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  • COVID-19 Vaccination Record Card: Vaccine Product Name/Manufacturer Date Healthcare Professional or Clinic Site

    Uploaded by

    ELIZABETH CAMPO ALMAZO
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    Original Title

    COVID

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    22 views1 page

    COVID-19 Vaccination Record Card: Vaccine Product Name/Manufacturer Date Healthcare Professional or Clinic Site

    Uploaded by

    ELIZABETH CAMPO ALMAZO

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    COVID-19 Vaccination Record Card

    Please keep this record card. Which includes medical information

    about the vaccines you have received.

    Por favor, guarde esta tarjeta de registro, que incluye información

    médica sobre las vacunas que ha recibido.

    Last Name First Name MI

    Date of birth Patient number (medical record or ISS record number)

    Vaccine Product Name/Manufacturer Healthcare Professional


    Date
    or Clinic Site
    1st Dose
    COVID-19
    mm dd yy

    2nd Dose
    COVID-19
    mm dd yy

    Other
    mm dd yy

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