-rome
实用文档
Scraping
the
coat,
input
the
code
to
inquire
true and false
For
China
Mobile,
sending
short
message 9500024 to
inquire
Notice
Shenyang
Immunization
Record
Shenyang
Center
for
Disease
Control
and
Prevention
Vaccines
uniformly
provided
by
Shenyang
Center
for
Diseases
Control
and
Prevention
are
pasted
with
special
supply
identification,
and
please
check
in
the
process of
vaccination.
Vaccinate by the
Certificate, Safekeeping
This
certificate
is
uniformly
made
by
Shenyang
Shenyang Center for
Disease Control
Center for Disease
Control and Prevention, and is
and
Prevention
distributed for
free.
文案大全
Bacillus
Calmette
Guerin
vaccine
has
been
vaccinated,
the infant shall
be reviewed on the first Monday when the
infant was born for 4 months
1.
实用文档
Guide to
Parents
2.
3.
4.
5.
6.
7.
8.
According
to
the
regulations
of
Article
XII
of
“Law
on
the
Prevention
and
Control
of
Infectious
Diseases
of
People’s
Republic of China” and “The State
Implements Immunization
Certificate
System”,
our
city
will
uniformly
use
Shenyang
Immunization Record
.
Immunization
record
is
the
effective
proof
for
children
to
receive vaccination according to the
law. When the newborn is
born, the
parents or guardians shall timely apply to
transact the
immunization procedures to
the delivery unit or immunization
medial health unit.
For each immunization of the children,
the parents or guardians
shall hold
this certificate to vaccinate for children in
designated
location,
vaccination
outpatient
clinic,
vaccination
station,
or
village health center.
Children can enroll in a nursery,
kindergarten, school, or going
abroad
by
this
certificate.
If
the
children
do
not
have
this
certificate or do not vaccinate
according to this certificate, they
must re-register this certificate and
re-vaccinate, otherwise the
formalities
will not be transacted
When the
household registrations of the children are
migrated
or
live
in
new
regions
away
from
home,
the
parents
or
guardians shall hold this certificate
to transact the immigration
formalities
in the
designated location,
vaccination outpatient
clinic,
vaccination
station,
or
village
health
center,
and
returning
to
the
place
original
residence
to
transact
the
emigration formalities
This
certificate shall be kept well. If the certificate
is damaged
or lost, the parents or
guardians shall apply re-issuance to the
local region or or village health
center.
After vaccination,
the children may have slight fever, local pain
or red and swollen, which are the
normal reaction and can fade
within
3
days.
If
there
are
abnormal
conditions
after
vaccination, please
timely report to the vaccination unit and go
to medical unit to receive symptomatic
treatment
When the relevant departments
examine the vaccination work,
the
parents
or
guardians
shall
show
this
certificate
for
inspection.
No.: SZ-0504
Name of Child:
Qianhao Yu
Sex: Male
Date
of Birth: March 15, 2005
Weight of Birth: 3,500g
Address:
Residence
Address:
County / District
Street /
Village
Place of Work / School
Tel:
Juveniles who are under the age of 16
should fill the following information
Parents’ name: father: Zhiqun Yu
Mother: Jing Lu
Working Unit: Farther
Mother
Telephone No.:
Farther
Mother
Date of
removal: Year
Month
Day
Address of
removal
County / District
Whether
insurance or not
Date of issue: March 25, 2005
The
issuing Authority (Seal): Shenyang Huanggu Central
Hospital
When
the
infant
was
born
for
a
month,
two
or
Shenyang Center for
Disease Control and Prevention
three
hepatitis
B
vaccines
shall
be
injected
on
Tuesday
or
Thursday
of
the
first
week
at
outpatient
clinic
of
registered
residence’
s
location.
文案大全
实用文档
Vaccination
Public Board
Name of vaccines
Bacillus Calmette Guerin vaccine
Hepatitis B
vaccine
（
5ug)
Poliomyelitis vaccine
Measles Attenuated Live Vaccine
Pertussis-Diphtheria-Tetanus triple
vaccine
Tetanus-diphtheria
Combined Vaccine
Diseases that can
prevents
Tuberculosis
Hepatitis B
Poliomyelitis
Measles
Pertussis,
diphtheria,
tetanus
Diphtheria, tetanus
Vaccinated population
Newborn
Newborn 0, 1 and 6
months
2, 3, 4 months, 1.5
–
2 years old,
4
years old
8
months,
1.5-2
years
old,
6
years old
3, 4,
5months, 1.5-2 years old
6 years old
2 vaccinations at early period of
6
months
- 1.5
years
old
are no
need;
separately
intensify
once
at
2 years old and 6 years old
Separately
vaccinate
once
at
1,
2, 4 and 6 years old
Price of vaccination
Free
Free
Free
Free
Free,
acellular
pertussis
diphtheria
tetanus
vaccine
shall
be
paid.
