Immunisation history statement

As at: 01 March 2020

For: BLAKE P NEALE
Date of birth: 28 October 2008
Immunisation status: up to date

Date given Immunisation Brand name given

23 Dec 2008 Diphtheria Tetanus Pertussis Hib Hepatitis B Polio Infanrix Hexa
Pneumococcal Prevenar 7
Rotavirus Rotarix

25 Feb 2009 Diphtheria Tetanus Pertussis Hib Hepatitis B Polio Infanrix Hexa
Pneumococcal Prevenar 7
Rotavirus Rotarix

04 May 2009 Diphtheria Tetanus Pertussis Hib Hepatitis B Polio Infanrix Hexa
Pneumococcal Prevenar 7

05 Nov 2009 Hib Hiberix

Meningococcal C Meningitec
Measles Mumps Rubella Priorix

11 May 2010 Varicella Varilrix

07 Dec 2012 Diphtheria Tetanus Pertussis Polio Infanrix IPV

Measles Mumps Rubella Priorix

Next immunisation/s due Date due

Human Papillomavirus 28 Oct 2022
Notice/s

Page 1 of 2
The Australian Immunisation Register records immunisations given to people of all ages in Australia.
Immunisations given before 1 January 1996 are not displayed on the statement.

Every effort is made to ensure that the information contained on the Australian Immunisation Register is
correct. The data is based on information provided by vaccination providers and the accuracy of data is
dependent on the quality and timeliness of information provided.

If an immunisation is missing from this statement and was given more than one month ago, your
vaccination provider will need to send the missing information to the Australian Immunisation Register. If
any of the immunisation details shown on the statement are not correct, please ask your vaccination
provider to provide the correct details by calling us on 1800 653 809 (call charges may apply).

If you have any questions about this statement, please call the Australian Immunisation Register on the
number above.

Page 2 of 2