Get CA CDPH 8608P IMM-542P 2007
Tive Positive (mm ___________________) † VIS—Vaccine Information Statement. Each VIS has an issue date in the lower corner; record the VIS issue date here. The VIS should be given to the patient/parent before each dose of vaccine is administered. Each VIS can be downloaded from www.cdc.gov/nip/publications/VIS. Note: If you are recording a vaccine given elsewhere, record date dose was given, write in "elsewhere" or "transcribed" and/or name of provider. § MCV4 is given IM and MPSV4 is g.
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