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    Immunization Record Sample

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    This document contains the immunization history of Thomas Ninivith (ID: G1671261U) as reported to the Health Promotion Board from the National Immunisation Registry. It lists the dates and locations he received various vaccinations including BCG, DTPa, HiB, IPV, Hepatitis A, Hepatitis B, MMR, chicken pox, and pneumococcal. The immunization records have been verified for key vaccinations of BCG, diphtheria, hepatitis B, polio and measles.

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    Immunization Record Sample

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    FirstName LastName
    58 views3 pages
    This document contains the immunization history of Thomas Ninivith (ID: G1671261U) as reported to the Health Promotion Board from the National Immunisation Registry. It lists the dates and locations he received various vaccinations including BCG, DTPa, HiB, IPV, Hepatitis A, Hepatitis B, MMR, chicken pox, and pneumococcal. The immunization records have been verified for key vaccinations of BCG, diphtheria, hepatitis B, polio and measles.

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    This document contains the immunization history of Thomas Ninivith (ID: G1671261U) as reported to the Health Promotion Board from the National Immunisation Registry. It lists the dates and locations he received various vaccinations including BCG, DTPa, HiB, IPV, Hepatitis A, Hepatitis B, MMR, chicken pox, and pneumococcal. The immunization records have been verified for key vaccinations of BCG, diphtheria, hepatitis B, polio and measles.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    58 views3 pages

    Immunization Record Sample

    Uploaded by

    FirstName LastName
    This document contains the immunization history of Thomas Ninivith (ID: G1671261U) as reported to the Health Promotion Board from the National Immunisation Registry. It lists the dates and locations he received various vaccinations including BCG, DTPa, HiB, IPV, Hepatitis A, Hepatitis B, MMR, chicken pox, and pneumococcal. The immunization records have been verified for key vaccinations of BCG, diphtheria, hepatitis B, polio and measles.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    CONFIDENTIAL

    SUMMARY OF IMMUNISATION HISTORY


    AS REPORTED PURSUANT TO SECTION 48(2)(b)(i)
    OF THE INFECTIOUS DISEASES ACT (CAP 137)

    The following is a record of the child's immunisation history as reported to the Health Promotion Board
    and as derived from the computerised records of the National Immunisation Registry.

    PERSONAL PARTICULARS

    Name: THOMAS NINIVITH


    ID: G1671261U Gender: M

    Date of Birth: 17/10/2016 Country of Birth:

    DETAILS OF VACCINATION

    Date of
    Type of Immunisation Place of Immunisation
    Immunisation

    KK WOMEN'S AND CHILDREN'S


    BCG D1 (BCG) 18/10/2016
    HOSPITAL
    DTPa D1 (Diphtheria/Tetanus with
    10/02/2017 SENGKANG POLYCLINIC
    acellular Pertussis [5in1])
    DTPa D2 (Diphtheria/Tetanus with
    31/03/2017 SENGKANG POLYCLINIC
    acellular Pertussis [5in1])
    DTPa D3 (Diphtheria/Tetanus with
    02/05/2017 SENGKANG POLYCLINIC
    acellular Pertussis [HEXA])
    DTPa B1 (Diphtheria/Tetanus with
    28/04/2018 KIDSLINK CHILDREN'S CLINIC
    acellular Pertussis [5in1])
    HiB D1 (Haemophilus influenza type
    10/02/2017 SENGKANG POLYCLINIC
    B [5in1])
    HiB D2 (Haemophilus influenza type
    31/03/2017 SENGKANG POLYCLINIC
    B [5in1])
    HiB D3 (Haemophilus influenza type
    02/05/2017 SENGKANG POLYCLINIC
    B [HEXA])
    HiB B1 (Haemophilus influenza type
    28/04/2018 KIDSLINK CHILDREN'S CLINIC
    B [5in1])
    IPV D1 (Inactivated Polio Vaccine
    10/02/2017 SENGKANG POLYCLINIC
    [5in1])
    IPV D2 (Inactivated Polio Vaccine
    31/03/2017 SENGKANG POLYCLINIC
    [5in1])
    IPV D3 (Inactivated Polio Vaccine
    02/05/2017 SENGKANG POLYCLINIC
    [HEXA])
    IPV B1 (Inactivated Polio Vaccine
    28/04/2018 KIDSLINK CHILDREN'S CLINIC
    [5in1])

