Immunization & Childhood Disease Record
as of September 16, 2009
|
Recommended |
@Age |
Done |
Date:Age/Location |
| DTP #1 Oral Polio#1 HIB #1 |
2 Mos | DTP #1 Oral Polio #1 HIB #1 |
10/22/91: 2 Mos 2 Days Mason Clinic |
| DTP #2 Oral Polio #2 HIB #2 |
4 Mos | DTP #2 Oral Polio #2 HIB #2 |
12/16/91: 4 Mos 4 Days Mason Clinic |
| DTP #3 HIB #3 |
6 Mos | DTP #3 HIB #3 |
2/27/92: 6 Mos 7 Days Mason Clinic |
| TB Test | 12 Mos | TB Test: Negative | 10/92: 14 Mos Winslow Clinic |
| MMR HIB #4 |
15 Mos | MMR HIB #4 |
11/8/92: 14½ Mos Mason Clinic |
| DTP #4 Oral Polio #3 |
18 Mos | DTP #4 Oral Polio #3 |
3/23/93: 19 Mos Mason Clinic |
| Hepatitis B #1 | Hepatitis B #1 | 6/10/94: 2 Yrs 10 Mos Winslow Clinic |
|
| Hepatitis B #2 | +1 Mo after #1 |
Hepatitis B #2 | 7/11/94: 2 Yrs 11 Mos Winslow Clinic |
| Hepatitis B #3 | +6 Mo after #2 |
Hepatitis B #3 | 12/13/94: 3 Yrs 4 Mos Winslow Clinic |
| Chicken Pox | 2/12-2/19/95: 3½ Yrs | ||
| DTP #5 Oral Polio #4 |
4-6 Yrs | DTP #5 Oral Polio #4 |
7/19/96: 4 Yrs 11 Mos Mason Clinic/Winslow |
| Optional | Hepatitis A #1 | 3/10/99: 7 Yrs 7 Mos Medalia Clinic/Northgate |
|
| Optional | Hepatitis A #2 | 12/11/99: 8 Yrs 4 Mos Healthsouth/Aurora |
|
| MMR #2 | 10-12 Yrs | MMR #2 | 2/1/02: 10 Yrs 5 Mos Mason Clinic |
| Tdap | 14-16 Yrs | TDAP | 12/19/08: 17 Yrs 4 Mos Mason Clinic/Winslow |
| MCV4 | 14-16 Yrs | MCV4 | 9/16/09: 18 Yrs 1 Mo Mason Clinic/Winslow |