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Smallpox Pre-Vaccination Information Packet

This packet consists of materials to be printed and distributed to prospective vaccinees to help them decide whether to receive the vaccination. (This information is also available in the Information for People Selected for Smallpox Response Teams.)

NOTE: The contents of this packet were updated on November 15, 2003. Questions or comments about the materials can be sent to Kristine Sheedy at ksheedy@cdc.gov.

Title English Spanish PDF Last Updated PDF Last Updated Entire packet (video not included in download) Download (1.05 MB/25 pages) Nov 15, 2003 Download (488 KB/27 pages) Nov 15, 2003 Contents and Instructions Download (166 KB/3 pages) Nov 15, 2003 Download (86 KB/4 pages) Nov 15, 2003 Cover Letter Download (53 KB/1 page) Nov 15, 2003 Download (57 KB/1 page) Nov 15, 2003 Smallpox Vaccine Information Statement (VIS) Download (262 KB/6 pages) Nov 15, 2003 Download (96 KB/6 pages) Nov 15, 2003 Pre-Event Screening Worksheet for Smallpox Vaccine Download (273 KB/7 pages) Nov 15, 2003 Download (105 KB/8 pages) Nov 15, 2003 Fact Sheet: Someone You are Close to May Get the Smallpox Vaccine: What You Should Know and Do Download (136 KB/2 pages) Nov 15, 2003 Download (67 KB/2 pages) Nov 15, 2003 Patient Medical History and Consent Form Download (100 KB/5 pages) Nov 15, 2003 Download (60 KB/5 pages) Nov 15, 2003 Temporary Proof of Vaccination and Site Check Reminder Sheet Download (111 KB/1 page) Nov 15, 2003 Download (51 KB/1 page) Nov 15, 2003 Video: Decision Point for the Smallpox Vaccine Candidate View Mar 11, 2003 View Mar 17, 2003

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Page last modified February 4, 2004