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jee a Leevievees | CONG HOA XA HOI CHU NGHIA VIET NAM Déc lip - Ty do - Hanh p! GIAY XAC NHAN DA TIEM VAC XIN COVID-19 (CERTIFICATE OF COVID-19 VACCINATION) Ho va tén/Name: . on Ngay sinh/Date of birth (day/month/year): $6 CCCD/CMT/H6 chiéwID: 6 dign thogi/Tel: ... Dia chi /Address: . aa eee i Di duge tiém vac xin phing bénh COVID-19/Has been vaccinated with COVID-19 vaccine: Gi6i tinh/Gender: [ Mii 1/First dose | Mii 2/Second dose | Nedy/Date | Ngiy/Date: Loai vic xin/Vaccine: - | Losi vic xin/Vaccine: a Don yj tiém ching/Immunization unit Don vi tiém chiing/Immunization unit Ky tén, déng déu (Sign and Stamp) Ky tén, dong dau (Sign.and Stamp) PHIEU HUONG.DAN NGUOI DUQC TIEM CHUNG TY THEO DOI SAU TIEM CHUNG VAC-XIN COVID-19 . (Thdi gian te theo doi 28 ngay sau tiém ching, déc bit trong vong 7 ngiy dau) 1. KHI THAY MOT TRONG CAC DAU HIEU SAU: no thiy ¢6 cam gide t@ quanh moi hoge loi; 2)6.da ‘ty 6 phat ban hoe ndi man d6 hoac tim t4i hoa d6 da hoge chay méu, xuét huyét duéi i 3) 6 hong cé cim gic ngita, cang cing, nghen hong, ndi kh; 4) Vé than kinh c6 trigu chimg dau dau kéo dai hoge dit di, li bi; ngit ga, Id lin, hon mé, co gidt; 5) Vé tim mach c6 dau higu dau tire nguc, hdi hop danh trong nguc kéo dai, ngat; 6) Duong tiéu héa dau higu ndn, dau quan bung hoac tiéu chay; 7) Duong hé hap c6 dau higu khé th, the rit, khd khé, tim tai; 8) Toan than: a. Chéng mat, chodng, xay xdm, cim giéc mudn nga, mét bat thng. b. Dau dit doi bat thudng tgi mot hay nhiéu noi khong do va cham, sang chan. c. Sét cao ign tye trén 39 dj C ma khong dap tng thude ha s6t, HAY LIEN HE VOI: - BOI CAP CUU LUU BONG. - HOdC DEN THANG BENH VIEN.. IL. NHUNG BIEU CAN LUU YY é 1) Luén cé nguti hd tre bén canh 24/24 gio, it nhat 1 trong 3 ngay dau sau tiém ching vic xin phong COVID-19. 2) Khong nén uéng rugu bia va céc chit kich thich it nhat la trong 03 ngay dau sau tiém ching. 3) Bao dam dinh dudng day di. j 4) Néu thdy sung, 46, dau, ndi cuc nhé tai vi tri tiém: Tiép tuc theo déi, néu sumg to nhanh thi di khém ngay, khong ; oi, chrom, tf eh vA ché sung dau. 5) Thuémg xuyén do than nhigt, néu c6: a. Sot dudi 38,5 46 C: Cai bt, ndi long quan 4o, chudm/lau bang khan 4m tai trin, hé nach, ben, udng da nude. Khong dé nhiém lanh. Bo lai nhigt 9 sau 30 pit b. Sét tir 38,5 46 C tre én: Sir dung thudc ha s6t theo chi dan ctia nhan vien y t&, Néu khong ct duuge sét hog sét Iai trong vong 2 tiéng can théng bao ngay cho nhin vién y té va dén co sé y té gan nhat. !

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