Murdoch University Health
Influenza Vaccine
Influenza (flu) is a highly contagious viral infection that is responsible for major outbreaks of respiratory illness around
the world, usually in the winter months. Unlike the common cold, influenza can cause severe illness and life-threatening
complications such as pneumonia and bronchitis, which often require hospitalisation.
MUH: Medical, are offering the quadrivalent influenza vaccine as recommended by The Australian Technical Advisory
Group on Immunisation(ATAGI). The quadrivalent influenza vaccine contains an additional strain to last year’s vaccine to
give better protection against the disease.
The influenza virus strains included in the 2016 seasonal influenza vaccines are:
 A/California/7/2009 (H1N1)pdm09-like virus – unchanged from 2015

A/Hong Kong/4801/2014 (H3N2)-like virus – changed from 2015

B/Brisbane/60/2008-like virus, Victoria lineage – changed from 2015 in TIV only (this strain was included in
QIV formulations in 2015 and 2016)

(QIV only) B/Phuket/3073/2013-like virus, Yamagata lineage – unchanged from 2015
Symptoms: Flu symptoms tend to develop abruptly one to three days after infection, and can include: tiredness, high
fever, chills, headache, coughing, sneezing, runny noses, poor appetite, and muscle aches. Most people who get the flu
will suffer from mild illness and will recover in less than two weeks. However, some people can develop longer-term
health problems, including pneumonia, bronchitis, chest and sinus infections, heart, blood system or liver complications,
which can lead to hospitalisation and even death.
If I received a flu shot last year, do I still need to get one this year?
Yes. The strains of flu virus can change from year to year. The vaccine may also change to protect against the most
recent flu virus strains. Even if the flu strains do not change, yearly vaccination is still recommended as immunity from
flu vaccination is not long lasting. Immunisation is recommended in early autumn to allow time for immunity to be
strengthened before the flu season starts.
Is it safe for me to get the flu shot if I am pregnant?
Yes. The flu vaccine can be safely given during any stage of pregnancy. Pregnant women are at the increased risk of
severe disease of complications from the flu. Immunising against flu during pregnancy can not only protect women but
provide ongoing protection to a new-born baby for the first six months after birth.
How much does it cost?
This year’s influenza vaccine cost is $25.00. If you are a student or staff member with either Medicare, Alliance or NIB
insurance your consultation fee with our Doctors will be direct billed with no gap fee.
Post vaccination Advice
After having the influenza vaccine you may experience some side-effects. The most common include; redness, swelling,
lump at the site of the injection, fever, muscle aches, and feeling generally unwell for a couple of days. A severe
anaphylaxis response is rare.
Source: http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/immunise-influenza
MUH Publication
Murdoch University Health
Influenza Vaccine
Would I be entitled to a free flu vaccine?
The flu vaccine is recommended for everyone from six months of age, but is available free under the National
Immunisation Program for people who face a high risk from influenza and its complications. These are:

People aged 65 years and over

Aboriginal and Torres Strait people aged six months to less than five years

Aboriginal and Torres Strait Islander people who are aged 15 years and over

Pregnant women

People aged six months and over with medical conditions such as severe asthma, lung or heart disease, low
immunity or diabetes that can lead to complications from influenza.
Influenza Vaccine consent form 2016
1. Do you have a fever today and/or are you feeling unwell?
2. Have you been vaccinated against influenza before?
3. Have you ever experienced any problems after vaccination ie fainting or severe reaction?
______________________________________________________________________
4. Do you have any medical problems e.g. Diabetic, Asthmatic, Heart disease?
______________________________________________________________________
5. Are you pregnant?
6. Have you been previously diagnosed with Guillain-Barre syndrome?
7. Are you currently on any medication?
______________________________________________________________________
8. Do you have any allergies to ingredients contained in flu vaccine such as Formaldehyde or
Octoxinol-9?
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

