COVID-19 vaccine card or vaccine record with them to their appointment (more information below) if possible. I understand that if a vaccine requires multiple doses, multiple doses of the vaccine will need to be On August 23, 2021, FDA issued a revised fact sheet for the adolescent/adult Pfizer-BioNTech vaccine (Comirnaty) that covers both its limited licensed indication as a primary series for ages 16 and older and its broader emergency use authorization. Lost sense of smell completely on Friday. … Once thawed remove the cap of the Pfizer … COVID-19 Vaccine Information Sheet (age 12+) Version 1.0 – December 14, 2021 ... o If you are age 12-29, getting the Pfizer vaccine is preferentially recommended. A Booster dose of Pfizer-BioNTech COVID-19 vaccine may be administered to all adults 18 years and olde r, at least 6 months after completing their Pfizer-BioNTech primary series (i.e., the first 2 doses or 3 doses of a Pfizer-BioNTech COVID-19 vaccine) COMIRNATY and the Interim Order authorized Pfizer-BioNTech COVID-19 … VIS inform vaccine recipients - or their parents or legal representatives - about the benefits and risks of a vaccine. COVID-19 vaccine codes and crosswalks are provided in anticipation of potential vaccine availability under an approved Biologics License Application (BLA), Emergency Use Authorization (EUA), or as a potential vaccine submission for EUA (Pre-EUA) as of 10/13/2021. Moderna / Pfizer 3rd dose Eligibility (28 days after 2nd dose): For Moderna 18 years of age or older and have a condition or are taking medications or treatments that moderately or severely weakens their immune system, and received either the Pfizer or Moderna vaccine are eligible for a … COVID-19 Janssen Vaccine EUA Fact Sheet for Recipients (PDF) COVID-19 Vaccine Information Statements. information of the vaccine used for the primary series. COVID-19 vaccine codes and crosswalks are provided in anticipation of potential vaccine availability under an approved Biologics License Application (BLA), Emergency Use Authorization (EUA), or as a potential vaccine submission for EUA (Pre-EUA) as of 10/13/2021. It is your choice to receive the Pfizer … Both the Pfizer-BioNTech and Moderna COVID-19 Vaccines are preservative free. Read this Fact Sheet for information about the Pfizer-BioNTech COVID-19 Vaccine. 5 March 2021. In February 2021, Pfizer and BioNTech dosed the first participant in a global Phase 2/3 study to further evaluate the safety, tolerability, and immunogenicity of the Pfizer-BioNTech COVID-19 vaccine in preventing COVID-19 in … Tuesday clinics are for individuals 12 and older, from 9:00am to 4:00pm at the Flathead County Fairgrounds. Page 2 of 2 I understand the benefits and risks of the COVID-19 vaccine as described in the Emergency Use Authorization (EUA) Fact Sheet or Vaccine Information Statement (VIS-if available), a copy of which I was provided with this Consent Form. The Fact Sheet is similar in purpose and content to vaccine information statements (VISs) for licensed vaccines but differs in that the EUA Fact Sheet is specific to each authorized COVID-19 vaccine, is developed by the manufacturer of the vaccine, and is authorized by the FDA. In an ongoing clinical trial, the Pfizer-BioNTech COVID-19 Vaccine has been shown to prevent COVID-19 following 2 doses given 3 weeks apart. The FDA has authorized the emergency use of both vaccines to prevent COVID-19. • The Pfizer-BioNTech COVID‑19 Vaccine covered by this authorization will be administered by vaccination providers6 and used only to prevent COVID-19 in individuals ages … b. Pregnant Women. Primary Series: Each primary series dose of the Moderna COVID-19 Vaccine is 0.5 mL. The Fact Sheet is similar in purpose and content to vaccine information statements (VISs) for licensed vaccines but differs in that the EUA Fact Sheet is specific to each authorized COVID-19 vaccine, is developed by the manufacturer of the vaccine, and is authorized by the FDA. This page was reviewed on November 12, 2021. b. See this Fact Sheet for instructions for … Janssen COVID-19 vaccine booster3 Vaccine Information Statement – Janssen COVID-19 Vaccine – When administering vaccine use EUA Fact Sheet date for VIS date in Plummer Chart … Prepare the