Free
Free,
but
Vero
cells
epidemic
encephalitis B
shall be paid.
Epidemic encephalitis B
vaccine
Epidemic encephalitis B
Group A Meningococcal
polysaccharide vaccine
Group
A+C Meningococcal
polysaccharide
vaccine
Hepatitis B
vaccine
（
10ug)
Hepatitis B hyper-immune globulin
Hepatitis A vaccine
Live
Attenuated Varicella vaccine
Epidemic
cerebrospinal
meningitis (Group A)
Epidemic cerebrospinal
meningitis (Group A+C)
Hepatitis B
Hepatitis B
Hepatitis A
Varicella,
herpes zoster
Children pneumonia,
meningitis caused by
Haemophilus Influenzae
type
B, etc.
Pneumonia, meningitis,
otitis media, etc. caused
by
pneumococcus
Influenza, etc. caused by
influenza virus
Measles, rubella, mumps
Measles, rubella
Measles,
mumps
Rubella
Bacillary
dysentery
Infantile rotavirus
diarrhea
Free
Above 2 years old
Self-pay
(including insurance)
Self-
pay
Self-pay
All
the population
Newborn,
accidentally
infected
population, pregnant of hepatitis
B virus carrier
Above 1
years old
Adult
/
6-13
years
old
/
2-5
years old children
Self-pay
Self-pay
Self-
pay
Haemophilus Influenzae
type B
vaccine
2 months - 5
years old
Vaccinate
3
times
for
6
months
old
(2
months,
3
months
and
4
months);
vaccinate 2 times for 6
months
old
-
1
year
old;
vaccinate once for 1 year old to
5 years old
Vaccinate once
at 5 years old
Above 2 years old
Above 6 months old
Above 1
years old
Above 1 years old
Above 8 months old
Above 1
years old
Self-pay
23-valent pneumococcal
polysaccharide vaccine
Vaccine by lysis of influenza virus
Influenza vaccine cleavage vaccine
Measles and rubella bivalent vaccine
Measles, mumps bivalent vaccine
Attenuated live rubella vaccine
Bivalent live vaccine capsule of
dysentery
Live oral
rotavirus vaccine
Self-pay
Self-pay
Self-
pay
Self-pay
Self-pay
Self-
pay
Self-pay
Notes: The charge vaccines
uniformly distributed by Shenyang Center for
Disease Control and Prevention are pasted with
uniform
mark, persons who are
vaccinated should pay attention to check.
The injection cost is RMB 2.0 (LJF
(2003) No. 35), and RMB 0.9 will be collected for
self-destruction syringe if needed.
文案大全
实用文档
Informed
Consent Form for Vaccination Program Immune
Vaccine
Category of
Vaccines
Hepatitis B vaccine
Contraindication
Persons
who
suffer
from
hepatitis,
fever,
acute
or
chronic
disease,
serious
skin
eczema,
preterm
low
body
weight,
serious
viscera
deformity
and
allergic
history are forbidden to use this
vaccine.
Reaction
Slight
reaction, a few people will have
blush
and induration in the position of
vaccine
injection,
and
will
fade
away
in
2-3
days.
There
is
generally
no
whole
body
reaction,
and
very
few
persons
will appear chilly or low fever,
and
individual
is
reported
to
have
urticarial.
Poliomyelitis
1. Persons who
have immunodeficiency or are in the
Only
very
few
infants
will
have
vaccine
period
of
accepting
the
therapy
of
transient
diarrhea
after
being
immunosuppressant is forbidden to get
vaccinated.
vaccinated, and
will self-cure.
2. Persons
who are allergic to milk or milk products
are forbidden to get vaccinated.
3.
Persons
who
have
fever
or
diarrhea
(defecate
more
than
4
times
a
day)
or
suffer
from
acute
infectious disease is
forbidden to get vaccinated.
Measles vaccine
Persons who
have serious diseases, fever or allergic
There
is
no
reaction
in
partial
body
history
(especially
who
are
allergic
to
eggs)
are
after
rejection.
A
few
persons
may
forbidden to get
vaccinated.
have
fever,
and
generally
will
not
exceed 2 days, and
someone will have
sporadic rash.
Pertussis-diphtheria-
1.
Persons
who
have
epilepsy,
nervous
system
1. Local part may
appear red, pain and
tetanus triple
disease
or
convulsions
history
are
forbidden
to
get
tickle
or
low
fever,
fatigue,
headache,
vaccine
vaccinated.
etc.
Generally,
there
is
no
need
of
2.
Persons
who
have
acute
infectious
disease
special
treatments,
and
the
symptoms
(including
rehabilitation
stage)
or
fever
are
will fade spontaneously.
postponed to get
vaccinated.
