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HomeWhat's New ?>Change in the format of Prevaccination Screening Questionnaire for COVID-19 vaccination (1st and 2nd doses)

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Change in the format of Prevaccination Screening Questionnaire for COVID-19 vaccination (1st and 2nd doses)

December 3, 2021 4:50 PM | Others

The format of Prevaccination Screening Questionnaire for COVID-19 vaccination was changed on December 1, 2021.

Therefore, if you are receiving your first or second dose of the COVID-19 vaccine on or after December 1, please download a new questionnaire from the following link and bring it to a vaccination site.


New Prevaccination Screening Questionnaire for COVID-19 vaccination (for 1st and 2nd dose) (PDF 347.1KB)

If you bring the old questionnaire, you will be asked to rewrite it in the new questionnaire at the vaccination site.


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