Immunizations

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9/13/23, 11:27 PM My Health Online - Immunizations

Name: Bella Tran | DOB: 12/9/2004 | Legal Name: Bella Tran

Immunizations

Current Immunizations
This is a list of immunizations that your clinic has on file for you.

DTaP DTaP/Hep B/IPV DTP/HIB


Dates on file: 12/12/2008, Dates on file: 06/20/2005, Dates on file: 06/20/2005,
04/19/2006 04/18/2005, 02/17/2005 04/18/2005, 02/17/2005

Haemophilus Hep B <20 Yrs Hepatitis A


Influenzae Type B Dates on file: 06/20/2005, Dates on file: 12/18/2007,
Vaccine, Prp-t 04/18/2005, 02/17/2005 01/24/2007
Conjugate
Dates on file: 06/20/2005,
04/18/2005, 02/17/2005

Hepatitis A Vaccine, HIB HPV, nonavalent


Pediatric/adolescent Dates on file: 12/19/2005 Dates on file: 02/22/2017,
Dosage, 2 Dose 09/21/2016, 08/16/2016
Schedule
Dates on file: 12/18/2007,
01/24/2007

Immune Globulin, Influenza vaccine 3+ Influenza vaccine 3+


Intramuscular YRS (Fluvirin) YRS PF (Fluvirin)
Dates on file: 08/16/2016 Dates on file: 12/12/2008, Dates on file: 11/13/2011,
12/18/2007 02/14/2011

Influenza vaccine 6-35 Influenza Vaccine CELL Influenza vaccine


MONTHS CULT Quadr PF 6+ MO QUADR PF 3+ YO
Dates on file: 12/28/2006 (FLUCELVAX) (AFLURIA)
Dates on file: 11/27/2022 Dates on file: 11/14/2018,
01/22/2018, 12/21/2016,
10/27/2013

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9/13/23, 11:27 PM My Health Online - Immunizations

Influenza Vaccine Influenza Virus Influenza, Seasonal,


QUADR PF 6+ MO Vaccine, NOS Injectable, Preservative
(FLUZONE, FLULAVAL, Dates on file: 11/10/2014 Free
FLUARIX) Dates on file: 12/18/2007
Dates on file: 10/30/2021,
10/31/2020, 01/29/2020

Meningococcal Cong MMR Vaccine INJ Pfizer 12+ Bivalent


Vac ACYW-135 (MCV4) Dates on file: 12/12/2008, (Gray Cap) COVID-19
UNSPECIFIED 12/19/2005 Vaccine INJ
FORMULA Dates on file: 11/27/2022
Dates on file: 08/24/2021,
08/16/2016

Pfizer 12+ Monovalent Pneumococcal Prevnar Polio Inj *IPV


(Purple Cap) COVID-19 7 Dates on file: 12/12/2008,
Vaccine INJ Dates on file: 12/19/2005, 06/20/2005, 04/18/2005,
Dates on file: 12/23/2021, 06/20/2005, 04/18/2005, 02/17/2005
04/17/2021, 03/26/2021 02/17/2005

Skin Test - PPD Tdap (Adacel) 10-64 Varicella


Dates on file: 08/16/2016 YRS Dates on file: 12/12/2008,
Dates on file: 08/16/2016 12/19/2005

Personal Notes About My Immunizations


Notes entered here will not be viewable by your doctor.

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