Eligibility (tick all that apply)
Screening (tick any that apply)
Egg allergy details
LAIV (nasal) contraindications (2–17y) – tick any that apply
I consent to flu vaccination (or consent as a carer for my relative/patient) – I understand all vaccinations carry risks, including anaphylaxis or local bruising. I accept these risks and am happy to proceed. I have reviewed: https://www.nhs.uk/vaccinations/flu-vaccine/
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