States/Cities/Territories
States/Cities/Territories
Assumptions & considerations governing the evaluation process:
A review of this document will focus on the vaccination series being listed in each case. For example if as shown in Case #21 Hepatitis B is being considered for a child of 11 months 27 days, the reply for the recommended dose will be based on the Hep B which is missing and not on other immunization which the child should have received at this age.
===================================================== Case No: 1 Series: Hepatitis A Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2002 Age: 1 y 11 m 27 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations None Recommended ===================================================== Case No: 2 Series: Hepatitis A Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2002 Age: 2 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hepatitis A #1, ===================================================== Case No: 3 Series: Hepatitis A Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/13/2002 Age: 2 y 5 m 30 d ____________________________________ Immunization History Hepatitis A, ped/adol, 2 dose 03/14/2002 2 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 4 Series: Hepatitis A Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/14/2002 Age: 2 y 6 m ____________________________________ Immunization History Hepatitis A, ped/adol, 2 dose 03/14/2002 2 y ____________________________________ Contraindication History None ____________________________________ Recommendations Hepatitis A #2, ===================================================== Case No: 5 Series: Hepatitis A Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/14/2002 Age: 2 y 6 m ____________________________________ Immunization History Hepatitis A, ped/adol, 2 dose 03/14/2002 2 y Hepatitis A, ped/adol, 2 dose 09/14/2002 2 y 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 6 Series: Hepatitis B Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2000 Age: 0 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #1 ===================================================== Case No: 7 Series: Hepatitis B Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/13/2000 Age: 1 m 29 d ____________________________________ Immunization History Hep B 03/14/2000 0 d ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #2 ===================================================== Case No: 8 Series: Hepatitis B Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/14/2000 Age: 2 m ____________________________________ Immunization History Hep B 03/14/2000 0 d ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #2 ===================================================== Case No: 9 Series: Hepatitis B Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/13/2000 Age: 5 m 30 d ____________________________________ Immunization History Hep B 03/14/2000 0 d Hib-Hep B 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #3 ===================================================== Case No: 10 Series: Hepatitis B Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History Hep B 03/14/2000 0 d Hib-Hep B 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #3 ===================================================== Case No: 11 Series: Hepatitis B Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History Hep B 03/14/2000 0 d Hib-Hep B 05/14/2000 2 m Hib-Hep B 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date for Hep B ===================================================== Case No: 12 Series: Hepatitis B Age At First Dose: 1 m BirthDate: 3/14/2000 Evaluation Date: 4/14/2000 Age: 1 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #1 ===================================================== Case No: 13 Series: Hepatitis B Age At First Dose: 1 m BirthDate: 3/14/2000 Evaluation Date: 7/13/2000 Age: 3 m 29 d ____________________________________ Immunization History Hep B 04/14/2000 1 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#2 ===================================================== Case No: 14 Series: Hepatitis B Age At First Dose: 1 m BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History Hep B 04/14/2000 1 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#2 ===================================================== Case No: 15 Series: Hepatitis B Age At First Dose: 1 m BirthDate: 3/14/2000 Evaluation Date: 9/13/2000 Age: 5 m 30 d ____________________________________ Immunization History Hep B 04/14/2000 1 m Hib-Hep B 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#3 ===================================================== Case No: 16 Series: Hepatitis B Age At First Dose: 1 m BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History Hep B 04/14/2000 1 m Hib-Hep B 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #3 ===================================================== Case No: 17 Series: Hepatitis B Age At First Dose: 1 m BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History Hep B 04/14/2000 1 m Hib-Hep B 07/14/2000 4 m Hib-Hep B 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 18 Series: Hepatitis B Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#1 ===================================================== Case No: 19 Series: Hepatitis B Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 8/13/2000 Age: 4 m 30 d ____________________________________ Immunization History Hib-Hep B 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#2 ===================================================== Case No: 20 Series: Hepatitis B Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 8/14/2000 Age: 5 m ____________________________________ Immunization History Hib-Hep B 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #2 ===================================================== Case No: 21 Series: Hepatitis B Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2001 Age: 11 m 27 d ____________________________________ Immunization History Hib-Hep B 07/14/2000 4 m Hib-Hep B 08/14/2000 5 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#3 ===================================================== Case No: 22 Series: Hepatitis B Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2001 Age: 1 y ____________________________________ Immunization History Hib-Hep B 07/14/2000 4 m Hib-Hep B 08/14/2000 5 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B#3 ===================================================== Case No: 23 Series: Hepatitis B Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2001 Age: 1 y ____________________________________ Immunization History Hib-Hep B 07/14/2000 4 