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Camila Janay Lewis ID 447110 INP

Grade KN Building 119 - OUTLEY ELEMENTARY Birthdate / … 1/4/2015 - 6:02 Homeroom 755
Status Inactive Counselor Hicks, Kristin House/Team Sec Homero…

Student Immunizations Summary Detail

Overall Immunization Status MR - Meets Requirements

Status Grace Period Comments

Status Calculated 03/01/2021 District Entry Date 10/22/2020  Comment

Override Grace Period Alert

Student Status MR - Meets Requirements Override

Student Exemption Expiration Date 

Vaccination Summary

Vaccination Series Series Shots Dose 1 Dose 2 Dose 3 Dose 4 Dose 5 Exemption Referrals
Status Total Total
DTaP MR 5 5 03/04/2015  05/04/2015  07/06/2015  03/10/2017  02/12/2019  0

TD N/A N/A 0      0

Tdap N/A 0 0      0

POLI CO 5 5 03/04/2015  05/04/2015  07/06/2015  03/10/2017  02/12/2019  0

MMR CO 2 2 01/07/2016  02/12/2019     0

HEPB CO 4 4 01/04/2015  03/04/2015  07/06/2015  03/10/2017   0

VAR CO 3 3 01/07/2016  03/10/2017  02/12/2019    0

HEPA CO 2 2 03/10/2017  02/12/2019     0

HIB N/A 4 4 03/04/2015  05/04/2015  10/05/2015  03/10/2017   0

PCV N/A 4 4 03/04/2015  05/04/2015  10/05/2015  03/10/2017   0

MCV4 N/A 0 0      0

Flu N/A 1 1 10/05/2015      0

Rota N/A N/A 2 03/04/2015  05/04/2015     0

N/A 0 0      0