With my signature hereunder, I hereby consent and authorize the doctors of Hopi Animal Hospital to vaccinate my pet. I understand that possible reactions to vaccinations may include the following:
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Itching and scratching around the injection site
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Vomiting and/or diarrhea
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Lethargy
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Lack of appetite
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Facial swelling
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Allergic reactions such as hives and/or red skin
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Anaphylactic shock and/or death
I further understand and agree that the reactions are idiosyncratic and the staff and doctors at Hopi Animal Hospital will not be held responsible for any of the occurrences above. I agree to pay any and all costs in the treatment of the above or similar vaccine reactions.