PfizerBioNTech COVID-19 vaccine i. Thaw the vaccine vial if frozen for 30 minutes at room temperature or for 4 hours in a refrigerator ii. The White House dropped a fact sheet on vaccine roll-out for kids age five to 11 on Wednesday, pending approval for the Pfizer shot. The Pfizer and Moderna COVID-19 vaccines are both Messenger RNA (mRNA) vaccines. … The vaccine is based on BioNTech proprietary messenger RNA (mRNA) Known globally as Comirnaty, the vaccine is a nucleoside-modified RNA … For more information, please see the CDC's website for more information about COVID-19 boosters. Procedure for Preparation and Reconstitution of Pfizer’s COVID-19 Vaccine Step 5: Invert Gently invert the vial containing the Pfizer-BioNTech COVID-19 Vaccine 10 times to mix Do not shake … Vaccine Information Statement • Pfizer/BioNTech COVID-19 Vaccine • When administering vaccine use EUA Fact Sheet date for VIS date in Plummer Chart • Created and distributed by Mayo Clinic Mayo Clinic created this Vaccine Information Statement for use temporarily until the official CDC versions are available. - My (obviously unvaccinated) sister got COVID in December 2020. The Vaxzevria - AstraZeneca COVID-19 (ChAdOx1 nCov-19) (C19VAZ) vaccine is made from a virus (), a weakened version of a common cold virus (adenovirus).In addition, genetic material has been added to the ChAdOx1 construct, used to make proteins from the SARS-CoV-2 betacoronavirus called Spike … Signature of Recipient (Parent or Guardian): Date Area Below to be completed by Vaccinator VIS/Fact Sheet Date: Moderna … Optional VISs may be produced, but only after a vaccine has been licensed (e.g., such as with zoster vaccines). June 28, 2021. The U.S. Food and Drug Administration (FDA) has given emergency use authorization … CDC has added two-dimensional (2D) "data matrix" barcodes to Vaccine Information Statements (VIS). The Moderna COVID-19 Vaccine is a suspension for intramuscular injection. To get the most protection, get all recommended doses of a COVID-19 vaccine.Learn more. Booster eligibility and schedule are based on the labeling information of the vaccine used for the primary series COMIRNATY® … CLEVELAND (WJW) — The Pfizer-BioNTech company has recently updated its COVID-19 vaccine fact sheet for people receiving the shots as well as caregivers. Wednesday clinics are limited to individuals aged 5 to 11, from 1:00pm to 4:00pm at the Health Department. Pfizer and BioNTech announced today that the U.S. Food and Drug Administration … The vaccine will have packaging available in smaller … Global website Telephone number; … COVID-19 vaccine is available at various other locations in The U.S. Food and Drug Administration (FDA) has issued an … VISs are required only if a vaccine is added to the Vaccine Injury Table. and Pfizer, Inc. co-developed the BNT162b2 vaccine to prevent severe COVID-19 caused by the SARS-CoV-2 betacoronavirus. The Moderna COVID-19 … The current adult and adolescent formulation of Pfizer COVID-19 vaccine … There is no Vaccine Information Sheet (VIS) for this vaccine. A booster dose of the Pfizer-BioNTech Comirnaty ® COVID-19 vaccine may be administered in individuals 18 years of age and older at least six months after completing their primary vaccine … In February 2021, Pfizer and BioNTech dosed the first participant in a global Phase 2/3 study to further evaluate the safety, tolerability, and immunogenicity of the Pfizer-BioNTech COVID-19 vaccine in preventing COVID-19 in … I have authorized consent) have received the COVID-19 vaccine. When you provide patients with an out-of-date translation of a VIS, CDC states you … I have had a chance to ask questions that were answered to my satisfaction. vaccines far outweigh the risks. fact sheet corresponding to the COVID-19 vaccination given to me (or the person named above for whom I am authorized to make this request and provide surrogate consent). Vaxzevria COVID-19 Vaccine AstraZeneca Description. Pfizer may seek EUA for COVID vaccine in children under 5 next spring Pfizer-BioNTech COVID-19 vaccines for children ages 6 months to 4 years may be a three-dose series News | December 21 2021 COVID-19 pandemic Read about the latest developments in COVID-19 … BOOSTER DOSES NOW AVAILABLE FOR ALL