Flu Sign Up for Verizon

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You will receive those immunizations as medically indicated by your health consultant staff. Vaccine Information Statements are available online here.

THIS FLU SIGN UP IS FOR ALL VERIZON & VERIZON WIRELESS EMPLOYEES ONLY. You will receive the Quadrivalent preservative free flu shot this season. Note: There are multiple appointments every 15 minutes. Once a time slot is filled, it will no longer be available. The online scheduler will be deactivated three (3) business days prior to your event. Walk-ins welcome towards the last half hour while supplies last. Click on this link for Privacy Policy: Privacy Policy
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Medical History Questions
Yes No Is this your first flu vaccination?
Yes No Have you ever had an anaphylactic reaction, such as hives, wheezing, difficulty breathing or circulatory collapse related to latex?
Yes No Have you ever had an anaphylactic reaction, such as hives, wheezing, difficulty breathing or circulatory collapse related to chicken eggs, egg products, neomycin, gelatin or yeast?
Yes No Have you ever had an anaphylactic reaction, such as hives, wheezing, difficulty breathing or circulatory collapse related to thimerosal, which is found as a preservative in contact lens solution and some vaccines?
Yes No Do you have any history of Guillain-Barre Syndrome or paralysis?
Yes No Are you pregnant or breast feeding?



Need help? Contact us at jean@passporthealthnj.com


Passport Health is committed to keeping your personal data safe and we take every reasonable precaution to ensure security. Access to your personal information is restricted to employees at Passport Health. Your personal data is used for internal purposes only and is never sold or shared with anyone outside of Passport Health.