$Unique_ID{PAR00270}
$Font{NP}
$Pretitle{}
$Title{Information Charts:  Immunization Record}
$Subtitle{}
$Author{
Lansky, Vicki}
$Subject{Information Charts IMMUNIZATION RECORD}
$Log{}

Complete Pregnancy and Baby Book


Information Charts:

IMMUNIZATION RECORD

Type                Initial             Booster             Remarks
-----------------------------------------------------------------------------
DPT*               |                   |                   |
                   |                   |                   |
                   |                   |                   |
___________________|___________________|___________________|_________________
DT**               |                   |                   |
___________________|___________________|___________________|_________________
Oral Polio         |                   |                   |
___________________|___________________|___________________|_________________
Measles***         |                   |                   |
___________________|___________________|___________________|_________________
Rubella***         |                   |                   |
___________________|___________________|___________________|_________________
Mumps***           |                   |                   |
___________________|___________________|___________________|_________________
Smallpox^          |                   |                   |
___________________|___________________|___________________|_________________
Other              |                   |                   |
___________________|___________________|___________________|_________________
Tuberculin Test^^  |                   |                   |
___________________|___________________|___________________|_________________

   * Diphtheria, Pertussis (Whooping Cough), Tetanus (Lockjaw)--combined
     inoculation given in three initial doses spaced one to two months apart.
  ** Diphtheria and Tetanus--combined inoculation given after age six.
 *** Measles, Mumps, and Rubella--sometimes a combined inoculation (MMR).
   ^ A nonroutine inoculation given at the doctor's option.
  ^^ Not an inoculation but a test for the presence of tuberculosis.