Immunization Module
| Questions and Risk Factors |
2001 |
2002 |
2003 |
2004 |
2005 |
2006 |
| Q1: During the past 12 months, have you had a flu shot? | ||||||
| Q2: During the past 12 months, have you had a flu vaccine that was sprayed in you nose? |
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| Q3: Have you ever had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine | ||||||
| Q4: At what kind of place did you get you last flu shot? |
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| Q5: Have you ever received the hepatitis B vaccine? The hepatitis B vaccine is completed after the third shot is given. |
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| Q6:
Tell me if any of these statements are true for you:
-You have hemophilia and have received clotting factor concentrate -You are a man who has had sex with other men, even just one time -You have taken street drugs by needle, even just one time -You traded sex for money or drugs, even just one time -You have tested positive for HIV -You have had sex, even just one time, with someone who would answer “yes” to any of these statements -You had more than two sex partners in the past year |
2006-Q6 | |||||
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| R1: At risk for no flu shot in past 12 months: Persons ages 65+ who report not flu shot in the past 12 months |
2006-R1 |
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| R2: At risk of never having pneumococcal vaccine: Persons ages 65 and older who report never have a pneumococcal vaccination |

