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Get and Sign Publix Immunization Consent Form
To chicken eggs or egg product Have you ever had a serious reaction after receiving a vaccination Have you ever been diagnosed with Guillain-Barre syndrome Do you have a seizure brain or nerve problem Do you have a weakened immune system because of HIV/AIDS or another disease that affects the immune system long-term treatment with drugs such as high-dose steroids or cancer treatment with radiation or drugs Do you live with or expect to have close contact with a person whose immune system is...
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