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北京市甲型H1N1流行病毒裂解疫苗接种知情同意书Consent Form for
Vaccine Recipient: H1N1 Consent Form for Immunization with the H1N1 Split Virus Vaccine at Beijing United Family Hospital and Clinics 20094H 1N 1 H 1N 1 H 1N 1 H 1N 1H 1N 1 . In April 2009, a new mutated strain of flu virus, influenza A (H 1N 1), was found first in Mexico, and has gradually spread across the globe through durative human-to-human transmission. H 1N 1 is a communicable disease of the respiratory system that mainly shows respiratory infection symptoms. The Beij ing municipal government has given a great deal of attention to prevention and control of H 1N 1 infection by carrying out an immunization program among key population groups, such as elementary/middle/high school students, and healthcare professionals. In the maj ority of cases, immunization with the H 1N 1 split virus vaccine can effectively prevent H 1N 1 transmission and infection. H 1N 1 . We would like to share with you the following vaccination information regarding type, administration method, side effects, contraindications, and what to expect post-immunization so that you can make your own informed decision. Vaccine Type H 1N 1. H 1N 1 split virus vaccine. Method of Administration . Intramuscular inj ection. Side Effects . Common side effects include fever, fatigue, headache, dizziness, nausea, etc. . Recipients may also occasionally experience localized redness, pruritus (itchiness), sore throat, muscle pain, cough, abdominal pain, arthralgia (j oint ache), dry mouth, loss of appetite, diarrhea, allergy, or chest stuffiness. 24 . The aforementioned adverse reaction
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