m Hib-Hep B 08/14/2000 5 m Hib-Hep B 03/14/2001 1 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 24 Series: Hepatitis B Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 3/14/2007 Age: 7 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #1 ===================================================== Case No: 25 Series: Hepatitis B Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 4/24/2007 Age: 7 y 1 m 10 d ____________________________________ Immunization History Hep B 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #2 ===================================================== Case No: 26 Series: Hepatitis B Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 4/25/2007 Age: 7 y 1 m 11 d ____________________________________ Immunization History Hep B 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #2 ===================================================== Case No: 27 Series: Hepatitis B Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 10/24/2007 Age: 7 y 7 m 10 d ____________________________________ Immunization History Hep B 03/14/2007 7 y Hep B 04/25/2007 7 y 1 m 11 d ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #3 ===================================================== Case No: 28 Series: Hepatitis B Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 10/25/2007 Age: 7 y 7 m 11 d ____________________________________ Immunization History Hep B 03/14/2007 7 y Hep B 04/25/2007 7 y 1 m 11 d ____________________________________ Contraindication History None ____________________________________ Recommendations Hep B #3 ===================================================== Case No: 29 Series: Hepatitis B Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 10/25/2007 Age: 7 y 7 m 11 d ____________________________________ Immunization History Hep B 03/14/2007 7 y Hep B 04/25/2007 7 y 1 m 11 d Hep B 10/25/2007 7 y 7 m 11 d ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 30 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2065 Age: 64 y 11 m 27 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza ---Tri ===================================================== Case No: 31 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2065 Age: 65 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza -- Tri ===================================================== Case No: 32 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2066 Age: 65 y 11 m 27 d ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 33 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2066 Age: 66 y ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza -- Tri ===================================================== Case No: 34 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2067 Age: 66 y 11 m 27 d ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 35 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2067 Age: 67 y ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza -- Tri ===================================================== Case No: 36 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2068 Age: 67 y 11 m 27 d ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y Influenza -- Tri 03/14/2067 67 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 37 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2068 Age: 68 y ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y Influenza -- Tri 03/14/2067 67 y ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza -- Tri ===================================================== Case No: 38 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2069 Age: 68 y 11 m 27 d ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y Influenza -- Tri 03/14/2067 67 y Influenza -- Tri 03/14/2068 68 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 39 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2069 Age: 69 y ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y Influenza -- Tri 03/14/2067 67 y Influenza -- Tri 03/14/2068 68 y ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza -- Tri ===================================================== Case No: 40 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2070 Age: 69 y 11 m 27 d ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y Influenza -- Tri 03/14/2067 67 y Influenza -- Tri 03/14/2068 68 y Influenza -- Tri 03/14/2069 69 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 41 Series: Influenza Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2070 Age: 70 y ____________________________________ Immunization History Influenza -- Tri 03/14/2065 65 y Influenza -- Tri 03/14/2066 66 y Influenza -- Tri 03/14/2067 67 y Influenza -- Tri 03/14/2068 68 y Influenza -- Tri 03/14/2069 69 y ____________________________________ Contraindication History None ____________________________________ Recommendations Influenza -- Tri ===================================================== Case No: 42 Series: Varicella Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Varicella ===================================================== Case No: 43 Series: Varicella Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Varicella ===================================================== Case No: 44 Series: Varicella Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History Varicella 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 45 Series: Measles/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 46 Series: Measles/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 47 Series: Measles/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 48 Series: Measles/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 49 Series: Measles/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m MMR 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 50 Series: Measles/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 3/14/2007 Age: 7 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR ===================================================== Case No: 51 Series: Measles/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/8/2007 Age: 7 y 1 m 24 d ____________________________________ Immunization History MMR 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 52 Series: Measles/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/9/2007 Age: 7 y 1 m 25 d ____________________________________ Immunization History MMR 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 53 Series: Measles/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/9/2007 Age: 7 y 1 m 25 d ____________________________________ Immunization History MMR 03/14/2007 7 y MMR 05/09/2007 7 y 1 m 25 d ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 