{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch31505\stshfloch31506\stshfhich31506\stshfbi0\deflang1033\deflangfe1033\themelang1033\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f1\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial{\*\falt Arial};}{\f2\fbidi \fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}
{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol{\*\falt Symbol};}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}
{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math{\*\falt Calisto MT};}{\f37\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Times New Roman};}
{\f45\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604030504040204}Tahoma{\*\falt Tahoma};}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31501\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Times New Roman};}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f48\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\f49\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f51\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\f52\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\f53\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\f54\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\f55\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\f56\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f58\fbidi \fswiss\fcharset238\fprq2 Arial CE{\*\falt Arial};}
{\f59\fbidi \fswiss\fcharset204\fprq2 Arial Cyr{\*\falt Arial};}{\f61\fbidi \fswiss\fcharset161\fprq2 Arial Greek{\*\falt Arial};}{\f62\fbidi \fswiss\fcharset162\fprq2 Arial Tur{\*\falt Arial};}
{\f63\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew){\*\falt Arial};}{\f64\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic){\*\falt Arial};}{\f65\fbidi \fswiss\fcharset186\fprq2 Arial Baltic{\*\falt Arial};}
{\f66\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese){\*\falt Arial};}{\f68\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}{\f69\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}{\f71\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}
{\f72\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f73\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f74\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f75\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}
{\f76\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f388\fbidi \froman\fcharset238\fprq2 Cambria Math CE{\*\falt Calisto MT};}{\f389\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr{\*\falt Calisto MT};}
{\f391\fbidi \froman\fcharset161\fprq2 Cambria Math Greek{\*\falt Calisto MT};}{\f392\fbidi \froman\fcharset162\fprq2 Cambria Math Tur{\*\falt Calisto MT};}{\f395\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic{\*\falt Calisto MT};}
{\f396\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese){\*\falt Calisto MT};}{\f418\fbidi \fswiss\fcharset238\fprq2 Calibri CE{\*\falt Times New Roman};}{\f419\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Times New Roman};}
{\f421\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Times New Roman};}{\f422\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Times New Roman};}{\f423\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Times New Roman};}
{\f424\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Times New Roman};}{\f425\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Times New Roman};}{\f426\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Times New Roman};}
{\f498\fbidi \fswiss\fcharset238\fprq2 Tahoma CE{\*\falt Tahoma};}{\f499\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr{\*\falt Tahoma};}{\f501\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek{\*\falt Tahoma};}
{\f502\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur{\*\falt Tahoma};}{\f503\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew){\*\falt Tahoma};}{\f504\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic){\*\falt Tahoma};}
{\f505\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic{\*\falt Tahoma};}{\f506\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese){\*\falt Tahoma};}{\f507\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai){\*\falt Tahoma};}
{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}
{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE{\*\falt Times New Roman};}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Times New Roman};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Times New Roman};}
{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Times New Roman};}{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Times New Roman};}
{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Times New Roman};}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Times New Roman};}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Times New Roman};}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red0\green0\blue0;
\red0\green0\blue0;\chyperlink\ctint255\cshade255\red0\green0\blue255;\cfollowedhyperlink\ctint255\cshade255\red128\green0\blue128;}{\*\defchp \fs22\loch\af31506\hich\af31506\dbch\af31505 }{\*\defpap \ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 }\noqfpromote {\stylesheet{\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1033\langfe1033\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext0 \sqformat \spriority0 \styrsid5065749 Normal;}{\s1\ql \li0\ri0\sl276\slmult1
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext0 \slink15 \sqformat \spriority9 \styrsid5065749 heading 1;}{\s2\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \slink16 \sunhideused \sqformat \spriority9 \styrsid5065749 heading 2;}{\s3\ql \li0\ri0\sl276\slmult1
