding disorder
I acknowledge that I do not have any of the above conditions that would exclude me from receiving my flu shot with the Brant County Health Unit.
*These conditions may not exclude you from receiving the flu shot with your health care provider - we encourage you to follow up with them to discuss the risks and benefits of influenza vaccination and to receive the vaccine if appropriate.*
I have read, understand and agree to the Brant County Health Unit’s
Privacy Statement
regarding the collection of information.
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