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  • Vacuna Lina

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    snykpfwbyb
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    This document is a COVID-19 vaccination record card that provides medical information about the COVID-19 vaccines a person has received. It includes fields for the person's name, date of birth, vaccine product and manufacturer, date administered and location. It reminds the person to return for a second dose and to bring the card to every medical appointment to ensure all recommended vaccines are up to date. It provides information on where to report adverse reactions and find more details on COVID-19 and the vaccine.

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    This document is a COVID-19 vaccination record card that provides medical information about the COVID-19 vaccines a person has received. It includes fields for the person's name, date of birth, vaccine product and manufacturer, date administered and location. It reminds the person to return for a second dose and to bring the card to every medical appointment to ensure all recommended vaccines are up to date. It provides information on where to report adverse reactions and find more details on COVID-19 and the vaccine.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views2 pages

    Vacuna Lina

    Uploaded by

    snykpfwbyb
    This document is a COVID-19 vaccination record card that provides medical information about the COVID-19 vaccines a person has received. It includes fields for the person's name, date of birth, vaccine product and manufacturer, date administered and location. It reminds the person to return for a second dose and to bring the card to every medical appointment to ensure all recommended vaccines are up to date. It provides information on where to report adverse reactions and find more details on COVID-19 and the vaccine.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    COVID-19 Vaccination Record Card

    R
    .JI#~

    ---:---:----:---:--:-:-:-:-:--::::-=:;::-;--:--::---~=---
    Please keep this record card. which includes medical information
    { -1lf!.._
    about the vaccines you have received •,:::::/!'-- = =-==
    Por favor, guarde esta tarjeta de registro, que incluye informaci6n
    medica sobre las vacunas que ha recibido.

    ___Lf-0,S(-.#-_ _,____
    Last Name ·

    -D-at-e-of- b-irt_h___________ _.o=~'Ef.; Pln~u-bt ~~c?,ecord or /IS record number)

    Product Name/Manufacturer Healthcare Professional or


    Vaccine · ···· · ···· ···•··· •··· •· ······· ... ·· Date
    Clinic Site

    1st Dose
    5,a,ai
    mm yy
    dd
    COVID-19

    2nd Dose .. . .. . . . . .. . . ,. . . .. _!_!_


    COVID-19 mm dd yy
    _!_!_
    Other mrn dd yy
    _ !_ !_
    Other mm dd yy
    . Reminder! Return for a second dose!
    1Recordat0 · d d · 1
    - : ; ; ~ ; - - - -_ __r_,o_!_:_iR~e:_:~irese para la segun a os,s.
    Vaccine

    COVID-19 vaccine
    Vacuna contra el cov I0 _19
    yy

    Other
    IS t>,ia..
    Otra
    : 21 "'I.
    Bring this vaccination record to every
    Lleve este registro de vacunaci6n a cacta cita
    vaccination or medical visit. Check with your medica o de vacunaci6n. Consulte con su
    health care provider to make sure you are not proveedor de atenci6n medica para asegurarse
    missing any doses of routinely recommended de que no le falte ninguna dosis de las vacunas
    vaccines. recomendadas.
    For more information about COVID-19 Para obtener mas informaci6n sabre el
    and COVID-19 vaccine, visit cdc.gov/ COVID-19 y la vacuna contra el COVID-19, visite
    coronavirus/2019-ncov/index.html. espanol.cdc.gov/coronavirus/2019-ncov/
    Index.html.
    You can report possible adverse reactions
    following COVID-19 vaccination to the Vaccine Puede notlficar las posibles reacciones adversas
    Adverse Event Reporting System (VAERS) at despues de la vacunaci6n contra el COVID-19 al
    vaers.hhs.gov. Sistema de Notificaci6n de Reacciones Adversas
    a las Vacunas (VAERS) en vaers.hhs.gov .
    08/ 17/20 . 1,:"LS· 3198 13_r

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