Flu Vaccination

Flu Vaccination Registration Form

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Confirmation*

Flu vaccination is free to everyone in the at-risk groups listed below.

- All those aged 60 years and older
- All children aged 2-17 years (Nasal vaccine)
- All pregnant women (at any stage of pregnancy)
- Chronic respiratory disease including cystic fibrosis, moderate or severe asthma, COPD
- Chronic heart disease
- Chronic renal (kidney) disease
- Diabetes liver disease
- Chronic neurological disease including multiple sclerosis
- Hereditary and degenerative disorders of the central nervous system etc.
- Cancer patients
- Residents of nursing homes and other long stay facilities
- Children with conditions that compromise respiratory function e.g. spinal cord injury, seizure or other neuromuscular disorder
- Morbid obesity i.e. Body Mass index over 40
- Those who are immunosuppressed due to disease or treatment including those with missing or non-functioning
- Healthcare workers
- Carers of persons with increased medical risk
- Household contacts of persons with increased medical risk
- People who have close, regular contact with pigs, poultry or water fowl
- Down Syndrome
- Children on long-term aspirin therapy


Vaccines contain residues and other ingredients, and it is important to tell us if you have any known allergies or have had a severe reaction to a previous vaccine.

Advice to patient:

- Do not attend if you feel unwell, have a fever, or any covid symptoms, or if you are a close contact of someone with Covid.
- Wear loose fitting clothing to allow an injection in the upper arm;
- You will be asked to wait in the pharmacy for 5 mins after vaccination, and remain in close proximity for a further 10 minutes.
- Before vaccination you will have to confirm you have no symptoms of COVID and had no close contact with anyone with COVID in the past 14 days.

I understand and consent to the above

Choose Your Preferred Location:*

McGreals Pharmacy Blessington (Main Street)McGreals Pharmacy Primary CareMcGreals Pharmacy Blessington (Lower Main Street)McGreals Pharmacy BaltinglassMcGreals Pharmacy NewbridgeMcGreals Pharmacy PortarlingtonMcGreals Pharmacy MullingarMcGreals Pharmacy GlenagearyMcGreals Pharmacy Trim

Appointment Type*

Flu Vaccine Over 60 - FreeFlu Vaccine 2 - 17 (Nasal Spray) - FreeFlu Vaccine 18 - 59 with underlying conditions - FreeFlu Vaccine Private - €35Covid & Flu Combined VaccineCovid Vaccine

Details of all Flu Vaccines available: FLU VACCINE PRIVATE - €35 - Book this service if you are aged 13-64 and do not have any risk factors. FLU VACCINE OVER 60 - Free - Book this service for your free flu vaccine if you are 60 or older. FLU VACCINE AGES 2-17 YEARS (Nasal Spray) - Free - Book this service if you require your child to get the Nasal Spray. FLU VACCINE AGES 13-59 YEARS WITH ADDITIONAL RISK FACTORS - Free - You will need to specify your risk factors as part of the booking process. (The risk factors are outlined in the next step)

Please tick all of the risk factors below which apply to you: (NOTE: To be eligible for a free flu vaccine and to book this appointment you must have one or more of the risk factors below)*

Pregnant

Chronic Respiratory Disease e.g. Asthma

COPD

Chronic Heart Disease

Chronic Kidney Disease

Chronic Liver Disease

Diabetes

Immunosuppressed

Morbidly Obese (BMI over 40)

Household contact of person with increased risk

Healthcare worker- Medical/Dental

Healthcare Worker- Nursing

Healthcare worker- Health and Social Care staff

Healthcare worker - Management/Administration

Health Care Worker- General Support Staff Healthcare worker- Other

Down syndrome

Resident of a nursing home or other long stay facility

Chronic Neurological disease e.g. MS Epilepsy Parkinsons Disease

Carer (Providing significant level of care to an at risk individual)

Name*

First Last

Phone*

Email address

Date of Birth*

DD slash MM slash YYYY

PPS Number, Medical Card, Doctor Visit Card or DPS Number:*

Gender:*

MaleFemaleOther

Address:*

Have you ever had a serious allergic reaction to a vaccine, food or drug? (If yes, please describe below as you may need to get your vaccine in a hospital setting):*

YesNo

Allergic Reaction Experienced:

If you answered Yes to the previous question, please describe the type of allergic reaction you experienced and when you experienced it.

I consent to the recording and keeping of data pertaining to this service:*

YesNo

Seasonal Flu Vaccination at McGreals Pharmacy

Protect yourself and your loved ones from seasonal influenza with the flu vaccination available at McGreals Pharmacy. Flu is a highly contagious respiratory illness caused by the influenza virus, circulating during flu season from October to April. Receiving the flu vaccine helps your body fight the virus, reducing the risk of serious complications such as pneumonia, bronchitis, and worsening of chronic conditions like asthma and diabetes.

Why Get the Flu Vaccine?

The flu vaccine is essential for protecting against the changing strains of the flu virus, which vary year by year. By getting vaccinated, you give your immune system the boost it needs to fight the infection, reducing the severity and duration of symptoms if you contract the flu.

Who Should Get the Flu Vaccine?

The flu vaccine is recommended for everyone but is especially important for individuals at higher risk, including:

• If you are 60 and older
• Children aged 2 to 17
• Someone with a health condition that puts you at higher risk of flu (age 6 months and older)
• If you are a healthcare worker
• Pregnant
• Living in a nursing home or other long-term care facility
• In regular contact with pigs, poultry or waterfowl
• Living with someone who has a health condition that puts them at higher risk of flu
• A carer for someone who has a health condition that puts them at higher risk of flu

What is the Flu Vaccine?

The flu vaccine contains inactivated flu viruses that help your immune system produce antibodies, preparing your body to fight the real virus. Since flu strains change annually, a new vaccine is developed each year to match the circulating strains.

How Much Does the Flu Vaccine Cost?

The flu vaccine is free for:

• Those in at-risk groups (e.g., people over 60 or with chronic health conditions)
• Children aged 2-17 For individuals aged 18-59 who are not in at-risk groups, the cost of the flu vaccine is €35.

Who Should Not Get the Flu Vaccine?

You should speak to your pharmacist or doctor if any of the following apply:

• You’ve had a severe allergic reaction to a flu vaccine or any of its components.
• You’re taking certain immune checkpoint inhibitors, such as ipilimumab or nivolumab.
• You have primary autoimmune neutropenia (low white blood cell count).
• You have had anaphylaxis to eggs or other vaccine ingredients (in which case, your pharmacist may refer you to your GP).

What About People with Egg Allergies?

Most individuals with egg allergies can safely receive the flu vaccine. However, if you have a history of severe egg allergies or anaphylaxis, please inform your pharmacist, and you may be referred to your GP for vaccination.

Book Your Flu Vaccine Today

Don’t wait—protect yourself and your family this flu season. Book your flu vaccine appointment now at McGreals Pharmacy. You can also combine your flu vaccination with your COVID-19 booster in a single visit.