Vaccine Information Statement

Vaccine Information Statement

A Vaccine Information Statement, or VIS, is a document produced by the Centers for Disease Control and Prevention (CDC) that informs vaccine recipients – or their parents or legal representatives – about the benefits and risks of a vaccine they are receiving.

In addition to information about the vaccine’s risks and benefits, VISs contain information that may be useful later (e.g., information about what to do in the case of an adverse reaction, and where to find additional information about the disease or vaccine).


Current VISs for vaccinations offered by Northwest Pharmacy


  • Influenza (Seasonal Flu)

Influenza – Inactivated (8/7/15)

  • Pneumonia 

Pneumococcal Conjugate (PCV13) (11/5/15)

Pneumococcal Polysaccharide (PPSV23) (4/24/15)

  • Tetanus, Diphtheria and Pertussis (Tdap)

Tdap (Tetanus, Diphtheria, Pertussis) (2/24/15)

  • Shingles

Zoster / Shingles (Recombinant) (2/12/18)

  • Hepatitis A & B

Hepatitis A (7/20/16)

Hepatitis B (10/12/18)

  • Polio

Polio (7/20/16)

  • Chicken Pox

Varicella (Chickenpox) (2/12/18)

  • Meningococcal

Serogroup B Meningococcal (MenB) (8/9/16)

  • Measles, Mumps and Rubella (MMR)

Measles/Mumps/Rubella (MMR) (2/12/18)


  • Rabies

Rabies (10/06/09)

  • Typhoid

Typhoid (5/29/12)


You can view these VISs and more by visiting the CDC website or contacting them by phone at 1-800-232-4636 (1-800-CDC-INFO)

In addition, you can also visit the Immunization Action Coalition to view their Vaccine Information Statements (VISs) which have detailed information about recommended vaccines.


alertA Note from Northwest Pharmacy

Prior to vaccines being administered, we require you to complete our Vaccination Consent Form. You can fill this form out at the pharmacy or, to save time, you can print the form, fill it out at home and bring it in with you.

If you choose to download and sign our Vaccination Consent Form – you agree to review the current Vaccine Information Statement (VIS) for the intended vaccine and understand the benefits/risk of intended vaccine before signing. Our pharmacists will gladly answer any questions you have when you come in for your vaccination.

View Current VISs for vaccines offered by Northwest Pharmacy HERE

Get our Vaccination Consent Form HERE  (You will need Adobe Acrobat Reader to view this form. The program is free and can be downloaded at