PRE-IMMUNISATION CHECKLIST
The following information is produced by the
Department of Human Services.
The conditions listed below do not necessarily mean that immunisation cannot be given. Before the immunisation, tell the doctor or nurse if any of the following apply to the person to be immunised:
For all vaccines
- Are unwell on the day of immunisation (temperature over 38.5C)
- Have had a severe reaction to any vaccine
- Have a severe allergy to any vaccine component (for example, neomycin)
- Are pregnant or are planning to be become pregnant within one month of immunisation (the person to be vaccinated)
- Are of Aboriginal or Torres Strait Island descent (relates to the adult influenza and pneumococcal vaccine program)
If you are receiving a live vaccine (such as MMR, chickenpox or BCG)
- Have had a vaccine containing live viruses within the last month (such as MMR, chickenpox or BCG)
- Are taking steroids of any sort other than inhaled asthma sprays or steroid creams (for example, cortisone or prednisone)
- Have had immunoglobulin or a blood transfusion in the last three months, or intravenous immunoglobulin in the last nine months
- Have a disease or are having treatment which causes low immunity (for example, leukaemia, cancer, HIV/AIDS, radiotherapy or chemotherapy)
- Live with someone who has a disease or is having treatment which causes low immunity (for example, leukaemia, cancer, HIV/AIDS, radiotherapy or chemotherapy)
If you are receiving Influenza vaccine
- Have a severe allergy to eggs
Before any immunisation takes place, the doctor or nurse must ask you if:
- You have read this information
- You understand this information
- You need more information to decide whether or not to proceed
For further information please contact:
Melissa Harris
Team Leader - Administration
P: +61 3 53205 850
E: melissaharris@ballarat.vic.gov.au
Alternatively please contact:
City of Ballarat Customer Services
The Phoenix
25 Armstrong Street South
Ballarat, Vic 3350
PO Box: 655
Ballarat, Vic 3353
P: 03 5320 5500
F: 03 53334061
E: ballcity@ballarat.vic.gov.au
National Relay Service: 133 677 (Quote: (03) 5320 5500)
For all general enquiries please click here.
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