VACCINATION QUESTIONNAIRE
 
Please mail to : S.T.A.R.* Ferrets, c/o Pam Grant, PO Box 1714, Springfield,
VA 22151-0714
 
 
Due to the recent controversy concerning canine distemper vaccines, their
uses and their results, S.T.A.R.* Ferrets has decided to rerelease the
following survey.  We are interested in finding out which vaccines are being
used for ferrets, how they are being administered, by whom, and the results.
If you vaccinate your own animals and wish to remain anonymous, please just
fill in the city and state where you live.  If you or your veterinarian have
any more information to provide, please feel free to write details.
 
1.   What vaccine are you using to protect ferrets against canine distemper?
     FERVAC - D  GALAXY -D   OTHER: ___________________________
 
2.   Who is administering the shot? SELF  VET  OTHER: _______________
 
3.   Where is the ferret being injected?
     NECK AREA  SHOULDER AREA  HIP AREA  RUMP AREA
     ARM AREA  LEG AREA  OTHER: ___________________________
 
4.   Is the vaccine warmed to room temperature before being injected?  YES NO
 
5.   What gage needle is being used?  22 25   OTHER: ________
 
6.   What length needle is being used? 3/4" 1"  OTHER: ________
 
7.   Are you using the sterile solution which is packaged with the vaccine?
     YES NO
 
8.   Have you ever used any other canine distemper vaccine?   YES NO
 If so, which one(s):  FERVAC-D    GALAXY-D    OTHER: ________________
 
9.    Are you having any reactions with your present canine distemper
      vaccine? YES NO
 
10.   Have you had any reactions with your past canine distemper vaccine?
      YES NO
 
11.   Please list any reactions & % below:
      PRESENT VACCINE     _PAST VACCINE__
   a.  no reactions
      __________________ _________________
   b.  stings ferret while injecting vaccine
      __________________ _________________
   c.  ferret screams while injecting vaccine
      __________________ _________________
   d.  ferret becomes lethargic after vaccination
      __________________ _________________
   e.  vomiting occurs after vaccination
      __________________ _________________
   f.  seizures occur after vaccination
      __________________ _________________
   g.  other problems:
      __________________ _________________
   h.  lot number & date on the vaccines:
      __________________ _________________
   i.  was this shot given in conjuction w/rabies:
      __________________ _________________
   j.  month/year of vaccination(s):
      __________________ _________________
   k.  how many vaccines have you used/year:
      __________________ _________________
 
Name: ___________________________________
City: __________________ State: _______
Signature: ______________________________________
Date: _________________________
[Posted in FML issue 1249]