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext0 \slink17 \sunhideused \sqformat \spriority9 \styrsid12911987 heading 3;}{\s4\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \slink18 \sunhideused \sqformat \spriority9 \styrsid4735493 heading 4;}{\*\cs10 \additive \sunhideused \spriority1 Default Paragraph Font;}{\*
\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tblind0\tblindtype3\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext11 \ssemihidden \sunhideused 
Normal Table;}{\*\cs15 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \fs24\loch\f0\hich\af0\dbch\af31501 \sbasedon10 \slink1 \slocked \spriority9 \styrsid5065749 Heading 1 Char;}{\*\cs16 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\loch\f0\hich\af0\dbch\af31501 \sbasedon10 \slink2 \slocked \spriority9 \styrsid5065749 Heading 2 Char;}{\*\cs17 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\fs24\loch\f0\hich\af0\dbch\af31501 
\sbasedon10 \slink3 \slocked \spriority9 \styrsid12911987 Heading 3 Char;}{\*\cs18 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24 \sbasedon10 \slink4 \slocked \spriority9 \styrsid4735493 Heading 4 Char;}{\s19\ql \fi-144\li576\ri0\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin576\itap0\contextualspace \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext19 \sqformat \spriority34 \styrsid10753541 List Paragraph;}{\s20\ql \li0\ri0\sl288\slmult1\widctlpar\wrapdefault\facenter\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext20 \styrsid12134065 [Basic Paragraph];}{\s21\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 
\af45\afs16\alang1025 \ltrch\fcs0 \fs16\lang1033\langfe1033\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext21 \slink22 \ssemihidden \sunhideused \styrsid6782370 Balloon Text;}{\*\cs22 \additive \rtlch\fcs1 \af45\afs16 
\ltrch\fcs0 \f45\fs16 \sbasedon10 \slink21 \slocked \ssemihidden \styrsid6782370 Balloon Text Char;}{\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext23 \slink24 \sqformat \spriority1 \styrsid5065749 No Spacing;}{\*\cs24 \additive \rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24 
\sbasedon10 \slink23 \slocked \spriority1 \styrsid5065749 No Spacing Char;}{\s25\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\fs16\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon23 \snext25 \slink27 \sqformat \spriority0 \styrsid5065749 VIS language;}{
\s26\ql \fi-720\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 
\sbasedon23 \snext26 \slink28 \sqformat \spriority0 \styrsid5065749 bullet;}{\*\cs27 \additive \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16 \sbasedon24 \slink25 \slocked \spriority0 \styrsid5065749 VIS language Char;}{\*\cs28 \additive \rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24 \sbasedon24 \slink26 \slocked \spriority0 \styrsid5065749 bullet Char;}{\s29\ql \li0\ri90\sb90\sl288\slmult1\nowidctlpar\tx240\tx800\wrapdefault\hyphpar0\facenter\rin90\lin0\itap0 \rtlch\fcs1 \ab\af1\afs28\alang1025 
\ltrch\fcs0 \b\fs28\cf1\up2\lang1033\langfe1033\loch\f1\hich\af1\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext30 \styrsid11677815 H3;}{\s30\ql \li0\ri0\sa90\sl288\slmult1\nowidctlpar\wrapdefault\hyphpar0\facenter\rin0\lin0\itap0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext30 \styrsid11677815 P;}{\s31\ql \fi-180\li180\ri0\sa90\sl288\slmult1\nowidctlpar
\tx180\wrapdefault\hyphpar0\facenter\rin0\lin180\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon30 \snext31 \styrsid11677815 L;}{
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\mlMargin0\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0\mnaryLim1}{\info{\title Vaccine Information Statement: Influenza (Flu) Vaccine (Live, Intranasal): What you need to know}{\author ÐÇ¿ÕÓéÀÖ¹ÙÍø/NCIRD}
{\keywords Influenza, Flu, Vaccine Information Statement, Live flu vaccine, LAIV, live, attenuated, Intranasal flu vaccine, intranasal influenza vaccine, Inactivated, Recombinant, Influenza fact sheet, Flu fact sheet, Influenza vaccine, Flu vaccine}
{\operator Alcober, Joseph (ÐÇ¿ÕÓéÀÖ¹ÙÍø/NCIRD/OD) (CTR)}{\creatim\yr2021\mo7\dy28\hr16\min6}{\revtim\yr2025\mo2\dy21\hr15\min31}{\printim\yr2017\mo7\dy24\hr9\min5}{\version5}{\edmins8}{\nofpages4}{\nofwords1000}{\nofchars5705}{\*\company ÐÇ¿ÕÓéÀÖ¹ÙÍø}{\nofcharsws6692}
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\par 
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\hich\af0\dbch\af31505\loch\f0 v}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15676037 \hich\af0\dbch\af31505\loch\f0 accine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2649183 \hich\af0\dbch\af31505\loch\f0 i}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid15676037 \hich\af0\dbch\af31505\loch\f0 nformation }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2649183 \hich\af0\dbch\af31505\loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15676037 \hich\af0\dbch\af31505\loch\f0 
tatements are available in Spanish and other languages. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang4106\langfe1033\langnp4106\insrsid5396545\charrsid2957673 \hich\af0\dbch\af31505\loch\f0 See }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
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\insrsid5396545\charrsid5537525 \hich\af0\dbch\af31505\loch\f0 Visite }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  HYPERLINK "http://www.immunize.org/vis" }{\rtlch\fcs1 \af0 \ltrch\fcs0 
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\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid12518645\charrsid12518645 \hich\af0\dbch\af31501\loch\f0 1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 