THREE COVID-19 VACCINES MODERNA: Everyone 18+ and at least 6 months after completing the primary Pfizer or Moderna vaccine series J&J: At least 2 months after receiving the single-dose J&J vaccine, it is recommended that everyone 18 and older receive a booster dose. For-non technical or general public health questions, contact CDC-INFO by phone 800-CDC-INFO (800-232-4636) or email. Vaccine Information Statements (VIS) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain to vaccine recipients, their parents, or their legal … The Institute for Vaccine Safety was established in 1997 in the Department of International Health at the Johns Hopkins University School of Public Health - now the Johns Hopkins Bloomberg School of Public Health.. Our mission is to provide an independent assessment of vaccines and vaccine safety to help guide decision makers and … BioNTech S.E. Patient information sheet on AstraZeneca COVID-19 vaccine and thrombosis with … How to talk to your patients about COVID-19 vaccination CDC; Pfizer-BioNTech Vaccine EUA and Resources. Still doesn't have her sense of smell back nearly a year later - I (Pfizer vaxxed and boosted) tested positive for COVID last Wednesday. The Pfizer-BioNTech COVID-19 Vaccine is a suspension for intramuscular injection administered as a series of two doses (0.3 mL each) 3 weeks apart. The vaccine is based on BioNTech proprietary messenger RNA (mRNA) Known globally as Comirnaty, the vaccine is a nucleoside-modified RNA … Brought her low for 2-3 weeks. - My (obviously unvaccinated) sister got COVID in December 2020. There is no VIS for COVID-19 vaccines authorized under an EUA. Based on careful review by national experts, we know the benefits of . Vaxzevria COVID-19 Vaccine AstraZeneca Description. Pfizer and BioNTech Celebrate Historic First Authorization in the U.S. of Vaccine to Prevent COVID-19. Además, puede notificar … BOOSTER DOSES NOW AVAILABLE FOR ALL THREE COVID-19 VACCINES MODERNA: Everyone 18+ and at least 6 months after completing the primary Pfizer or Moderna vaccine series J&J: At least 2 months after receiving the single-dose J&J vaccine, it is recommended that everyone 18 and older receive a booster dose. I understand the benefits and risks of the COVID-19 vaccine as described in the Emergency Use Authorization (EUA) Fact Sheet (the Janssen Fact Sheet is available after clicking submit), a copy of which I was provided with this Consent Form. COVID-19 vaccination – 辉瑞 (Comirnaty) 新冠疫苗须知 (Information on Pfizer COVID-19 vaccine) This fact sheet, in Simplified Chinese, provides information about the … Vaccine will be shipped directly from the manufacturer or distributor to the provider or, in the case of early distribution of the ultra-cold Pfizer vaccine, from IDPH to the LHDs or approved COVID-19 Vaccine Providers, to which the LHD allocates vaccine. What is the requirement for providing a Vaccine Information Statement (VIS) or Emergency Use Authorization (EUA) Fact sheet to vaccine recipients? This page was updated on November 12, 2021. For-non technical or general public health questions, contact CDC-INFO by phone 800-CDC-INFO (800-232-4636) or email. Pediatric Pfizer for 5-11 Years Old: Pediatric Pfizer COVID-19 vaccines for ages 5-11 are approved by both FDA and CDC. Institute for Vaccine Safety. Pfizer Vaccine Doses Changes Per the FDA label change, Pfizer COVID-19 vaccine is now 6 doses per vial. Lost sense of smell completely on Friday. COVID-19 vaccination – After your Vaxzevria (AstraZeneca) vaccine. The Pfizer vaccine can be used for individuals 16 years of age and older and the Moderna vaccine is for individuals 18 years of age and older under an Emergency Use Authorization (EUA). • The Johnson & Johnson booster dose is the same dosage given for the first dose. The Pfizer-BioNTech COVID-19 Vaccine has received EUA from FDA to provide a two-dose primary series to individuals 5 through 11 years of age. See this Fact Sheet for instructions for … Also find the prescibing information, announcements, resources, and channels to connect with Pfizer Medical Information. 