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Vaccine Incident Report Form - Nevada State Immunization Program - Nevada
Vaccine Incident Report Form - Nevada State Immunization Program is a legal document that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada.
FAQ
Q: What is the Vaccine Incident Report Form?A: The Vaccine Incident Report Form is a reporting tool for vaccine-related adverse events.
Q: Who is the Nevada State Immunization Program?A: The Nevada State Immunization Program is a program responsible for promoting immunization and ensuring vaccine safety in Nevada.
Q: What is the purpose of the Vaccine Incident Report Form?A: The purpose of the form is to collect information about any adverse events following vaccination and report them to the appropriate authorities.
Q: What should I do if I experience an adverse event following vaccination?A: If you experience an adverse event following vaccination, you should complete the Vaccine Incident Report Form and submit it to the Nevada State Immunization Program.
Form Details:
- Released on March 1, 2018;
- The latest edition currently provided by the Nevada Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Vaccine Incident Report Form - Nevada State Immunization Program - Nevada
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