독감 예방 접종 – 1 단계


    I am a gay male, a bisexual male, or a male that has sex with other malesI have had a sexual partner in the past 14 days who has received a monkeypox diagnosis OR I have had multiple sexual partners in the past 14 days in a jurisdiction with known monkeypoxI am 18 years of age or olderI currently do NOT have signs or symptoms consistent with a monkeypox infection (fever; headache; muscle ache; backache; swollen lymph nodes; chills; exhaustion; or a rash / blisters on my face, inside of my mouth, or on other parts of my body including hands, feet, chest, genitals, or anus)I do NOT have a severe allergy to egg proteins, benzonase, gentamicin, or ciprofloxacin

    자세한 내용은 개인 정보 보호 정책에 대한 HIPAA 고지
    개인 정보 보호 정책에 대한 Gwinnett, Newton 및 Rockdale HIPAA 통지를 받았습니다.

    자세한 내용은 JYNNEOS Vaccine Information Statement
    I read and understand the above JYNNEOS Vaccine Information Statement and understand the benefits and risks of the Jynneos Monkeypox vaccine.

    본인은 백신 접종 후 15/30분 동안 현장에 남아 부작용을 모니터링하는 데 동의합니다.

    전체 이름 :

    All check boxes must be checked to be eligible to request an appointment. If the answer to any question is "no", you are ineligible to receive the monkeypox vaccine.