2.
Aseptic suppuration
3.
If
reaction
of
the
whole
body
is
severe, the persons who get vaccinated
shall
go
to
hospital
for
diagnosis
and
treatment.
4.
Diphtheria,
tetanus
and
acellular
pertussis combined vaccine: the whole
body reaction or local
reaction is very
slight.
Epidemic meningitis
1.
Persons
who
have
nervous
system
disease
and
After
rejection,
the
reaction
is
alight,
vaccine
mental disease are forbidden to get
vaccinated.
and a few
people have short-time fever,
2.
Persons who have serious disease, such as kidney
which
often
happens
at
6
–
8
hours
disease,
heart
disease,
active
tuberculosis,
etc.
are
after
vaccination. Local is flush and the
forbidden to get vaccinated.
pressure
pain,
and
will
gradually
fade
3.
Persons
who
have
acute
infectious
disease
and
after
vaccination
fever are forbidden to get
vaccinated.
Epidemic
Persons
who
have
fever,
acute
infectious
disease,
After
rejection,
generally
there
is
no
encephalitis B
otitis
media,
heart,
kidney,
liver
disease,
active
reaction,
and
a
very
few
persons
will
vaccine
tuberculosis,
allergic
history
or
convulsions
history
have local flush, sometimes have fever,
are
forbidden
to
get
vaccinated;
persons
who
have
rash, allergic shock,
angioedema, etc.
compromised
immune
system
or
are
accepting
immunosuppressive
therapy
are
forbidden
to
get
vaccinated.
文案大全
实用文档
Informed
Consent Form for Vaccination Program Immune
Vaccine (1)
1. HIB: hemophilus
influenzae B conjugate vaccine
2. Hepatitis A vaccine
Preventable
diseases:
infectious
diseases
caused
by
hemophilus
influenzae
B
(meningitis,
pneumonia,
septicemia, phlegmon, arthritis,
epiglottitis, etc.)
1.
Allergic
people
who
are
known
to
be
allergic
with
some
content
of
the
vaccine,
especially
to
tetanus
toxoid,
or allergic with inoculation of
previous
vaccine.
2.
The
inoculation
shall
be
delayed
Contraindication
during
active
stage
of
fever
or
acute
diseases, especially infectious
diseases
or chronic diseases.
3.
Normal
reactions
of
immunization
that
can
be
reduced
by
immunosuppressive
therapy
and
immunodeficiency.
1.
Partial
reactions
of
injection
positions:
pain,
rubefaction
or
inflammation.
In
general,
this
partial
reaction
is
early-stage,
transient
and
slight,
and
sometimes
atypical
rash
can be observed.
2.
Extremely
unusual
cases
may
appear
edema
of
lower
extremity,
along
with
cyanosis
or
transient
purpura. This
reaction usually appears
within
the
first
few
hours
after
Possible
inoculation,
and
usually
quickly
reactions
after
disappears
spontaneously without any
inoculation
sequela;
there
are
usually
no
symptoms
of
disease
and
respiratory
system,
and
this
occasion
often
appears
during
simultaneous
inoculation with other vaccines.
3. Unusual allergy reaction cases may
appear in
face or throat;
rubella alike
rash, pruritus and edema.
4. Systematic symptoms: fever (usually
lower
than
39
℃
),
and
enhanced
excitability
and
crying
appear
more
often.
Signature of visiting doctor:
Date:
Signature of parent (s):
Date:
文案大全
Preventable
diseases: Hepatitis A
Hepatitis A inactivation
Hepatitis A attenuation
1.
People
who
are
not
feeling
good
and
the
body
temperature
is
over
1.
Patients
who
have
Hepatitis
37.5
℃
.
and other
serious diseases.
2.
People
who
have
acute
infectious
2. Patients of
febrile diseases shall
disease or other
serious diseases.
Contraindication
delay the inoculation.
3.
People
who
suffer
from
idiopathic
3.
People
who
are
known
to
be
and acquired immune deficiency.
allergy
for
any
content
of
the
4.
People
who
are
receiving
vaccine.
immunosuppressive
therapy.
5.
Pregnant
women
and
people
of
allergic constitution.
1.
Partial
side
reactions
are
usually
pain,
and
sometimes
red
&
swollen, and indurate.
2.
Systematic
side
reactions
Possible
include
headache,
fever,
nausea,
No
partial
or
systematic
untoward
reactions
after
etc.
The
duration
is
usually
less
effect
after
inoculation
of
Hepatitis
A
inoculation
than 24 hours,
and can relieve by
attenuation
inactivation vaccine.
self.
3.
The
expectant
treatment
shall
be
made
in
time
for
allergy
reaction.
Protective effect
95%
Signature of
visiting doctor:
Date:
Signature
of parent (s):
Date: