Angol nyelvű beteg beleegyező nyilatkozat - ÁNTSZ
Angol nyelvű beteg beleegyező nyilatkozat - ÁNTSZ
Angol nyelvű beteg beleegyező nyilatkozat - ÁNTSZ
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Please answer the following questions (mark the right answer)!<br />
Do you feel healthy now? YES NO<br />
Have you experienced fever during the<br />
previous 7 days?<br />
Did you experience unpleasant, severe<br />
adverse reactions following previous<br />
influenza vaccination?<br />
YES<br />
YES<br />
Have not received<br />
flu vaccine before<br />
NO<br />
NO<br />
Do you have allergy for antibiotics? YES NO<br />
Have you ever feel sick after blood<br />
taking?<br />
YES<br />
NO<br />
Do you faint sometimes? YES NO<br />
Based on the answers of the above questions, the medical doctor will decide<br />
whether you can be vaccinated against pandemic flu.<br />
Within 3 days after vaccination you can experience local redness of skin, local<br />
pain, muscle pain, swelling. If you experience more severe reactions after<br />
vaccination, please consult with your general practitioner.<br />
You can find more detailed information about the prevention of influenza on the<br />
following webpage: www.antsz.hu.
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