Employment COVID Vaccination Certificate
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Download Employment COVID Vaccination Certificate
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Employment COVID Vaccination Certificate Format
Annexure 1: Employment certificate for the purpose of COVID vaccination
(For FLWs/HCWs aged 18 years to 44 years)
(Ref. D.O. No. 1940407/2020/Imm., Dated, 4th April 2021)
Details of Employee:
1. Category of employee : HCW- Central/State/Private FLW
2. ID type proposed to be used for vaccination : PAN/Passport/Aadhar/Driving License/ Voter ID/NPR Smart Card/
3. ID Card Number : ______________________________
4. Name (as recorded in the selected ID card) : ______________________________
5. Gender : Male/Female/Other
6. Year of birth (as recorded in selected ID card) : ______________________________
Details of the workplace:
1. Name of the Health Facility/ Office : _______________________________
2. Ministry/Department : _______________________________
3. Full address : _______________________________
Pin Code : _______________________________
It is hereby certified that the details given hereinabove are correct as per the employment records of Dr./Shri/Smt. _____________________________.
Signature of Employee
Mobile Number: ________________
Signature of authorized official
Mobile number: ______________
Date of issuing: _______________
Place of issue : _______________
Annexure 2: Eligible HCWs and FLWs as per Operational Guidelines (28/12/2020)
Note: PRI official engaged in COVID-19 containment, surveillance & associated activities, RPF, Polling officials (from Tamil Nadu, Puducherry, West Bengal, Assam & Kerala) and staff on Kumbh Mela Duty have been included in FLW subsequently.
Know About COVID-19:
Coronavirus disease 2019 (COVID-19), also known as the coronavirus, or COVID, is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China, in December 2019. The disease has since spread worldwide, leading to an ongoing pandemic.
Symptoms of COVID-19 are variable, but often include fever, cough, headache, fatigue, breathing difficulties, and loss of smell and taste. Symptoms may begin one to fourteen days after exposure to the virus. At least a third of people who are infected do not develop noticeable symptoms.
Of those people who develop noticeable symptoms enough to be classed as patients, most (81%) develop mild to moderate symptoms (up to mild pneumonia), while 14% develop severe symptoms (dyspnea, hypoxia, or more than 50% lung involvement on imaging), and 5% suffer critical symptoms (respiratory failure, shock, or multiorgan dysfunction).
Older people are at a higher risk of developing severe symptoms. Some people continue to experience a range of effects (long COVID) for months after recovery, and damage to organs has been observed. Multi-year studies are underway to further investigate the long-term effects of the disease.
Transmission of COVID-19 occurs when people are exposed to virus-containing respiratory droplets and airborne particles exhaled by an infected person. Those particles may be inhaled or may reach the mouth, nose, or eyes of a person through touching or direct deposition (i.e. being coughed on).
The risk of infection is highest when people are in close proximity for a long time, but particles can be inhaled over longer distances, particularly indoors in poorly ventilated and crowded spaces. In those conditions small particles can remain suspended in the air for minutes to hours.
Touching a contaminated surface or object may lead to infection although this does not contribute substantially to transmission. People who are infected can transmit the virus to another person up to two days before they themselves show symptoms, as can people who do not experience symptoms. People remain infectious for up to ten days after the onset of symptoms in moderate cases and up to twenty days in severe cases
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