French Bulldogs d'Assisi

Vaccine Reaction Survey

Has your French Bulldog had an adverse reaction to a vaccine? If so, please take a minute to fill out the form. I will try to report my findings as information becomes available. Sincerely, Lori Hunt, DVM

Name
Email Address
Age/Sex/Color of Frenchie
Had your frenchie recieved this vaccine before? If so, how long before?
Any history of previous reaction? Any family history?
Brand of vaccine?
Was this vaccine given at a vet's office? Or by a lay person? If by a lay person, where was the vaccine obtained?
What was the exact vaccine(s) given on this day?
Treatment administered for reaction?
Describe the exact reaction?
How long after the vaccine did it occur?
Your location?
Any other pertinent info?
How many other animals have you vaccinated in the past without issue?
Please answer yes or no. You understand that any information given here will be kept confidential and be used only to compile statistics and information to help the french bulldog breed. This will not be used for any other purpose, including any legal action.
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French Bulldogs d'Assisi

Quality not Quantity!

Vaccine Reaction Survey