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Get Mn Ic 140-0163 2008

In all the boxes that apply. Vaccine doses that are circled are not required by law. Diphtheria, Tetanus, Pertussis (DTP) • 3 doses during 1st year (at 2-month intervals) • 4th dose at 12-18 months • 5th dose at 4-6 years or at school entrance Indicate vaccine type: DTaP or DT. Vaccine Polio (IPV and/or OPV) • 3 doses at 2-18 months • 4th dose at 4-6 years or at school entrance Vaccine Varicella (Chickenpox) • 1st dose between 12-18 months • 2nd dose at 4-6 years or at school e.

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