PSD authority statement


The patient is over 16 years of age, is not currently unwell with symptoms of infection, has not completed a Covid-19 vaccination course nor had their first jab within 21 days, or any other vaccine within the last 7 days, or tested positive for Covid-19 in the past 4 weeks.

They have not had a previous anaphylactic reaction.  They are not pregnant or breast feeding.  They have no history of blood clots and if they have already had a dose of this vaccine they suffered no severe allergic side effects to it.

Dr                has authorised  the administration of the vaccine dose as detailed.

The patient is taking an anticoagulant. Dr has authorised the administration of the vaccine with additional pressure over the deltoid muscle for a short period after vaccination.