Table 1 Comparison of specific questions listed in Walgreens and Costco vaccination informed consents

1

question on vaccination in past 4 weeks

Walgreens; Costco

2

question on blood transfusion in past year

Walgreens; Costco

3

question whether allergic to vaccine

Walgreens; Costco

4

question on asthma or wheezing history

Walgreens; Costco

5

question on leukemia

Walgreens; Costco

6

question whether allergic to medication

Walgreens; Costco

7

seizure disorder question

Walgreens; Costco

8

question on cancer

Walgreens; Costco

9

question whether allergic to egg

Walgreens; Costco

10

X-ray treatment question

Walgreens; Costco

11

question whether allergic to latex

Walgreens; Costco

12

question on woman pregnancy

Walgreens; Costco

13

question whether currently sick

Costco

14

question on long-term heart disease

Costco

15

cortisone treatment question

Costco

16

immunocompromisation question

Costco

17

question whether allergic to food

Costco

18

question on reaction after immunization

Costco

19

question on whether fainted or felt dizzy after immunization

Walgreens

20

question on TB skin test in past 4 weeks

Walgreens

21

question whether currently sick with a moderate to high fever, vomiting/diarrhea

Walgreens

22

question on serious nasal condition

Walgreens

23

question on high-dose steroid therapy for longer than 2 weeks

Walgreens

24

question on thymus disease

Walgreens

25

question on current aspirin therapy

Walgreens

26

question on current antibiotics usage

Walgreens

27

question on history of thrombocytopenia or thrombocytopenic purpura

Walgreens

28

question on CSF leak

Walgreens

29

question on asplenia

Walgreens

30

question on azathioprine or 6-mercaptopurine usage

Walgreens

31

question on cochlear implant

Walgreens

32

question on high-dose methotrexate usage

Walgreens

33

question on home infusion

Walgreens

34

question on weekly injection

Walgreens

35

question on weekly injection of adalmumab

Walgreens

36

question on weekly injection of etanercept

Walgreens

37

question on weekly injection of infliximab

Walgreens

38

question whether recieving aspirin-containing therapy

Walgreens

39

question on current anti-malarial medication

Walgreens