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Vaccination Consent form

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This is the consent form for the COVID 19 CPL Vaccination Progamme. Please download, print and bring it with you.

 

MMR

Priorix

Ingredients:

Live attenuated Measles, Mumps, Rubella

Neomycin

Lactose

Mannitol

Sorbitol

Priorix is a live vaccine, contraindicated for:

Blood dyscrasia, leukaemia, lymphoma

Immunosuppression

Immunodeficiency

Active untreated TB

Fever >38.5C

Pregnancy

 

Hepatitis B

Engerix B

Ingredients:
Hepatitis B Surface Antigen
Aluminium Hydroxide
Yeast
Sodium Chloride
Disodium diphosphate dihydride