Influenza Form

Please download, print and fill out the Influenza Var prior to attending a LaMoure County Public Health Flu Vaccine Clinic. 

This form has been updated for 2023. Thanks!

Any Questions, please call:  701.883.5356

Influenza 2023 Form

Vaccine Information Statement - Influenza (Flu)

Influenza vaccine can prevent influenza (flu) -

Flu is a contagious disease that spreads around the United States every year, usually between October and May. Anyone can get the flu, but it is more dangerous for some people. Infants and young children, people 65 years and older, pregnant people, and people with certain health conditions or a weakened immune system are at greatest risk of flu complications.

Pneumonia, bronchitis, sinus infections, and ear infections are examples of flu-related complications. If you have a medical condition, such as heart disease, cancer, or diabetes, flu can make it worse.

Flu can cause fever and chills, sore throat, muscle aches, fatigue, cough, headache, and runny or stuffy nose. Some people may have vomiting and diarrhea, though this is more common in children than adults.

In an average year, thousands of people in the United States die from flu, and many more are hospitalized. Flu vaccine prevents millions of illnesses and flu-related visits to the doctor each year.