Flu Shot Decline Letter: 8 Template

You must inform in a polite way for refusing to take the flu shot. With this letter template, you can influence the company’s administration with logical reasons for not taking the flu shot.

You must express your illness or any medication which is actually stopping you to receive the vaccination.

You must convince in simple sentences how the medication or illness may affect your vaccination. You need to raise concern for yourself regarding this issue.

Template: 1

 [ Insert the Sender’s Address]

———- [ Address Line1] ———–

———- [ Address Line 2] ————

[ Insert the Date of sending the letter]

[ Insert the Receiver’s Name]

[ Insert the Receiver’s Address]

———- [ Address Line1] ———–

———- [ Address Line 2] ————

Dear Mr./ Mrs./ Ms. [ Insert the name of whomsoever it is concerned to]

SUB: [ Insert the subject concerned to the letter]

Greetings of the day!

The company had recently circulated notice regarding the injecting of the influenza vaccine.

This was to inform you that I understand that the vaccination is being considered for my well-being and that, through the circular, I have received, read, and understood all the benefits and risks that are involved with this vaccine.

This letter was to inform you that, I am a patient who is suffering from [ insert the name of the concerned illness], taking a shot for influenza, could bring adverse effects on my treatment, which is my current priority.

Thus, with all of this into consideration, I have come to a decision that I would wish to decline the influenza vaccination this time due to the above-stated concerns.

I anticipate to the hope that you would understand the gravity my situation and exempt me from the vaccination this time

Thank You.

Sincere Regards,

[ Insert the Full Name of the Sender]

[ Insert the Designation], [ Insert the Name of the Organization]

[ Insert the Contact Details]

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flu shot decline letter

Template: 2

[Insert the Sender’s Address]

[Mention sender’s address]

[Insert the Date of sending the letter]

[Insert the Receiver’s Name]

[Insert the Receiver’s Address]

Dear Mr. / Mrs. / Ms. [Insert the name of the recipient]

Sub: Declining the Scheduled Flu Shot

Thank you so much for giving me the opportunity to get this vaccine. But unfortunately, I will not be accepting this vaccine. 

The Covid-19 virus has become a major scourge for less developed countries and developed countries. In our country too, its horror is making people mentally and physically ill day by day.

The only way to escape this terror is vaccination, And our government is encouraging us every day to get vaccinated. 

But last week one of my relatives took the first shot of your vaccine Everything was fine for 2-3 days, and we were also inspired to get vaccinated. Suddenly one day we hear that (he/she) has a high fever, and we think that maybe it is a side effect of the vaccine.

(He/she) had to be hospitalized immediately, and we were shocked to hear of (his/her) death the next day. (He/she) was a very healthy person and no illness was noticed until (he/she) gets vaccinated. 

As a result, we have lost all hope of getting our vaccine and we are afraid that something like this could happen to us.

Once again I would like to express my gratitude to make me feel worthy of it and regrets that it didn’t work out. I would be very happy if you give my vaccine to someone else who is in need of it. 

Thank You.

Sincere Regards,

[Insert the Full Name of the Sender]

[Insert the Designation], [Insert the Name of the Organization]

[Insert the Contact Details]

flu shot decline letter

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Template: 3

[Insert the Sender’s Address]

[Mention sender’s address]

[Insert the Date of sending the letter]

[Insert the Receiver’s Name]

[Insert the Receiver’s Address]

Dear Mr. / Mrs. / Ms. [Insert the name of the recipient]

Sub: Declining the Scheduled Flu Shot

I am writing this letter to inform you that after considerable thought, I have decided not to give my child the polio vaccine.  

When polio was discovered, it had a devastating effect on our country. The polio vaccine brings us a beacon of hope. Since then the government is constantly campaigning against polio, and we know it’s being done for our good. 

But I don’t think there is much need for the polio vaccine these days. Since the effects of polio are no more in our country. And our baby is very weak from birth. There is a lot of medicine that doesn’t suit my baby. Because (she/he) has allergies to many foods, doctors have made many restrictions on (his/her) diet.

I know you will understand my state of mind and accept this declination letter.

Thank you in anticipation.

Sincere Regards,

[Insert the Full Name of the Sender]

[Insert the Designation], [Insert the Name of the Organization]

[Insert the Contact Details]

flu shot decline letter

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Template: 4

Dear (Name of the person),

I have considered your request thoroughly and came to the decision that I could not allow you to have this flu vaccination because you are healthy now and you don’t have to get this vaccination right now.

I want you to understand the things deeply that might cause any side effects if you take this vaccination after having a healthy body. I am so happy to inform you that you are fit now and there is no need to give you any vaccination. 

I am delighted to know that you have taken my advice seriously and taken all the necessary precautions for your good health. The addition of nutritious products in your meals helps you to boost your immune system.

