On-site Flu Vaccination for APSN Workforce

Part B1: Fever & Vaccination

Have you had a fever or any vaccination recently?

Part B2: Immunocompromise

Do you have any medical conditions causing severe immunocompromise? For example

Part B3: Allergies

Have you ever had any severe allergic reactions to vaccines, medications, insect stings, food etc:

PART B4: Pregnancy & Related Questions (FOR FEMALES ONLY)