5. Moderna COVID-19 VIS sheet - MC3127-80 Subject: Moderna COVID-19 VIS sheet - Vaccine Information Statement Moderna COVID 19 Vaccine administering vaccine EUA Fact Sheet … There is no VIS for COVID-19 vaccines authorized under an EUA. When you provide patients with an out-of-date translation of a VIS, CDC states you should also provide the corresponding up-to-date English-language version of the VIS. BioNTech COVID-19 vaccine Information Fact Sheet for recipients and caregivers or the VIS, as applicable. In the U.S., COVID-19 vaccines are available to children by age group: Ages 5 through 11. Once thawed remove the cap of the Pfizer vaccine and inject 1.3 ml of 0.9% sodium chloride that comes in the ancillary kit of the vaccine CDC - Public Health Media Library. A Booster dose of Pfizer-BioNTech COVID-19 vaccine may be administered to all adults 18 years and olde r, at least 6 months after completing their Pfizer-BioNTech primary series (i.e., the first 2 doses or 3 doses of a Pfizer-BioNTech COVID-19 vaccine) covid-19. Although very rare, mRNA … Pfizer-BioNTech COVID-19 Vaccine for Use in Individuals 12 Years of Age and Older -- Fact Sheet for Recipients and Caregivers - English PDF Pfizer-BioNTech COVID-19 Vaccine for Use in Individuals 12 Years of Age and Older -- Fact Sheet for Recipients and Caregivers - Kreyol ayisyen (Haitian Creole) PDF CDC has added two-dimensional (2D) "data matrix" barcodes to Vaccine Information Statements (VIS). BioNTech S.E. Brought her low for 2-3 weeks. Age 50 … I understand that if a vaccine requires multiple doses, multiple doses of the vaccine will need to be CDC - Public Health Media Library. To access the most recent Pfizer-BioNTech COVID-19 Vaccine Fact Sheets, please scan the QR code provided below. Prepare the PfizerBioNTech COVID-19 vaccine i. Thaw the vaccine vial if frozen for 30 minutes at room temperature or for 4 hours in a refrigerator ii. fact sheet corresponding to the COVID-19 vaccination given to me (or the person named above for whom I am authorized to make this request and provide surrogate consent). Pfizer may seek EUA for COVID vaccine in children under 5 next spring Pfizer-BioNTech COVID-19 vaccines for children ages 6 months to 4 years may be a three-dose series News | December 21 2021 COVID-19 pandemic Read about the latest developments in COVID-19 … The Pfizer and Moderna COVID-19 vaccines are both Messenger RNA (mRNA) vaccines. Still doesn't have her sense of smell back nearly a year later - I (Pfizer vaxxed and boosted) tested positive for COVID last Wednesday. and Pfizer, Inc. co-developed the BNT162b2 vaccine to prevent severe COVID-19 caused by the SARS-CoV-2 betacoronavirus. There is no VIS for COVID-19 vaccines authorized under an EUA. Institute for Vaccine Safety. … 10/21 SECTION D: ATTESTATION AND CONSENT.. COVID-19 Janssen Vaccine EUA Fact Sheet for Recipients (PDF) COVID-19 Vaccine Information Statements. Vaccine Information Statement • Pfizer/BioNTech COVID-19 Vaccine • When administering vaccine use EUA Fact Sheet date for VIS date in Plummer Chart • Created and distributed by Mayo Clinic Mayo Clinic created this Vaccine Information Statement for use temporarily until the official CDC versions are available. There is no VIS for COVID-19 vaccines authorized under an EUA. Fact sheet. COVID-19 vaccine clinics occur by appointment only. a. The FACT SHEET FOR RECIPIENTS AND CAREGIVERS about the Emergency Use Authorization (EUA) Pfizer … Unfortunately, IAC is not always able to obtain translations when English-language updates are issued. The FDA has authorized the emergency use of both vaccines to prevent COVID-19. Janssen/J&J and Pfizer boosters are the full dose, while Moderna boosters are ½ of the dose. Pregnant Women. of COMIRNATY with other COVID-19 vaccines to complete the primary vaccination series or for a booster dose. Benefits and Risks. In order to have your vaccine administration fee paid for by the United States Health Resources & Services Administration’s COVID-19 Program for Uninsured Patients, please provide either (a) a valid Social Security number, (b) state identification Talk to the vaccination provider if you have questions. COVID-19 vaccine clinics occur by appointment only. b. NSP Vaccine Administration Consent Form- Rev. Pfizer-BioNTech COVID-19 vaccine (mRNA) Age 12 yrs and older – do not dilute (gray cap) More information coming soon Pfizer-BioNTech