Please review the following:
Moderna EUA Fact Sheet - https://www.fda.gov/media/144638/download
V-Safe Registration - Get vaccinated. Get your smartphone. Get started with v-safe. (cdc.gov)
Please download and review the form below from the CDC.
https://beewell-pharmacy.com/wp-content/uploads/2021/11/pre-vaccination-screening-form.pdf
BeeWell Pharmacy Vaccine Consent Form