\hich\af0\dbch\af31501\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31501\loch\f0 Why get vaccinated?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid16255733 \hich\af0\dbch\af31505\loch\f0 Influenza }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11619702\charrsid11619702 \hich\af0\dbch\af31505\loch\f0 vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11619702 
\hich\af0\dbch\af31505\loch\f0  can prevent }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid16255733 \hich\af0\dbch\af31505\loch\f0 influenza (flu)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11619702 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11619702\charrsid12846917 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid16255733 \hich\af0\dbch\af31505\loch\f0 Flu }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid11619702 \hich\af0\dbch\af31505\loch\f0 is a }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733\charrsid16255733 
\hich\af0\dbch\af31505\loch\f0 contagious disease that spreads around the United States every year, usually between October and May.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733 \hich\af0\dbch\af31505\loch\f0  Anyone can get the flu, but it }{
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 is more dangerous for some people. Infants and young children, people 65 years of age and older, pregnant }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1731910 
\hich\af0\dbch\af31505\loch\f0 women}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 , and people with certain health conditions or a weakened immune system are at greatest risk}{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \insrsid4614716 \hich\af0\dbch\af31505\loch\f0  of flu complications}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733\charrsid16255733 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid13504703 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7881552 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4614716 \hich\af0\dbch\af31505\loch\f0 Pneumonia, bronchitis, sinus infections}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812055 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4614716 \hich\af0\dbch\af31505\loch\f0 
 and ear infections are examples of flu-related complications. }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4614716\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 If you have a medical condition, such as }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid158145 
\hich\af0\dbch\af31505\loch\f0 heart disease, cancer}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid812055 ,}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid158145 \hich\af0\dbch\af31505\loch\f0  or diabetes}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\insrsid4614716\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 , flu can make it worse.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4614716 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733 
\par \hich\af0\dbch\af31505\loch\f0 Flu can cause fever and chills, sore throat, muscle aches, fatigue, cough, headache, and runny or stuffy nose. }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4614716 \hich\af0\dbch\af31505\loch\f0 
Some people may have vomiting and diarrhea, though this is more common in childre\hich\af0\dbch\af31505\loch\f0 n than adults. }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid16255733 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid14773257 \hich\af0\dbch\af31505\loch\f0 In an average year, }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid2254435\charrsid4077494 \hich\af0\dbch\af31505\loch\f0 thousands of people in the United States die from flu}
{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2254435\charrsid4077494 \hich\af0\dbch\af31505\loch\f0 , and many more are hospitalized.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2641381 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid2641381 \hich\af0\dbch\af31505\loch\f0 Flu vaccine prevents millions of illnesses and flu-related visits to the doctor each year.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2254435 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1585974 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 2. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755 \hich\af0\dbch\af31501\loch\f0 
Live, attenuated }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733 \hich\af0\dbch\af31501\loch\f0 influenza vaccine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265 \hich\af0\dbch\af31505\loch\f0 ÐÇ¿ÕÓéÀÖ¹ÙÍø recommends everyone 6 months and older get vaccinated every flu season.}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\insrsid15337265 \hich\af0\dbch\af31505\loch\f0  C}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15337265\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 hildren }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15337265 
\hich\af0\dbch\af31505\loch\f0 6 months through 8 years}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15337265\charrsid16255733 \hich\af0\dbch\af31505\loch\f0  of age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265\charrsid16255733 
\hich\af0\dbch\af31505\loch\f0  may need }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265 \hich\af0\dbch\af31505\loch\f0 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265\charrsid16255733 \hich\af0\dbch\af31505\loch\f0  doses during }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid11169189 \hich\af0\dbch\af31505\loch\f0 a single}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265\charrsid16255733 \hich\af0\dbch\af31505\loch\f0  flu season. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15337265\charrsid16255733 
