Smallpox Pre-Vaccination Information Packet
This packet consists of materials to be printed and distributed to prospective vaccinees to help them decide whether to receive the vaccination. (This information is also available in the Information for People Selected for Smallpox Response Teams.)
NOTE: The contents of this packet were updated on November 15, 2003. Questions or comments about the materials can be sent to Kristine Sheedy at ksheedy@cdc.gov.
| Title | English | Spanish | ||
|---|---|---|---|---|
PDF |
Last Updated | PDF |
Last Updated | |
| Entire packet (video not included in download) | Download (1.05 MB/25 pages) |
Nov 15, 2003 | Download (488 KB/27 pages) |
Nov 15, 2003 |
| Contents and Instructions | Download (166 KB/3 pages) |
Nov 15, 2003 | Download (86 KB/4 pages) |
Nov 15, 2003 |
| Cover Letter | Download (53 KB/1 page) |
Nov 15, 2003 | Download (57 KB/1 page) |
Nov 15, 2003 |
| Smallpox Vaccine Information Statement (VIS) | Download (262 KB/6 pages) |
Nov 15, 2003 | Download (96 KB/6 pages) |
Nov 15, 2003 |
| Pre-Event Screening Worksheet for Smallpox Vaccine | Download (273 KB/7 pages) |
Nov 15, 2003 | Download (105 KB/8 pages) |
Nov 15, 2003 |
| Fact Sheet: Someone You are Close to May Get the Smallpox Vaccine: What You Should Know and Do | Download (136 KB/2 pages) |
Nov 15, 2003 | Download (67 KB/2 pages) |
Nov 15, 2003 |
| Patient Medical History and Consent Form | Download (100 KB/5 pages) |
Nov 15, 2003 | Download (60 KB/5 pages) |
Nov 15, 2003 |
| Temporary Proof of Vaccination and Site Check Reminder Sheet | Download (111 KB/1 page) |
Nov 15, 2003 | Download (51 KB/1 page) |
Nov 15, 2003 |
| Video: Decision Point for the Smallpox Vaccine Candidate | View | Mar 11, 2003 | View | Mar 17, 2003 |
Page last reviewed February 7, 2007
Page last modified February 4, 2004
Content Source:
- Coordinating Center for Infectious Diseases (CCID)
National Center for Preparedness, Detection, and Control of Infectious Diseases (NCPDCID)
Division of Bioterrorism Preparedness and Response (DBPR)