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Author Notes:

Corresponding author at: P.M. Frew; Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, 1760 Haygood Drive, Suite W327, Atlanta, GA 30322, United States, pfrew@emory.edu.

Acknowledgments: We would like to acknowledge the study review by the Westat, FHI360, and Emory University IRBs and the poll participants for their involvement in the study.

We would also like to thank our editor and anonymous reviewers for insightful comments during the review process.

Disclosures: The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

The authors report no conflicts of interest.


Research Funding:

This research was supported in part by an appointment to the Research Participation Program at the Centers for Disease Control and Prevention administered by the Oak Ridge Institute for Science and Education through an interagency agreement between the U.S. Department of Energy and CDC (Chung and Schamel).


  • Science & Technology
  • Life Sciences & Biomedicine
  • Immunology
  • Medicine, Research & Experimental
  • Research & Experimental Medicine
  • Vaccine confidence
  • Vaccine acceptability
  • Vaccine delay
  • Vaccine hesitancy
  • Vaccine refusal
  • Vaccine information statement
  • Children
  • Pediatric populations
  • Parents

Parental experiences with vaccine information statements: Implications for timing, delivery, and parent-provider immunization communication


Journal Title:



Volume 34, Number 48


, Pages 5840-5844

Type of Work:

Article | Post-print: After Peer Review


Objective We examined Vaccine Information Statements (VIS) dissemination practices and parental use and perceptions. Methods We conducted a national online panel survey of 2603 US parents of children aged <7. Primary outcomes included reported VIS receipt, delivery timing, reading experiences, and perceived utility. Results Most parents received a VIS (77.2%; [95% CI: 74.5–79.7%]), 59.7% [56.6–62.7%] before vaccination but 14.5% [12.5–16.8%] reported receiving it after their child's immunization; 15.1% [13.0–17.6%] were unsure of receipt status or timing; another 10.7% [9.0–12.6%] reported non-receipt of a VIS. Less than half who received a VIS before vaccination completed it before vaccination (46.2% [42.4, 50.0%]), but most who read at least some found the information useful (95.7% [93.8–97.0%]). Parents who delayed or refused at least one recommended non-influenza vaccine reported fewer opportunities to ask providers VIS questions. Conclusions Most parents report receiving VIS before vaccination as per federal guidelines. Continued effort is needed to enhance VIS distribution practice and parent-provider VIS content communication.

Copyright information:

© 2016 Elsevier Ltd

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Creative Commons License

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