SOY TH DONG NAL CONG HOA XA HOT CHU NGHTA VIETNAM TRUNG TAM Y TE TR BIRN HOA Doc lip - Ty do phic OC TRUGE TRM CHUNG VAC XIN PHONG COVID - 19 Hg va Nam [J] Né () Ngay sinh: S86 CMNDICCCD. 86 dign thoai. Net Dom vj cng tac nghigp: fic xin phing COVID-19 C1 Chua tim (1 ba tiem, toai vic xin, I. Sng Ige: 1-Tidh sit ring phin v8 v6i vie xin phong COVID-19 Hin trade hoke efe thin [5 eg phan ciia vie xin phOng COVID-19 2 Tidn sir bi COVID-19 trong vong 6 thar a Khong |c6 (| 3-Dangmicbénhciptinh s Khong L]}c6 CO) 4- Phy nt mang thai * ER | da- Phy nt mang thai < 13 ww Khong |_]}co 4b- Phy nt mang thai > 13 tuain Khong LJ}Co CJ) 5- Phan vé dg 3 tre lén véi bat ky di nguyén nao (Néu c6, loai tac nhfn dj img) {Khong ]}co C1 6- Dang bj suy giim min dich ning, ung th giai dogn cubi, dang dieu tri héa tri.xa tr. [hong -]|co LJ 7- Tién six dj tng véi bat ky di nguyén nao Khong L]}co CF) 8- Tién sir r6i Joan déng mau/ cim miu chong L\c6 9- R6i loan tri gic, ri loan faa Khong C1} co C)| 10- Bat thudng du higu song (Néu c6,ghi aoc _Hain/phit Khong J} co C| mmitg .. lan/phat U- KET LUAN: - Dii didu kign tiém ching ngay (Tat cd déu KHONG cé diém bat thudng) ~Chéng chi djnh tiém chiing vic xin cing loai: Khi CO diém batthudng tai muc 1 ~‘Tri hoan tiém ching: Khi CO bat ky mét diémn bat thudmg tai cde muc2,3,4a ~ Chi dinh tiém tai cic ca stry t6 06 di didu kign cdp ciru phan vé: Khi CO batthudng tai mye 5 ~Nhém thin trong khi tiém ching: Khi CO bat ky m6t diém bat thudng tai cic myc 4b#, 6,7,8,9, 10. * Phunit dang mang thai va. cho con ni: Chong chi dinh véi vac xin Sputnik V- * Voi phu nit mang thai > 13 tudn: Gidi thich loi ich/nguy co va ky cam két néu dong y tiém va chuyén dén coséc6 cap citu sin khoa dé tiém. 00800 Thor gian:.....gid.... phiit, ngdy....theing....ndim 20... Nguoi thye hign sang loc (Kj, ghi rs ho ten)PHIGQU DONG ¥ THAM GIA TIRM CHUNG VAC XIN COVID-19 -Tiem ching vie xin li bign php phong bGnh higu qua, ty nhiGn vic xin pong COVID-19 6 thé khong phdng duge benh hod todn, New duge tiém ching vie xin phdng COVID-19 di lidu eb thé phdng duge bénh hoe gidm mite dO ning. néu mic COVID-19. Sau khi duge tiém vac xin phong COVID-19 can thyc hign diy di Thong digp 5K phong, chdng dich COVID-19. 2-Tiém ching vic xin phong COVID-19 66 thé pay ra mot s6 biéu hign tai chd tiém hoe toan than nhur sug, dau ché tiém, nite di, budn ndn, s6t, dau co... hofc tai bién nfng sau tiém ching. ‘Tiem vic xin mii 2 do Pfizer sin xudt ngudsi da tiérn mii | bing vic xin AstraZeneca 06 thé tang kha ining xy ra phan img théng thudng sau tiém ching, 3. Khi c6 trigu chimg bat thudg vé site khde, ngudsi duge tiém, ching cdn lién hg véi co soy. 16 gdin nhdt dé duge tr vin, kham va digu trj kip thei. Saukhi da doc cdc théng tin néu trén, 164 da hidu véche nguy cova: péngyti¢mching (J Khong ddngy/titmching [_] Ho tenngudi duge tiem ching ‘86 dign thoai