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Get Sc Dhec 1208 2018-2024

For approval prior to the transfer of vaccine. Vaccine Transfer Date: Date: Pin: Transfer Approved by: Transfer Completed by: Transfer from Site Name: Transfer from Address: Transfer to Site Name: Transfer to Address: Pin: Vaccine transferred due to (circle one): Power outage Program Type Excess supply Vaccine Short dated Unit malfunction Manufacturer Moving Locations NDC Other: Lot Number Number of doses Expiration Date *IMPORTANT: If transporting in refrigerated state, varicel.

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