Mississauga Medical Arts
COVID-19 SHOT CONSENT
Please be prepared to answer the following questions as it may prevent you from getting the shot.
1- Allergies - Please note if you are allergic to PEG (polyethylene glycol or tromethamine), you cannot get the Moderna or Pfizer vaccine.
2 - Have you recieved a vaccine in the past 14 days. (please book after 14 days from your last immunization)
3 - Are you on cancer medications or medications that affect your immune system - please discuss with your doctor prior to booking an appointment.
4 - If you are pregnant or breast feeding, please discuss with your doctor prior to booking an appointment.
PRIOR TO GETTING THE COVID-19 SHOT PLEASE CONSIDER THE FOLLOWING:
We are trying to protect your friends and family. Please do not come to the clinic if you have symptoms of COVID-19.