Student Registration for the H1N1 Vaccination (PITTSBURGH CAMPUS)

Please complete the required fields below and click Submit to register for the H1N1 vaccination.

First Name:
Last Name:
This is the 15-character identifier which can be found on the front of your Pitt ID just beneath your name. Pitt ID Number: 2P
Please enter a telephone number where you can be reached if University personnel need to contact you. Telephone:	( ) -
Please enter your official University of Pittsburgh email address in the format username@pitt.edu. Email:

H1N1 Vaccination Clinic Schedule

NOW VACCINATING PITT STUDENTS WITH REGISTRATION NUMBERS BETWEEN

000001 and 00800

The current supply of H1N1 vaccine in the INJECTABLE FORM will be administered at:

Student Health Services
Tuesday, November 24, 2009
From 8:30 a.m.  to 11:00 a.m.

To register for the H1N1 vaccination, students must submit the form to the left.

Registered students must bring a valid Pitt ID and are encouraged to bring a printed copy of their registration email for H1N1 vaccination that is numbered from 00001 through 00800.

The H1N1 vaccination is free to Pitt students, and at this time, the vaccination is only available to those students who are registered.

It is important to note that the nasal spray flu vaccine is only for healthy persons 2 to 49 years of age who are not pregnant. If you are pregnant or have a chronic medical condition, such as asthma or heart disease, or are immunosuppressed for any reason, you should not take the nasal spray vaccine but should wait for the arrival of the injectable vaccine. If you are waiting for the injectable H1N1 vaccination, please register now and you will be notified when it is available.

Call the Flu Hotline 412-624-2222 with questions about the vaccine or the H1N1 flu. You can read more about the nasal spray form of H1N1 vaccine and possible side effects at:

http://www.cdc.gov/h1n1flu/vaccination/nasalspray_qa.htm