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Are you running fever?
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Do you have allergies to medications, food, a vaccine component, or latex?
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Have you ever had an anaphylaxis reaction after receiving a vaccination?
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Do you have or have had cancer, leukemia, AIDS, or any other immune system problem?
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Do you have a long-term health problem with heart disease, lung, asthma, kidney disease, metabolic disease e.g., diabetes, anemia, or other blood disorders?
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Are you currently taking any steroids or anticancer medications?
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Have you had a brain/nervous system problem, or a seizure?
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In the last 12 months, have you received a transfusion of blood, or have been given immune (gamma) globulin or an antiviral drug?
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Have you received any vaccination in the past 4 weeks?
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Have you had a well-child visit with your pediatrician in the last 12 months?
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***WOMEN ONLY***
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Are you currently pregnant?
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Is there a chance you could become pregnant during the next month?
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