    HEPA D1 (Hepatitis A) 26/02/2018 KIDSLINK CHILDREN'S CLINIC

    This is a computer generated document. No signature is required.


    Generated on 28/10/2020 Page 1 of 3
    CONFIDENTIAL

    SUMMARY OF IMMUNISATION HISTORY


    AS REPORTED PURSUANT TO SECTION 48(2)(b)(i)
    OF THE INFECTIOUS DISEASES ACT (CAP 137)

    The following is a record of the child's immunisation history as reported to the Health Promotion Board
    and as derived from the computerised records of the National Immunisation Registry.

    PERSONAL PARTICULARS

    Name: THOMAS NINIVITH


    ID: G1671261U Gender: M

    Date of Birth: 17/10/2016 Country of Birth:

    DETAILS OF VACCINATION

    Date of
    Type of Immunisation Place of Immunisation
    Immunisation

    KK WOMEN'S AND CHILDREN'S


    HEPB D1 (Hepatitis B) 17/10/2016
    HOSPITAL

    HEPB D2 (Hepatitis B) 30/11/2016 SENGKANG POLYCLINIC

    HEPB D3 (Hepatitis B [HEXA]) 02/05/2017 SENGKANG POLYCLINIC

    AMI D1 (Measles [MMR]) 21/10/2017 BUKIT MERAH POLYCLINIC

    MUMP D1 (Mumps [MMR]) 21/10/2017 BUKIT MERAH POLYCLINIC

    RUB D1 (Rubella [MMR]) 21/10/2017 BUKIT MERAH POLYCLINIC

    AMI D2 (Measles [MMR]) 27/01/2018 BUKIT MERAH POLYCLINIC

    MUMP D2 (Mumps [MMR]) 27/01/2018 BUKIT MERAH POLYCLINIC

    RUB D2 (Rubella [MMR]) 27/01/2018 BUKIT MERAH POLYCLINIC

    CPOX D1 (Chicken Pox) 24/11/2017 BUKIT MERAH POLYCLINIC

    CPOX D2 (Chicken Pox) 26/03/2018 KIDSLINK CHILDREN'S CLINIC

    PNC D1 (Pneumococcal) 10/02/2017 SENGKANG POLYCLINIC

    PNC D2 (Pneumococcal) 02/05/2017 SENGKANG POLYCLINIC

    PNC D3 (Pneumococcal) 21/10/2017 BUKIT MERAH POLYCLINIC

    This is a computer generated document. No signature is required.


    Generated on 28/10/2020 Page 2 of 3
    CONFIDENTIAL

    SUMMARY OF IMMUNISATION HISTORY


    AS REPORTED PURSUANT TO SECTION 48(2)(b)(i)
    OF THE INFECTIOUS DISEASES ACT (CAP 137)

    The following is a record of the child's immunisation history as reported to the Health Promotion Board
    and as derived from the computerised records of the National Immunisation Registry.

    PERSONAL PARTICULARS

    Name: THOMAS NINIVITH


    ID: G1671261U Gender: M

    Date of Birth: 17/10/2016 Country of Birth:

    DETAILS OF VACCINATION

    Note:
    National Immunisation Registry has verified the immunisation records for key vaccinations only:
    Bacillus Calmette–Guérin (BCG), Diphtheria, Hepatitis B, Poliomyelitis and Measles.

    This is a computer generated document. No signature is required.


    Generated on 28/10/2020 Page 3 of 3

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