There is nothing in the consent form for vaccination that says you lose your rights.
Its more a check list of ailments you may already have which will help determine
whether the vaccine should be delayed or proceeded with. A typical covid consent form
is as follows and you sign in the personal details section at the bottom.
On the day you receive your vaccine
Before you get vaccinated, tell the person giving you the vaccination if you:
• Have any allergies, particularly anaphylaxis (a severe allergic reaction). An allergy is
when you come near or in contact with something and your body reacts to it and you get
sick very quickly. This may include things like an itchy rash, your tongue getting bigger,
your breathing getting faster, you wheeze or your heart beating faster.
• If you have an Epi Pen or have had one before.
• If you are immuno-compromised. This means that you have a weakened immune system
that may make it harder for you to fight infections and other diseases. Sometimes a
disease like diabetes or cancer can cause this or certain medicines or treatments you
take, such as medicine for cancer.
Yes No
Do you have any serious allergies, particularly anaphylaxis, to anything, or
carry or have been prescribed an adrenaline autoinjector (EpiPen)?
Have you had an allergic reaction after being vaccinated before?
Have you had COVID-19 before?
Do you have a bleeding disorder?
Do you take any medicine to thin your blood (an anticoagulant therapy)?
Do you have a weakened immune system (immunocompromised)?
Are you pregnant (having a baby) or think you might be pregnant?
Are you planning to get pregnant?
Are you breastfeeding?
Have you been sick with a cough, sore throat, fever or are feeling sick in
another way?
Have you had a COVID-19 vaccination before?
Have received any other vaccination in the last 14 days?
Please talk to your doctor if you have any questions or concerns before getting your COVID-19
vaccination.
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- Had my first AstraZeneca vaccination earlier today
There is nothing in the consent form for vaccination that says...
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