Hawaii Hepatitis A “Shot Class” Questionnaire
If you received a Hepatitis A Vaccination after eating at Genki Sushi or any of the other restaurants/airlines implicated in the recent Hepatitis A outbreak, please complete this questionnaire so that we can evaluate your claim. It is important that you read and answer each question carefully. Do not answer a question if you do not know the answer.
A SEPARATE QUESTIONNAIRE MUST BE COMPLETED FOR EACH PERSON MAKING A CLAIM.
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