54 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/13/2000 Age: 1 m 29 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Eligible for Hib #1 ===================================================== Case No: 55 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/14/2000 Age: 2 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 56 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 7/13/2000 Age: 3 m 29 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 57 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 58 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/13/2000 Age: 5 m 30 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 59 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 60 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 61 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 62 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 63 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 64 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 8/13/2000 Age: 4 m 30 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 65 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 8/14/2000 Age: 5 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 66 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 9/13/2000 Age: 5 m 30 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 67 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 68 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 69 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 70 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 71 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 7 m BirthDate: 3/14/2000 Evaluation Date: 10/14/2000 Age: 7 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 72 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 7 m BirthDate: 3/14/2000 Evaluation Date: 12/13/2000 Age: 8 m 29 d ____________________________________ Immunization History DTaP-Hib 10/14/2000 7 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 73 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 7 m BirthDate: 3/14/2000 Evaluation Date: 12/14/2000 Age: 9 m ____________________________________ Immunization History DTaP-Hib 10/14/2000 7 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 74 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 7 m BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History DTaP-Hib 10/14/2000 7 m DTaP-Hib 12/14/2000 9 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 75 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 7 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 10/14/2000 7 m DTaP-Hib 12/14/2000 9 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 76 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 7 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 10/14/2000 7 m DTaP-Hib 12/14/2000 9 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 77 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 12 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2001 Age: 1 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 78 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 12 m BirthDate: 3/14/2000 Evaluation Date: 5/13/2001 Age: 1 y 1 m 29 d ____________________________________ Immunization History DTaP-Hib 03/14/2001 1 y ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 79 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 12 m BirthDate: 3/14/2000 Evaluation Date: 5/14/2001 Age: 1 y 2 m ____________________________________ Immunization History DTaP-Hib 03/14/2001 1 y ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 80 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 12 m BirthDate: 3/14/2000 Evaluation Date: 5/14/2001 Age: 1 y 2 m ____________________________________ Immunization History DTaP-Hib 03/14/2001 1 y DTaP-Hib 05/14/2001 1 y 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Hib #1 ===================================================== Case No: 81 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 15 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Hib ===================================================== Case No: 82 Series: Haemophilus Influenzae B (Hib) Age At First Dose: 15 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History PRP-D 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 83 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/13/2000 Age: 1 m 29 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #1 ===================================================== Case No: 84 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/14/2000 Age: 2 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #1 ===================================================== Case No: 85 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 7/13/2000 Age: 3 m 29 d ____________________________________ Immunization History IPV 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for IPV #2 ===================================================== Case No: 86 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History IPV 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #2 ===================================================== Case No: 87 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History IPV 05/14/2000 2 m IPV 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date But eligible for IPV #3 ===================================================== Case No: 88 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History IPV 05/14/2000 2 m IPV 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #3 ===================================================== Case No: 89 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History IPV 05/14/2000 2 m IPV 07/14/2000 4 m OPV 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date But eligible for IPV #4 ===================================================== Case No: 90 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History IPV 05/14/2000 2 m IPV 07/14/2000 4 m OPV 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #4 ===================================================== Case No: 91 Series: IPV Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History IPV 05/14/2000 2 m IPV 07/14/2000 4 m OPV 06/14/2001 1 y 3 m OPV 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date (series completed) ===================================================== Case No: 92 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #1 ===================================================== Case No: 93 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 10/11/2000 Age: 6 m 27 d ____________________________________ Immunization History OPV 