STEP - BY- STEP PROCEDURE AND GUIDELINES DURING THE PEDIATRIC VACCINATION

Step 1: Pre - Registration/Waiting Area

a. Vaccine recipient shall be accompanied by one (1) parent or guardian at the Vaccination Site.
b. The following documents shall be presented to the Screening Committee to check completeness
and for verification purposes:
i. Duly signed Medical Certificate, if with comorbidity/ies (must indicate that the
adolescent may receive the vaccine)
ii. Documents to prove filiation - must bring the original and photocopy
1. If parent - any government issued ID
2. If guardian - any government issued ID and SPA, affidavit of guardianship or signed
authorization letter (must be the original copy)
iii. Vaccine recipient’s proof of identification - School ID/Registration and Birth
Certificate (PSA or CTC of Local Civil Registrar). Baptismal Certificate and Barangay
Certificate may substitute the Birth Certificate if not available. Present the original and
photocopied document for verification.
iv. Forms - details of the vaccine recipient and parent/guardian must be properly filled out
1. COVID - 19 Vaccine Registration Forms - 1 copy
2. Health Declaration Form (Pfizer or Moderna, depending on the vaccine) - 1 copy
3. Informed Consent and Assent Form (Pfizer or Moderna, depending on the vaccine)
- 2 copies
Step 2: Registration - Encoding of vaccine recipient and parent/guardian information
Step 3: Health Education and Informed Consent Area
a. Discussion on the risks, benefits and possible side effects of the COVID - 19 Vaccines.
b. The Informed Consent shall be given and signed by the parent/guardian, and the assent
shall be given and signed by the vaccine recipient
i. Without the Informed Consent of the parent/guardian, the vaccine recipient shall be
deferred for COVID - 19 vaccination, unless the documents are accomplished.
ii. If the vaccine recipient does not give his/her assent, he/she shall not be coerced to
receive the COVID - 19 vaccine.
iii. In case the vaccine recipient is not capable to give his/her assent due to neurological
comorbidity/ies, or intellectual impairment, the parent or guardian can sign on his/her
behalf.

Brgy. Salitran II, (046) 416-3010

Dasmariñas City, (02) 519-4210
Cavite 4114 www.eacmed.org.ph
Step 4: Health Screening and Assessment
a. Taking of Vital Signs and Weight
b. Assessed by a Pediatrician prior to vaccination administration, to ensure that the vaccine
recipient is clinically well. Only vaccine recipients cleared by the Pediatrician may receive the
COVID-19 vaccine.
Step 5: Vaccine Administration
a. Only vaccinees cleared by the on - site Pediatrician and those that have given their Informed
Consent and Assent, may be inoculated.
b. The parent/guardian shall be present during the vaccine administration.
Step 6: Post - Vaccination Area - After vaccination, the vaccine recipient shall stay for post - vaccination
monitoring in case of any severe allergic reaction or anaphylaxis and for immediate treatment. For 15
minutes if without any known allergies or history of anaphylaxis; and for 30 minutes if with known
allergies or history of anaphylaxis.

IMPORTANT REMINDERS:
1. Students who are officially enrolled in ICA-Cavite and EAC-Cavite only. Dependents of the employees who
are not enrolled to the aforementioned schools are not included.
2. Must be 12 years old to 17 years old on the date of vaccination.
3. Students who turned 18 this year will also be included in the vaccination.
4. Proceed to the vaccination area on the appointment date and time. Schedule will be strictly implemented.
5. Do not proceed at the vaccination area if you have any flu like symptom at the day of your appointment.
Rescheduling will be accommodated upon recommendation of our Company Physician/Vaccination Supervisor
and the availability of the vaccine.
6. Minimum health standards and safety protocols shall be strictly implemented including but not limited to the
following:
a. No Face Mask and Face Shield, No Entry
b. Physical distancing of 1 meter away at all times.
c. Follow unidirectional movement/pathway
d. Frequent hand hygiene.
e. Bring your own ball-pen.
7. For vaccinee/recipient with special needs, kindly notify us ahead of time for appropriate accommodation
8. For your other related concern, you can email us at covid19vaccine@eacmed.org.ph or call us on (046) 416 -
3010 local 179.

Brgy. Salitran II, (046) 416-3010

Dasmariñas City, (02) 519-4210
Cavite 4114 www.eacmed.org.ph