COVID-19 vaccine (mRNA) Age 5 through 11 years (orange cap) Provide non-English speaking patients with a copy in their native … The vaccine for children 5-11 years old has an orange cap and is administered as a … Incluya “Moderna COVID-19 Vaccine EUA” (EUA de la vacuna contra la COVID-19 de Moderna) en la primera línea de la casilla número 18 del formulario de notificación. The Fact Sheet is similar in purpose and content to vaccine information statements (VISs) for licensed vaccines but differs in that the EUA Fact Sheet is specific to each authorized … A Vaccine Information Statement (VIS) is a one-page, two-sided, information sheet, produced by the Centers for Disease Control and Prevention (CDC). See this Fact Sheet for instructions for … COVID-19 vaccination – After your Comirnaty (Pfizer) vaccine . VIS inform vaccine recipients - or their parents or legal representatives - about the benefits and risks of a vaccine. The Vaxzevria - AstraZeneca COVID-19 (ChAdOx1 nCov-19) (C19VAZ) vaccine is made from a virus (), a weakened version of a common cold virus (adenovirus).In addition, genetic material has been added to the ChAdOx1 construct, used to make proteins from the SARS-CoV-2 betacoronavirus called Spike … Pfizer-BioNTech COVID-19 Vaccine for Use in Individuals 12 Years of Age and Older -- Fact Sheet for Recipients and Caregivers - English PDF Pfizer-BioNTech COVID-19 Vaccine for Use in Individuals 12 Years of Age and Older -- Fact Sheet for Recipients and Caregivers - Kreyol ayisyen (Haitian Creole) PDF On August 23, 2021, FDA issued a revised fact sheet for the adolescent/adult Pfizer-BioNTech vaccine (Comirnaty) that covers both its limited licensed indication as a primary series for ages 16 and older and its broader emergency use authorization. Janssen/J&J and Pfizer boosters are the full dose, while Moderna boosters are ½ of the dose. This Vaccine Information Fact Sheet contains information to help you understand the risks and benefits of COMIRNATY … On June 25, 2021, the FDA announced revisions to the patient and provider fact sheets for the Pfizer-BioNTech and Moderna COVID-19 vaccines regarding the suggested … VIS VACCINE INDEX. Understand the … COVID-19 vaccine is available at various other locations in Optional VISs may be produced, but only after a vaccine has been licensed (e.g., such as with zoster vaccines). October 20, 2021 at 4:39pm PM EDT. The Pfizer-BioNTech COVID-19 Vaccine is a suspension for intramuscular injection administered as a series of two doses (0.3 mL each) 3 weeks apart. The Pfizer-BioNTech COVID-19 Vaccine is a suspension for intramuscular injection administered as a series of two doses (0.3 mL each) 3 weeks apart. The Moderna COVID‑19 Vaccine has not been approved or licensed by the US Food and Drug Administration (FDA), but has been authorized for emergency use by FDA, under an Emergency … Pfizer-BioNTech COVID-19 vaccine (mRNA) Age 12 yrs and older – do not dilute (gray cap) More information coming soon Pfizer-BioNTech COVID-19 vaccine (mRNA) Age 5 through 11 years (orange cap) The duration of protection against COVID-19 … Page 2 of 2 I understand the benefits and risks of the COVID-19 vaccine as described in the Emergency Use Authorization (EUA) Fact Sheet or Vaccine Information Statement (VIS-if available), a copy of which I was provided with this Consent Form. Currently, Pfizer’s COVID-19 vaccine is the only vaccine authorized for individuals 5 to 17 years of age. NSP Vaccine Administration Consent Form- Rev. On Nov. 2, the Pfizer-BioNTech COVID-19 Vaccine was authorized for children 5-11 years of age. •Janssen COVID-19 Vaccine •Flu Vaccine Information Statement (VIS) •All participants who intend on getting an immunizations should review the appropriate Vaccine Fact Sheet or … VISs are required only if a vaccine is added to the Vaccine Injury Table. The Institute for Vaccine Safety was established in 1997 in the Department of International Health at the Johns Hopkins University School of Public Health - now the Johns Hopkins Bloomberg School of Public Health.. Our mission is to provide an independent assessment of vaccines and vaccine safety to help guide decision makers and … Includes fact sheets required in place of Vaccine Information