\hich\af0\dbch\af31505\loch\f0 Everyone else}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265\charrsid16255733 \hich\af0\dbch\af31505\loch\f0  needs only }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265 \hich\af0\dbch\af31505\loch\f0 1}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid15337265\charrsid16255733 \hich\af0\dbch\af31505\loch\f0  dose each flu season.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15337265 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15337265 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8132112 \hich\af0\dbch\af31505\loch\f0 L}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755\charrsid15271755 \hich\af0\dbch\af31505\loch\f0 ive, attenuated influenza vaccine (called }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid812055 \loch\af0\dbch\af31505\hich\f0 \'93}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755\charrsid15271755 \hich\af0\dbch\af31505\loch\f0 LAIV}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812055 \loch\af0\dbch\af31505\hich\f0 \'94}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid15271755\charrsid15271755 \hich\af0\dbch\af31505\loch\f0 ) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7304524 \hich\af0\dbch\af31505\loch\f0 is a nasal spray vaccine that }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755\charrsid15271755 
\hich\af0\dbch\af31505\loch\f0 may be given to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731910 \hich\af0\dbch\af31505\loch\f0 men and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755\charrsid15271755 \hich\af0\dbch\af31505\loch\f0 non-pregnant }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731910 \hich\af0\dbch\af31505\loch\f0 women}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731910\charrsid15271755 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15271755\charrsid15271755 
\hich\af0\dbch\af31505\loch\f0 2 through 49 years of age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755\charrsid15271755 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15271755 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11169189 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733 \hich\af0\dbch\af31505\loch\f0 It takes about 2 weeks for protection to develop after vaccination.
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 
There are many flu viruses, and they are always changing. Each year a new flu vaccine is made to protect against}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7753454 \hich\af0\dbch\af31505\loch\f0  the influenza }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid16255733\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 viruses }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14773257 {\*\bkmkstart _Hlk75769180}\hich\af0\dbch\af31505\loch\f0 believed to be}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid16255733\charrsid16255733 \hich\af0\dbch\af31505\loch\f0  {\*\bkmkend _Hlk75769180}\hich\af0\dbch\af31505\loch\f0 likely to cause disease in the upcoming flu season. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733 \hich\af0\dbch\af31505\loch\f0 E}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733\charrsid16255733 \hich\af0\dbch\af31505\loch\f0 ven when the vaccine doesn\hich\f0 \rquote \loch\f0 t exactly match these viruses, it may still provide some protection.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid16255733 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12202087 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8132112 {\*\bkmkstart _Hlk9420574}\hich\af0\dbch\af31505\loch\f0 Influenza vaccine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8132112\charrsid8132112 \hich\af0\dbch\af31505\loch\f0 does not cause flu}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid8132112 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16255733 
\par {\*\bkmkend _Hlk9420574}
\par \hich\af0\dbch\af31505\loch\f0 Influenza }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11810116\charrsid1866676 \hich\af0\dbch\af31505\loch\f0 vaccine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11810116 \hich\af0\dbch\af31505\loch\f0 may be given }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid11810116\charrsid1866676 \hich\af0\dbch\af31505\loch\f0 at the same time as other vaccines.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid5396545 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11610925 \hich\af0\dbch\af31501\loch\f0 3. \hich\af0\dbch\af31501\loch\f0 Talk with your health care provider
\par 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11610925 \hich\af0\dbch\af31505\loch\f0 Tell your vaccin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2649183 
\hich\af0\dbch\af31505\loch\f0 ation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11610925 \hich\af0\dbch\af31505\loch\f0  provider if the person getting the vaccine:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid329002 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-720\li720\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid329002 \hich\af0\dbch\af31505\loch\f0 Is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid329002\charrsid329002 
