West Virginia Code § 16-3B-2

Information supplied to individuals' parents prior to administration of
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pertussis vaccine.
(a) Prior to the administration of pertussis vaccine, the health care provider shall provide to
the individual's parent or guardian written information satisfying the requirements of this
section, and by appropriate inquiries attempt to elicit the information necessary to make the
determinations required by this section: e
(1) The frequency, severity and potential long-term effects of pertussis;
(2) Possible adverse reactions to pertussis vaccine which, if theyu occur, should be brought to
the immediate attention of the health care provider;
(3) A form listing symptoms to be monitored and containing places where information can be
recorded to assist in reporting to the health care proviader, health officer and the
department;
(4) Measures parents should take to reduce the risk of, or to respond to, any adverse
reaction;
(5) Early warning signs or symptoms to which parents should be alert as possible precursors
to an adverse reaction;
(6) When and to whom parents should report any adverse reaction; and
(7) The information requLired under section four of this article.

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