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Pre-vaccination Checklist

Does your patient meet ALL of these criteria?
Age Is between 9–16 years check solid icon
Lives in
  • Puerto Rico
  • U.S. Virgin Islands
  • American Samoa
  • Federated States of Micronesia
  • Republic of Palau
  • Republic of the Marshall Islands
check solid icon
Testing results Laboratory confirmation of previous dengue virus infection is required and can be obtained by: check solid icon
Allergies Does not have a history of severe allergic reaction to a previous dose of Dengvaxia or any component of the vaccine check solid icon
Immune suppression Has no diagnosis or history of severe immunodeficiency or immunosuppression caused by disease or therapy check solid icon

If you answer NO to ANY of these criteria, your patient is NOT eligible for vaccination at this time.

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Dengvaxia Pre-vaccination Checklist Fact Sheet

English pdf icon[PDF – 1 page]