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  • Immunization Needs 1643125572

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    1337w0n
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    7549067a-7df5-11ec-abfb-a7519ef4416b_immunization_needs_1643125572

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    6 views1 page

    Immunization Needs 1643125572

    Uploaded by

    1337w0n

    Copyright:

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

    Name: Jeremiah Basler Address: 202 Hammersham Ct.

    Taneytown, MD
    21787
    DOB: 06/28/1993 Phone: (443) 974-7056
    Age: 28

    Immunization Needs

    Vaccine Type Status Recommended Date

    DTaP/DT/Td Past Due 06/28/2012


    Not Available

    Flu Due Now 07/01/2021


    Not Available

    COVID-19 Due Now 11/18/2021


    Pfizer

    Herpes Zoster Up to Date 06/28/2043


    Not Available

    Pneumo (PPSV) Up to Date 06/28/2058


    Not Available

    Immunization
    History

    Vaccine Type Date Received Manufacturer, Lot Number

    COVID-19 05/18/2021 Pfizer, EW0179

    04/27/2021 Pfizer, EW0171

    www.myirmobile.com
    01/25/2022

    Your immunization record has been verified by the reporting Public Health department. The document is a representation of the immunizations you have 1/1
    received and does not reflect valid or invalid dosing based upon federal guidelines.

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