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PA VFC DOSE TRACKING FORM Instructions are located on the last page. MANUFACTURER GSK SP GSK GSK SP GSK M GSK M MSP GSKM SP GSK NSP M HIB HPV IPV MCV4 MMR LOT NUMBER EXPIRATION DATE NAME OF PATIENT.

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How to use or fill out the PA VFC DOSE TRACKING FORM online

The PA VFC Dose Tracking Form is essential for documenting vaccine administration and keeping accurate records for future reference. This guide provides step-by-step instructions to help you complete the form online effectively.

Follow the steps to fill out the PA VFC Dose Tracking Form online

  1. Click the ‘Get Form’ button to access the online version of the PA VFC Dose Tracking Form.
  2. Locate the section for the manufacturer. You will need to enter the name of the vaccine's manufacturer, choosing from the provided options (e.g., GSK, Merck, Pfizer) as applicable.
  3. Next, find the field for the lot number. Input the specific lot number associated with the vaccine you are administering.
  4. Enter the expiration date of the vaccine in the designated field, ensuring it is accurate to prevent administering expired vaccines.
  5. In the section for patient information, write the name of the child who received the vaccine.
  6. Identify the administered vaccine(s) in the checkboxes provided. Place a hash mark in the column corresponding to each vaccine given.
  7. After completing all sections, make sure to review your entries for accuracy.
  8. Finally, save the completed form, and choose to download, print, or share it as needed for your records.

Complete your documents online today for efficient and accurate record-keeping.

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PH BIR 1801 2018 FL CLK/CT. 141 2019 CA SHC-CIV-01 2018 CA LACIV 057 2018

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