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30.2.23.4 Vaccine Information Statement
Providers must provide clients the appropriate vaccine information statements (VISs) produced by the CDC. VISs explain the benefits and risks of the vaccine or toxoid. Providers must document the following information in the client's medical record:
• The vaccine or toxoid given
•The date of the vaccine or toxoid administration (day, month, year)
•The name of the vaccine or toxoid manufacturer and the vaccine or toxoid lot number
•The signature and title of the person who administered the vaccine or toxoid
•The provider's organization name and the address of the clinic location
•The publication date of the VIS issued to the client, parent, or guardian
The client's medical records are subject to retrospective review to determine whether the utilization and reimbursement of this service was appropriate.
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