\hich\af0\dbch\af31505\loch\f0 younger than 2 years or older than 49 years}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid329002 \hich\af0\dbch\af31505\loch\f0  of age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid329002\charrsid329002 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid329002 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid329002 \hich\af0\dbch\af31505\loch\f0 Is }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid329002\charrsid8132112 \hich\af0\dbch\af31505\loch\f0 pregnant}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid329002 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7282435 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid7282435 
\hich\af0\dbch\af31505\loch\f0 Live, attenuated influenza vaccine is not recommended for pregnant }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1731910 \hich\af0\dbch\af31505\loch\f0 women}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid329002\charrsid2062150 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \hich\af0\dbch\af31505\loch\f0 Has had an }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid8848589 \hich\af0\dbch\af31505\loch\f0 allergic reaction after a previous dose of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid6628704 \hich\af0\dbch\af31505\loch\f0 influenza}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1268093 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8848589\charrsid11866924 \hich\af0\dbch\af31505\loch\f0 vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \hich\af0\dbch\af31505\loch\f0 , or has any }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid1139093\charrsid6885084 \hich\af0\dbch\af31505\loch\f0 severe, life-threatening allergies}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150 \hich\af0\dbch\af31505\loch\f0 Is a }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid2062150\charrsid8132112 \hich\af0\dbch\af31505\loch\f0 child or adolescent }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid329002 \hich\af0\dbch\af31505\loch\f0 2 through 17 years of age }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2062150\charrsid8132112 
\hich\af0\dbch\af31505\loch\f0 who is receiving aspirin or aspirin-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11367425 \hich\af0\dbch\af31505\loch\f0  or salicylate-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2062150\charrsid8132112 
\hich\af0\dbch\af31505\loch\f0 containing products
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150\charrsid8132112 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150\charrsid8132112 \hich\af0\dbch\af31505\loch\f0 Has a}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid2062150 \hich\af0\dbch\af31505\loch\f0  weakened immune system
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150\charrsid2062150 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150\charrsid2062150 \hich\af0\dbch\af31505\loch\f0 Is a}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid11938346 \hich\af0\dbch\af31505\loch\f0  child 2 through 4 years o}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2062150 \hich\af0\dbch\af31505\loch\f0 ld who has asthma or a history of wheezing }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid2062150\charrsid3947509 \hich\af0\dbch\af31505\loch\f0 in the past 12 months}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2890776\charrsid11938346 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2890776\charrsid11938346 \hich\af0\dbch\af31505\loch\f0 Is }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid2890776 \hich\af0\dbch\af31505\loch\f0 5 years or older and has asthma}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2890776\charrsid3947509 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150 \hich\af0\dbch\af31505\loch\f0 Has }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid2062150\charrsid8132112 \hich\af0\dbch\af31505\loch\f0 taken influenza antiviral medication}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062150\charrsid7109302 \hich\af0\dbch\af31505\loch\f0  in the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11426476 
\hich\af0\dbch\af31505\loch\f0 last 3 weeks}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2062150\charrsid8132112 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11938346\charrsid11938346 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11938346\charrsid11938346 \hich\af0\dbch\af31505\loch\f0 
Cares for severely immunocompromised pe}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid812055 \hich\af0\dbch\af31505\loch\f0 ople}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11938346 \hich\af0\dbch\af31505\loch\f0  who require a protected environment}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\insrsid11938346\charrsid11938346 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109302 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109302 \hich\af0\dbch\af31505\loch\f0 Has other }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid7109302\charrsid3947509 \hich\af0\dbch\af31505\loch\f0 underlying medical conditions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109302 \hich\af0\dbch\af31505\loch\f0  that can put people at higher risk of serious flu complications (such as }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid7109302\charrsid329002 \hich\af0\dbch\af31505\loch\f0 lung disease, heart disease, kidney disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8486008 \hich\af0\dbch\af31505\loch\f0  like diabetes}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid7109302\charrsid329002 \hich\af0\dbch\af31505\loch\f0 , kidney or liver disorders, neurologic or neuromuscular or metabolic disorders}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109302 \hich\af0\dbch\af31505\loch\f0 )}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid7109302\charrsid7673993 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \hich\af0\dbch\af31505\loch\f0 Does}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\insrsid2052277 \hich\af0\dbch\af31505\loch\f0  not have a spleen, }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \hich\af0\dbch\af31505\loch\f0 or has a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2052277 
