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Text File  |  1993-06-25  |  2KB  |  47 lines
  1. $Unique_ID{PAR00270}
  2. $Font{NP}
  3. $Pretitle{}
  4. $Title{Information Charts:  Immunization Record}
  5. $Subtitle{}
  6. $Author{
  7. Lansky, Vicki}
  8. $Subject{Information Charts IMMUNIZATION RECORD}
  9. $Log{}
  10.  
  11. Complete Pregnancy and Baby Book
  12.  
  13.  
  14. Information Charts:
  15.  
  16. IMMUNIZATION RECORD
  17.  
  18. Type                Initial             Booster             Remarks
  19. -----------------------------------------------------------------------------
  20. DPT*               |                   |                   |
  21.                    |                   |                   |
  22.                    |                   |                   |
  23. ___________________|___________________|___________________|_________________
  24. DT**               |                   |                   |
  25. ___________________|___________________|___________________|_________________
  26. Oral Polio         |                   |                   |
  27. ___________________|___________________|___________________|_________________
  28. Measles***         |                   |                   |
  29. ___________________|___________________|___________________|_________________
  30. Rubella***         |                   |                   |
  31. ___________________|___________________|___________________|_________________
  32. Mumps***           |                   |                   |
  33. ___________________|___________________|___________________|_________________
  34. Smallpox^          |                   |                   |
  35. ___________________|___________________|___________________|_________________
  36. Other              |                   |                   |
  37. ___________________|___________________|___________________|_________________
  38. Tuberculin Test^^  |                   |                   |
  39. ___________________|___________________|___________________|_________________
  40.  
  41.    * Diphtheria, Pertussis (Whooping Cough), Tetanus (Lockjaw)--combined
  42.      inoculation given in three initial doses spaced one to two months apart.
  43.   ** Diphtheria and Tetanus--combined inoculation given after age six.
  44.  *** Measles, Mumps, and Rubella--sometimes a combined inoculation (MMR).
  45.    ^ A nonroutine inoculation given at the doctor's option.
  46.   ^^ Not an inoculation but a test for the presence of tuberculosis.
  47.