Statements (VIS) Clinic Resources and Tools: ... Pfizer-BioNTech COVID-19 vaccine (mRNA) Age 12 yrs and older … For more information, please see the CDC's website for more information about COVID-19 boosters. COVID-19 Vaccine Emergency Use Instructions (EUI) Information and Resources; Pfizer Pediatric COVID-19 Vaccine Trainings (govdelivery.com) Info Sheet: Five Reasons to Vaccinate Your … The Pfizer vaccine can be used for individuals 16 years of age and older and the Moderna vaccine is for individuals 18 years of age and older under an Emergency Use Authorization (EUA). Prepare the PfizerBioNTech COVID-19 vaccine i. Thaw the vaccine vial if frozen for 30 minutes at room temperature or for 4 hours in a refrigerator ii. Got it back completely on Monday. 10/21 SECTION D: ATTESTATION AND CONSENT.. Comirnaty COVID-19 Vaccine (BioNTech - Pfizer; BNT162b2) Description. The Pfizer-BioNTech COVID-19 booster vaccine is recommended six months or later following the primary vaccination series for certain individuals, outlined below. I have had a chance to ask questions that were answered to my satisfaction. VIS Pub Date __10/20/2021_____ Dose 1 2 3 Prior to administration of the vaccine(s) indicated below, a copy of the Emergency Use Agreement Fact Sheet and a Vaccine … Moderna / Pfizer 3rd dose Eligibility (28 days after 2nd dose): For Moderna 18 years of age or older and have a condition or are taking medications or treatments that moderately or severely weakens their immune system, and received either the Pfizer or Moderna vaccine are eligible for a … Got it back completely on Monday. Comirnaty COVID-19 Vaccine (BioNTech - Pfizer; BNT162b2) Description. Pediatric Pfizer for 5-11 Years Old: Pediatric Pfizer COVID-19 vaccines for ages 5-11 are approved by both FDA and CDC. Tuesday clinics are for individuals 12 and older, from 9:00am to 4:00pm at the Flathead County Fairgrounds. A patient fact sheet about what to expect after being given the Comirnaty (Pfizer Australia Pty Ltd) COVID-19 … The vaccine has been known as the Pfizer-BioNTech COVID-19 Vaccine, and will now be marketed as Comirnaty, for the prevention of COVID-19 disease in … Wednesday clinics are limited to individuals aged 5 to 11, from 1:00pm to 4:00pm at the Health Department. Once thawed remove the cap of the Pfizer vaccine and inject 1.3 ml of 0.9% sodium chloride that comes in the ancillary kit of the vaccine I understand the benefits and risks of the COVID-19 vaccine as described in the Emergency Use Authorization (EUA) Fact Sheet (the Janssen Fact Sheet is available after clicking submit), a copy of which I was provided with this Consent Form. The vaccine has been known as the Pfizer-BioNTech COVID-19 Vaccine, and will now be marketed as Comirnaty, for the prevention of COVID-19 disease in … Also find the prescibing information, announcements, resources, and channels to connect with Pfizer Medical Information. with a different authorized COVID-19 vaccine. At this time, … Safety is CDC's top priority. The Fact Sheet provides similar content to vaccine information statements (VISs) for licensed vaccines but differs in that the EUA Fact Sheet is specific to each authorized COVID-19 … Vaccines approved under an … FACT SHEET: Pfizer COVID-19 Vaccine . The Pfizer-BioNTech COVID-19 Vaccine has received EUA from FDA to provide a two-dose primary series to individuals 5 through 11 years of age. The vaccines safely help you build protection from COVID-19. Vaccine will be shipped directly from the manufacturer or distributor to the provider or, in the case of early distribution of the ultra-cold Pfizer vaccine, from IDPH to the LHDs or approved COVID-19 Vaccine Providers, to which the LHD allocates vaccine. In order to have your vaccine administration fee paid for by the United States Health Resources & Services Administration’s COVID-19 Program for Uninsured Patients, please provide either (a) a valid Social Security number, (b) state identification FACT SHEET: Biden ... the Pfizer-BioNTech vaccine for 5-11 year olds will be a dose and formula specifically for this age group. Pfizer Vaccine Doses Changes Per the FDA label change, Pfizer COVID-19 vaccine is now 6 doses per vial. 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