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Simplified Fact Sheets

Pfizer-BioNTech Simplified Fact Sheet for children ages 5-11

Pfizer-BioNTech COVID-19 Pediatric Vaccine-Understanding the Fact Sheet (202.87 KB)

Johnson & Johnson (Janssen) Simplified Fact Sheet

Johnson & Johnson Vaccine - Fact Sheet - MCHD (142.42 KB)

Pfizer-BioNTech Simplified Fact Sheet

Pfizer-BioNTech Understanding the Fact Sheet (121.75 KB)

Moderna Simplified Fact Sheet

Moderna Understanding the Fact Sheet (166.01 KB)

FDA Fact Sheets

Pfizer Fact Sheet

Find the Pfizer fact sheet in more languages

Johnson & Johnson (Janssen) Fact Sheet

Find the Johnson & Johnson (Janssen) fact sheet in more languages

Moderna Fact Sheet

Find the Moderna fact sheet in more languages

Forms

Adult Health Screening Form - 15 years old and up

COVID Health Screening Form - English (79.95 KB)

Translations: Chinese |  Russian | Somali | Spanish |  Vietnamese

Pediatric Health Screening Form - 14 years old and younger

COVID Pediatric Health Screening Form (220.68 KB)

Translations: Chinese - SIM | Russian | Somali |  Spanish |  Vietnamese

Informed consent form

5-14 year-olds must be accompanied by either a parent, guardian or someone designated by the parent throughout the vaccine process. Youth ages 5-14 who are not accompanied by a parent or a guardian need to bring this form filled out by a parent or guardian.

 Multnomah County Informed Consent Form (46.59 KB)

Translations: Amharic | Arabic | Burmese |  Chinese (Simplified) | Chinese (Traditional) | Chuukese | Farsi | French | Japanese | Karen | Korean | Marshallese | Nepali | Russian | Somali | Spanish | Swahili | Thai |  Tigrinya | Vietnamese

CDC Links

CDC Prevaccination Checklist for COVID-19 Vaccines

Vaccine Adverse Event Reporting

Providers wanting to administer COVID-19 vaccine must be fully enrolled through the online enrollment system. Learn more at Oregon Health Authority : COVID-19 Healthcare Partner Resources : COVID-19 Response - look under Vaccine Provider Enrollment and Planning.