\hich\af0\dbch\af31505\loch\f0 non-functioning spleen
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \hich\af0\dbch\af31505\loch\f0 Has a}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\insrsid2052277 \hich\af0\dbch\af31505\loch\f0  cochlear implant
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \hich\af0\dbch\af31505\loch\f0 Has a}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\insrsid2052277 \hich\af0\dbch\af31505\loch\f0  cerebrospinal fluid leak }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2052277\charrsid7673993 \hich\af0\dbch\af31505\loch\f0 
(a leak of the fluid that surrounds the brain to the nose, throat, ear, or some other location in the head)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2052277\charrsid8132112 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6628704 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6628704 \hich\af0\dbch\af31505\loch\f0 Has had }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid6628704\charrsid6628704 \hich\af0\dbch\af31505\loch\f0 \hich\f0 Guillain-Barr\'e9\loch\f0  Syndrome}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8269082 \hich\af0\dbch\af31505\loch\f0  within 6 weeks after a previous dose of }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid3947509 \hich\af0\dbch\af31505\loch\f0 influenza}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8269082 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid6628704\charrsid329002 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 In some cases, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6361695 \hich\af0\dbch\af31505\loch\f0 your health care provider may decide to postpone influenza vaccination }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15484868 \hich\af0\dbch\af31505\loch\f0 until}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6361695 \hich\af0\dbch\af31505\loch\f0  a future visit.  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5053982 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11040313 \hich\af0\dbch\af31505\loch\f0 For some patients, a different type of influenza vaccine (inactivated or recombinant influenza vaccine) might be more appropriate than live, attenuated influenza vaccine. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11040313\charrsid1070981 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11040313 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166 \hich\af0\dbch\af31505\loch\f0 People with minor illnesses, such as a cold, may be vaccinated.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid9440166 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid9440166 \hich\af0\dbch\af31505\loch\f0 People who are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid9440166 \hich\af0\dbch\af31505\loch\f0 moderately or severely ill should usually wait until they recover before getting }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6628704 \hich\af0\dbch\af31505\loch\f0 influenza}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid9440166 
\hich\af0\dbch\af31505\loch\f0 vaccine.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11040313 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166 \hich\af0\dbch\af31505\loch\f0 Your health care provider can give you more information.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9440166 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 4. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 Risks of a vaccine reaction
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4355661 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-720\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4355661 \hich\af0\dbch\af31505\loch\f0 Runny}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2064317 \hich\af0\dbch\af31505\loch\f0  nose or nasal congestion}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4355661 ,}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid2064317 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2036628 \hich\af0\dbch\af31505\loch\f0 wheezing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7407477 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2036628 
\hich\af0\dbch\af31505\loch\f0  and headache }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2064317 \hich\af0\dbch\af31505\loch\f0 can happen}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4355661 \hich\af0\dbch\af31505\loch\f0  after LAIV}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid7673993 \hich\af0\dbch\af31505\loch\f0  vaccination}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2064317 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4355661 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2036628 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2036628 \hich\af0\dbch\af31505\loch\f0 Vomiting, muscle aches, fever, sore throat}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7407477 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2036628 \hich\af0\dbch\af31505\loch\f0  and}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2064317\charrsid7302585 \hich\af0\dbch\af31505\loch\f0  cough}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid2036628 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2064317 \hich\af0\dbch\af31505\loch\f0 are other possible side effects.
