COVID-19 Testing/Vaccine Registration Form
  • COVID-19 Testing/Vaccine Registration Form

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  • Format: (000) 000-0000.
  • Health and Medical History

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  • The COVID-19 vaccine will reduce the risk of being suffering from the new type of Coronavirus disease as known as COVID-19. 

    Please be aware that the vaccine is not completely effective like all other medicines. It can take a few weeks for your body to build up protection from the vaccine. There is always a chance to get infected by Coronavirus even with the vaccine; however, the vaccine lessens the severity of any infection. A complete vaccine series (including a booster vaccine) will reduce the chance of being seriously ill and reduce the risk of death due to Coronavirus.

    You still need to follow the health instructions in your workplace and in public areas, such as wearing a mask and keeping the distance from others after you received the COVID-19 vaccine.

    The vaccine has some side effects (as the other vaccines/medicines), but not everyone gets them. 

    The most likely side effects that you may experience from the vaccine:

    Fever
    Pain at the injection site
    Redness and hardness of the skin at the injection site
    Headache
    Muscle aches or pain
    Joint aches or pain
    Fatigue (tiredness)
    Nausea/vomiting
    Chills
    Underarm gland swelling on the side of vaccination


    If you think you are experiencing any side effects, please remain calm and see a physician immediately or call 911.

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