We have already gone through your full body checkup and there is no need at all to take any shots. I hope that you will continue to have this routine in your life. You should be careful regarding your eating habits and also do some exercise regularly.

Being a doctor, the easiest way is to give vaccination but I don’t prefer the easy paths. I want that my patients should always have the best immune system and should never opt for any medicines or supportive things for their livelihood. You can contact me anytime in case of an emergency. 

Regards,

XYZ

flu shot decline letter

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Template: 4

Letter to Decline flu shot due to severe allergy

Dear (Name of the person),

I just want to let you know that I can not allow you to take flu vaccination because you have had a severe allergy to previous versions of the vaccine itself. It is not safe for you to take any more vaccination.

Somebody rarely suffers from allergies after getting them. But if you already had an allergy then you shout be keep yourself away from it and don’t go for it again. Because it might happen then again it leaves some side effects on you.

The best way to be fit and fine is to take a properly balanced diet. If you want to live a happy life then you must change your lifestyle a little bit and then everything will start to get in its place.

Our daily routine plays the most important role in keeping our bodies healthy. So, I must insist on adopting a healthy lifestyle despite going for vaccination. Vaccination only supports your body temporarily and once the effect of the dose is completed then again you have to take it after a few months.

I hope that you will now understand what is good for you and what is not. You should be a little careful regarding your health and also should not prefer to have a vaccination that already had side effects on you. 

Regards,

XYZ

flu shot decline letter

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Template: 5

Letter to Decline flu shot due to unavailability

Dear (Name of the person),

I write this letter to inform you that I can’t accept your flu shot request urgently because of the shortage of vaccination. In the last week, I have had a lot of patients to whom we have to give this vaccination, and not we are going with its shortage in our hospital. I am sorry that I can not provide this vaccination immediately. So, I recommend any other hospital to you where you can get this. 

I am sorry that we can not reach your expectations of providing you with this vaccination. It is highly demanded nowadays and we are going short of it every week.

It is also difficult to maintain its stock because the influenza virus changes rapidly and the new versions of the vaccines develop twice a year. So, it is also of no need to have it in high stock because we have to change it regularly.

As the WHO recommends yearly vaccination for people over the age of six months, so it is always difficult to check on its availability. I hope that you understand our problems regarding this vaccine and being a doctor it is so shameful act for us to say ‘no’ to our patients for giving a vaccination.

I hope that you will never mind visiting another hospital for this vaccination. I promise you that I will give my reference for giving you this vaccine. Thanks for being patient and humble. 

Regards,

XYZ

flu shot decline letter

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Template: 6

Letter to Decline flu shot due to side effects

Dear (Name of the person),

I would like to inform you on a prior basis that I am not in the favor of flu shots to you because it has several side effects. Not every vaccine is good for our health. Every vaccine has different reactions to different bodies.

You are already weak so I never suggest you have this vaccine as it will bring fever and body ache with it.

It is my high recommendation to you that you should not go for it and I can not give you the flu shot.

I hope you will not come to me regarding this vaccination as it is not good for you. You neither take a properly balanced diet nor you are strong enough to face its side effects. In case anything happened to you, only we doctors are responsible for it.

I don’t want to take any risk either with my medical certificate or to your health. It is always so difficult for us to take such decisions for people’s health. 

If you still want to have it after knowing that it might bring several side effects to your body then you are free to consult any other doctor and leave my prescriptions and medications behind.

I am sorry that I can’t allow you to take it under my supervision or even I can not ask any of my staff members to give it to you.

I hope that you will consider my request and keep your health on priority. Hoping for a positive response from your side.

Regards,

XYZ

flu shot decline letter

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Template: 7

Letter to Decline the flu shot due to pregnancy

Dear (Name of the person),

This is to inform you that we can not allow you to get the vaccination for flu in the case of pregnancy because it may be harmful to the baby’s health as this is not a normal pregnancy case but you have a cyst in your uterus so I would never advise you to have this vaccination at this time.

We never know sometimes things may happen wrong and we should never take a risk in such situations.

I must tell you that you can have this vaccination after getting your baby delivered. You just have to wait for a few weeks and then everything will be fine.

Once you will get your baby out, then we will take out that cyst at the same time and then the chances of risk will reduce to zero percent. There is no harm to wait for a few weeks when there will be no risk. I am a doctor and I also care for you.

I hope that you will understand and will choose to wait for some time. I have made this decision for the sake of your health and safety. Being a doctor I will never give you any wrong advice and I very well know how these medications work.

That is why I have declined your request for the flu shot. In case of any mishappening, I will regret it more than you do. 

Hoping for patience and cooperation from your side.

Regards,

XYZ

flu shot decline letter

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