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14821144 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2036628 \hich\af0\dbch\af31505\loch\f0 
If these problems occur, they usually begin soon after vaccination and are mild and short-lived. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10055478 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 As with any medicine, there is a very }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0 remote }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 chance of a vaccine causing a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \hich\af0\dbch\af31505\loch\f0 severe allergic reaction, other }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 serious injury}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0  or death.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\highlight7\insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 5. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 What if there is a serious }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31501\loch\f0 problem}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31501\loch\f0 ?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 An allergic reaction could occur after the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5314446 \hich\af0\dbch\af31505\loch\f0 vaccinated person}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0  leaves the clinic. If you see signs of a severe allergic reaction (hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness), call 
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid16334230\charrsid5314446 \hich\af0\dbch\af31505\loch\f0 9-1-1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0  and get the }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5314446 \hich\af0\dbch\af31505\loch\f0 person }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 to the nearest hospital.
\par 
\par \hich\af0\dbch\af31505\loch\f0 For other signs that concern you, call your health care provider.
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10895368 \hich\af0\dbch\af31505\loch\f0 Adverse}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10895368\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 
 reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10895368 \hich\af0\dbch\af31505\loch\f0 health care provider}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10895368\charrsid16334230 
\hich\af0\dbch\af31505\loch\f0  will usually file this report, or you can do it yourself. Visit the VAERS website at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\ul\insrsid10895368\charrsid2700493 \hich\af0\dbch\af31505\loch\f0 
HYPERLINK "http://www.vaers.hhs.gov/"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\ul\insrsid10895368\charrsid2700493 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4c00000068007400740070003a002f002f007700770077002e00760061006500720073002e006800680073002e0067006f0076002f000000795881f43b1d7f48af2c825dc485276300000000a5ab00035d00190000d9
000000300900000000659800dbe600284f41ff6f00000000c800008e000061700000}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid10895368\charrsid2700493 \hich\af0\dbch\af31505\loch\f0 www.vaers.hhs.gov}}}\sectd \ltrsect
\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10895368\charrsid16334230 \hich\af0\dbch\af31505\loch\f0  or call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10895368\charrsid1070981 
\hich\af0\dbch\af31505\loch\f0 1-800-822-7967}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10895368\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10895368\charrsid1070981 \hich\af0\dbch\af31505\loch\f0 
VAERS is only for reporting reactions, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10895368 \hich\af0\dbch\af31505\loch\f0 and VAERS staff }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid7673993 \hich\af0\dbch\af31505\loch\f0 members }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\insrsid10895368 \hich\af0\dbch\af31505\loch\f0 do }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10895368\charrsid1070981 \hich\af0\dbch\af31505\loch\f0 not give medical advice.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10895368 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid16334230\charrsid16334230 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 6. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid4988588 
\hich\af0\dbch\af31501\loch\f0 The National Vaccine Injury Compensation Program
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7031531 \hich\af0\dbch\af31505\loch\f0 The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines. }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid16451836 \hich\af0\dbch\af31505\loch\f0 Claims regarding alleged injury or death due to vaccination have a time limit for filing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7407477 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16451836 
\hich\af0\dbch\af31505\loch\f0  which may be as short as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7673993 \hich\af0\dbch\af31505\loch\f0 two}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16451836 \hich\af0\dbch\af31505\loch\f0  years. }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid7031531 \hich\af0\dbch\af31505\loch\f0 Visit the VICP website at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid7031531 \hich\af0\dbch\af31505\loch\f0  HYPERLINK "http://www.hrsa.gov/vaccinecompensation" }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1402324 {\*\datafield 
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www.hrsa.gov/vaccinecompensation}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7031531 \hich\af0\dbch\af31505\loch\f0  or call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid7031531 
