I understand that taking the COVID-19 vaccine that I have selected is completely voluntary.

I understand that the vaccine has been authorized for Emergency Use only by the World Health Organization and endorsed by Africa Regulatory Taskforce (a joint effort established by the Africa CDC, AUDA-NEPAD coordinated African Medicines Regulatory Harmonization Initiative, and the WHO African Vaccine Regulatory Forum).

I understand that if I develop any unusual symptoms or side effects, I should report immediately to the health care facility nearest to me for assistance or the AU Clinic.

I understand and consent that the African Union bears no liability outside that related to my contract for any untoward effects that I might experience as a result of having received this vaccine.