Please complete consent form below for your COVID-19 (Pfizer) Vaccination:
Please read ALL the information below BEFORE giving your consent!!!
People who have a COVID-19 vaccination have a much lower chance of getting sick from the disease called COVID-19.
There are two brands of vaccine in use in Australia. Both are effective and safe. Comirnaty (Pfizer) vaccine is preferred over COVID-19 Vaccine AstraZeneca for adults under 60 years of age.
You need to have two doses of the same brand of vaccine. The person giving you your vaccination will tell you when you need to have the second vaccination.
Medical experts have studied COVID-19 vaccines to make sure they are safe. Most side effects are mild. They may start on the day of vaccination and last for around 1-2 days. As with any vaccine or medicine, there may be rare and/or unknown side effects.
A very rare side effect of blood clotting (thrombosis) with low blood platelet levels (thrombocytopenia) has been reported following vaccination with the COVID-19 Vaccine AstraZeneca. This is not seen after Comirnaty (Pfizer) vaccine. For further information on the risk of this rare condition, click HERE.
Tell your healthcare provider if you have any side effects after vaccination that you are worried about. You may be contacted by SMS within the week after receiving the vaccine to see how you are feeling after vaccination.
Some people may still get COVID-19 after vaccination. So you must still follow public health precautions as required in your state or territory to stop the spread of COVID-19 including:
Please note: Vaccination providers record all vaccinations on the Australian Immunisation Register, as required by Australian law. You can view your vaccination record online through your:
On the day you receive your vaccine:
Before you get vaccinated, tell the person giving you the vaccination if you:
Thank you for providing your consent for COVID vaccination. Your responses will become part of your clinical record and will be confirmed at the time of your vaccination.
If you completed this consent on BEHALF of a person aged 12-15 years old, you will need to attend with them in order to confirm consent at the time of this person's appointment - this is a LEGAL REQUIREMENT.
If MORE THAN ONE person in your care is under 16 and being vaccinated, our maximum allowable ratio is
1 adult: 2 children in attendance!
Should you have any questions regarding your vaccination, please call us on (02) 9516 2944!
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Phone: (02) 9516 2944
Healthlink EDI:
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