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Get Printable Immunization Record Printable Immunization Or Vaccination Record

E (m/d/yy) for each vaccination given. For combination vaccines (like HibHepB), complete a row under each separate antigen in the combination. Take a copy of your immunization record with you when you visit a healthcare professional. Have them assist you in completing the form. For information about the vaccines and recommended immunization schedules, see the Center for Disease Control and Prevention website at http://www.cdc.gov/vaccines Vaccine Type Date Given (m/d/yy) Administered By (cli.

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