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Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
I have read and understood this information and I consent to receiving a flu vaccine.
Name ____________________________ ___________________________ dob ______/_______/_______
Signature ____________________________________________
Date __________________
AFTER YOUR VACCINATION YOU WILL BE ASKED TO REMAIN FOR 10 MINUTES IN THE WAITING ROOM PRIOR TO DEPARTING.
Source: http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/immunise-influenza
MUH Publication
Murdoch University Health
Influenza Vaccine
Influenza (flu) is a highly contagious viral infection that is responsible for major outbreaks of respiratory illness around
the world, usually in the winter months. Unlike the common cold, influenza can cause severe illness and life-threatening
complications such as pneumonia and bronchitis, which often require hospitalisation.
MUH: Medical, are offering the quadrivalent influenza vaccine as recommended by The Australian Technical Advisory
Group on Immunisation(ATAGI). The quadrivalent influenza vaccine contains an additional strain to last year’s vaccine to
give better protection against the disease.
The influenza virus strains included in the 2016 seasonal influenza vaccines are:
 A/California/7/2009 (H1N1)pdm09-like virus – unchanged from 2015

A/Hong Kong/4801/2014 (H3N2)-like virus – changed from 2015

B/Brisbane/60/2008-like virus, Victoria lineage – changed from 2015 in TIV only (this strain was included in
QIV formulations in 2015 and 2016)

(QIV only) B/Phuket/3073/2013-like virus, Yamagata lineage – unchanged from 2015
Symptoms: Flu symptoms tend to develop abruptly one to three days after infection, and can include: tiredness, high
fever, chills, headache, coughing, sneezing, runny noses, poor appetite, and muscle aches. Most people who get the flu
will suffer from mild illness and will recover in less than two weeks. However, some people can develop longer-term
health problems, including pneumonia, bronchitis, chest and sinus infections, heart, blood system or liver complications,
which can lead to hospitalisation and even death.
If I received a flu shot last year, do I still need to get one this year?
Yes. The strains of flu virus can change from year to year. The vaccine may also change to protect against the most
recent flu virus strains. Even if the flu strains do not change, yearly vaccination is still recommended as immunity from
flu vaccination is not long lasting. Immunisation is recommended in early autumn to allow time for immunity to be
strengthened before the flu season starts.
Is it safe for me to get the flu shot if I am pregnant?
Yes. The flu vaccine can be safely given during any stage of pregnancy. Pregnant women are at the increased risk of
severe disease of complications from the flu. Immunising against flu during pregnancy can not only protect women but
provide ongoing protection to a new-born baby for the first six months after birth.
How much does it cost?
This year’s influenza vaccine cost is $25.00. If you are a student or staff member with either Medicare, Alliance or NIB
insurance your consultation fee with our Doctors will be direct billed with no gap fee for flu vaccine consult only.
Post vaccination Advice
After having the influenza vaccine you may experience some side-effects. The most common include; redness, swelling,
lump at the site of the injection, fever, muscle aches, and feeling generally unwell for a couple of days. A severe
anaphylaxis response is rare.
Source: http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/immunise-influenza
MUH Publication
Murdoch University Health
Influenza Vaccine
Would I be entitled to a free flu vaccine?
The flu vaccine is recommended for everyone from six months of age, but is available free under the National
Immunisation Program for people who face a high risk from influenza and its complications. These are:

People aged 65 years and over

Aboriginal and Torres Strait people aged six months to less than five years

Aboriginal and Torres Strait Islander people who are aged 15 years and over

Pregnant women

People aged six months and over with medical conditions such as severe asthma, lung or heart disease, low
immunity or diabetes that can lead to complications from influenza.
Influenza Vaccine consent form 2016
1. Do you have a fever today and/or are you feeling unwell?
2. Have you been vaccinated against influenza before?
3. Have you ever experienced any problems after vaccination ie fainting or severe reaction?
______________________________________________________________________
4. Do you have any medical problems e.g. Diabetic, Asthmatic, Heart disease?
______________________________________________________________________
5. Are you pregnant?
6. Have you been previously diagnosed with Guillain-Barre syndrome?
7. Are you currently on any medication?
______________________________________________________________________
8. Do you have any allergies to ingredients contained in flu vaccine such as Formaldehyde or
Octoxinol-9?
















Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
I have read and understood this information and I consent to receiving a flu vaccine.
Name ____________________________ ___________________________ dob ______/_______/_______
Signature ____________________________________________
Date __________________
AFTER YOUR VACCINATION YOU WILL BE ASKED TO REMAIN FOR 10 MINUTES IN THE WAITING ROOM PRIOR TO DEPARTING.
Source: http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/immunise-influenza
MUH Publication