\hich\af0\dbch\af31505\loch\f0 1-800-338-2382}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7031531 \hich\af0\dbch\af31505\loch\f0  to learn about the program and about filing a claim. 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 7. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 How can I learn more?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-720\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \hich\af0\dbch\af31505\loch\f0 Ask your health}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6585571 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 
\hich\af0\dbch\af31505\loch\f0 care provider. 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Call your local or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid16449899 
\hich\af0\dbch\af31505\loch\f0 state}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \hich\af0\dbch\af31505\loch\f0  health department.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\cf19\insrsid11426476\charrsid11426476 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16449899\charrsid16449899 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16449899\charrsid16449899 \hich\af0\dbch\af31505\loch\f0 
Visit the website of the Food and Drug Administration (FDA) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12135534 \hich\af0\dbch\af31505\loch\f0 for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11426476 \hich\af0\dbch\af31505\loch\f0 vaccine }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid12135534 \hich\af0\dbch\af31505\loch\f0 package inserts and additional information at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid1049236\charrsid924104 \hich\af0\dbch\af31505\loch\f0 
HYPERLINK "https://www.fda.gov/vaccines-blood-biologics/vaccines"}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid1049236\charrsid924104 {\*\datafield 
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www.fda.gov/vaccines-blood-biologics/vaccines}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\cf19\insrsid1049236 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\cs36\b\ul\cf19\insrsid16449899\charrsid12196652 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \hich\af0\dbch\af31505\loch\f0 
Contact the Centers for Disease Control and Prevention (ÐÇ¿ÕÓéÀÖ¹ÙÍø):
\par {\listtext\pard\plain\ltrpar \s39 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0 -\tab}}\pard\plain \ltrpar
\s39\ql \fi-360\li792\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls2\ilvl1\adjustright\rin0\lin792\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0 Call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid12518645 
\hich\af0\dbch\af31505\loch\f0 1-800-232-4636}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid10574652 \hich\af0\dbch\af31505\loch\f0  (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid12518645 \hich\af0\dbch\af31505\loch\f0 1-800-ÐÇ¿ÕÓéÀÖ¹ÙÍø-INFO}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid10574652 \hich\af0\dbch\af31505\loch\f0 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  or
\par {\listtext\pard\plain\ltrpar \s39 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0 -\tab}\hich\af0\dbch\af31505\loch\f0 Visit ÐÇ¿ÕÓéÀÖ¹ÙÍø\hich\f0 \rquote \loch\f0 s }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10055478 
\hich\af0\dbch\af31505\loch\f0 influenza }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0 website at }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid7881552 \hich\af0\dbch\af31505\loch\f0 
 HYPERLINK "/flu" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid7881552 {\*\datafield 
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0000000000730069a52000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid5396545\charrsid7881552 \hich\af0\dbch\af31505\loch\f0 www.cdc.gov/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid10055478\charrsid7881552 
\hich\af0\dbch\af31505\loch\f0 flu}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\cf19\insrsid15484868 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par \hich\af0\dbch\af31505\loch\f0 Vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  Information Statement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11429383 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid12846917 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14821144 \hich\af0\dbch\af31505\loch\f0 Live}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7407477 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14821144 \hich\af0\dbch\af31505\loch\f0  Attenuated}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid6628704\charrsid6628704 \hich\af0\dbch\af31505\loch\f0  Influenza}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid6628704 \hich\af0\dbch\af31505\loch\f0  Vaccine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\tx360\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14378736 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731910 \hich\af0\dbch\af31505\loch\f0 1/31/2025}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid2120850\charrsid4795329 
\par \hich\af0\dbch\af31505\loch\f0 \hich\f0 42 U.S.C. \'a7\loch\f0  300aa-26 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \strike\insrsid2120850\charrsid4795329 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2120850\charrsid4795329 
\par \hich\af0\dbch\af31505\loch\f0 Department of Health and Human Services
\par \hich\af0\dbch\af31505\loch\f0 Centers for Disease Control and Prevention
\par 
\par \hich\af0\dbch\af31505\loch\f0 Office Use Only
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