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 94 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 10/12/2000 Age: 6 m 28 d ____________________________________ Immunization History IPV 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations IPV #2 ===================================================== Case No: 95 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 11/8/2000 Age: 7 m 25 d ____________________________________ Immunization History IPV 09/14/2000 6 m IPV 10/12/2000 6 m 28 d ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 96 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 11/9/2000 Age: 7 m 26 d ____________________________________ Immunization History IPV 09/14/2000 6 m IPV 10/12/2000 6 m 28 d ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 97 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History IPV 09/14/2000 6 m IPV 10/12/2000 6 m 28 d IPV 11/09/2000 7 m 26 d ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 98 Series: IPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History IPV 09/14/2000 6 m IPV 10/12/2000 6 m 28 d IPV 11/09/2000 7 m 26 d ____________________________________ Contraindication History None ____________________________________ Recommendations IPV ===================================================== Case No: 99 Series: OPV Age At First Dose: 6 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History OPV 09/14/2000 6 m OPV 10/12/2000 6 m 28 d OPV 11/09/2000 7 m 26 d OPV 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date (series completed) ===================================================== Case No: 100 Series: Pneumococcal Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2065 Age: 64 y 11 m 27 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations No Recommendation ===================================================== Case No: 101 Series: Pneumococcal Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2065 Age: 65 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations Pneumococcal ===================================================== Case No: 102 Series: Pneumococcal Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2065 Age: 65 y ____________________________________ Immunization History Pneumococcal 03/14/2065 65 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 103 Series: Rubella/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 104 Series: Rubella/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 105 Series: Rubella/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for MMR#2 ===================================================== Case No: 106 Series: Rubella/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 107 Series: Rubella/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m MMR 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date ===================================================== Case No: 108 Series: Rubella/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 3/14/2007 Age: 7 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 109 Series: Rubella/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/8/2007 Age: 7 y 1 m 24 d ____________________________________ Immunization History MMR 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations MMR#2 ===================================================== Case No: 110 Series: Rubella/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/9/2007 Age: 7 y 1 m 25 d ____________________________________ Immunization History MMR 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 111 Series: Rubella/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/9/2007 Age: 7 y 1 m 25 d ____________________________________ Immunization History MMR 03/14/2007 7 y MMR 05/09/2007 7 y 1 m 25 d ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date MMR series completed ===================================================== Case No: 112 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/13/2000 Age: 1 m 29 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #1 ===================================================== Case No: 113 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 5/14/2000 Age: 2 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #1 ===================================================== Case No: 114 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 7/13/2000 Age: 3 m 29 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for DTaP #2 ===================================================== Case No: 115 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #2 ===================================================== Case No: 116 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/13/2000 Age: 5 m 30 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible DTaP # 3 ===================================================== Case No: 117 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP # 3 ===================================================== Case No: 118 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #4 ===================================================== Case No: 119 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #4 ===================================================== Case No: 120 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for DTaP #5 ===================================================== Case No: 121 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP # 5 ===================================================== Case No: 122 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2014 Age: 13 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td ===================================================== Case No: 123 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2014 Age: 14 y ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td ===================================================== Case No: 124 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2024 Age: 23 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td ===================================================== Case No: 125 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2024 Age: 24 y ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 126 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2034 Age: 33 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 127 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2034 Age: 34 y ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 128 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2044 Age: 43 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 129 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2044 Age: 44 y ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 130 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2054 Age: 53 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y Td (Adult) 03/14/2044 44 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 131 Series: DTP/DT/DTaP/Td Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2054 Age: 54 y ____________________________________ Immunization History DTaP-Hib 05/14/2000 2 m DTaP-Hib 07/14/2000 4 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y Td (Adult) 03/14/2044 44 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 132 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 7/14/2000 Age: 4 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #1 ===================================================== Case No: 133 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 8/13/2000 Age: 4 m 30 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for DTaP #2 ===================================================== Case No: 134 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 8/14/2000 Age: 5 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m ____________________________________ Contraindication History None ____________________________________ Recommendations Eligible for DTaP #2 ===================================================== Case No: 135 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 9/13/2000 Age: 5 m 30 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for DTaP #3 ===================================================== Case No: 136 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 9/14/2000 Age: 6 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #3 ===================================================== Case No: 137 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for DTaP #4 ===================================================== Case No: 138 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #4 ===================================================== Case No: 139 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for DTaP #5 ===================================================== Case No: 140 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations DTaP #5 ===================================================== Case No: 141 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2014 Age: 13 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td ===================================================== Case No: 142 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2014 Age: 14 y ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 143 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2024 Age: 23 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 144 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2024 Age: 24 y ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 145 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2034 Age: 33 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 146 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2034 Age: 34 y ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 147 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2044 Age: 43 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 148 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2044 Age: 44 y ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 149 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/13/2054 Age: 53 y 11 m 27 d ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y Td (Adult) 03/14/2044 44 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for Td booster ===================================================== Case No: 150 Series: DTP/DT/DTaP/Td Age At First Dose: 4 m BirthDate: 3/14/2000 Evaluation Date: 3/14/2054 Age: 54 y ____________________________________ Immunization History DTaP-Hib 07/14/2000 4 m DTaP-Hib 08/14/2000 5 m DTaP-Hib 09/14/2000 6 m DTaP-Hib 06/14/2001 1 y 3 m DTaP 03/14/2004 4 y Td (Adult) 03/14/2014 14 y Td (Adult) 03/14/2024 24 y Td (Adult) 03/14/2034 34 y Td (Adult) 03/14/2044 44 y ____________________________________ Contraindication History None ____________________________________ Recommendations Td (Adult) ===================================================== Case No: 151 Series: Mumps/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/13/2001 Age: 1 y 2 m 30 d ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 152 Series: Mumps/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 6/14/2001 Age: 1 y 3 m ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #1 ===================================================== Case No: 153 Series: Mumps/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/13/2004 Age: 3 y 11 m 27 d ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for MMR #2 ===================================================== Case No: 154 Series: Mumps/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 155 Series: Mumps/MMR Age At First Dose: 0 d BirthDate: 3/14/2000 Evaluation Date: 3/14/2004 Age: 4 y ____________________________________ Immunization History MMR 06/14/2001 1 y 3 m MMR 03/14/2004 4 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date MMR series completed ===================================================== Case No: 156 Series: Mumps/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 3/14/2007 Age: 7 y ____________________________________ Immunization History None ____________________________________ Contraindication History None ____________________________________ Recommendations MMR ===================================================== Case No: 157 Series: Mumps/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/8/2007 Age: 7 y 1 m 24 d ____________________________________ Immunization History MMR 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations Up to date but eligible for MMR#2 ===================================================== Case No: 158 Series: Mumps/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/9/2007 Age: 7 y 1 m 25 d ____________________________________ Immunization History MMR 03/14/2007 7 y ____________________________________ Contraindication History None ____________________________________ Recommendations MMR #2 ===================================================== Case No: 159 Series: Mumps/MMR Age At First Dose: 7 y BirthDate: 3/14/2000 Evaluation Date: 5/9/2007 Age: 7 y 1 m 25 d ____________________________________ Immunization History MMR 03/14/2007 7 y MMR 05/09/2007 7 y 1 m 25 d ____________________________________ Contraindication History None ____________________________________ Recommendations MMR series completed =====================================================