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Colorado Immunization Record Guide

The document is a Colorado Immunization Record for an individual named Robert W. Warrick, detailing various vaccinations received, their dates, and upcoming due dates. It emphasizes the importance of complying with Colorado's immunization law for school enrollment and maintaining an accurate vaccination record. Additionally, it provides contact information for local health departments and the Colorado HELP Line for immunization inquiries.

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henryrobertson818
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9 views1 page

Colorado Immunization Record Guide

The document is a Colorado Immunization Record for an individual named Robert W. Warrick, detailing various vaccinations received, their dates, and upcoming due dates. It emphasizes the importance of complying with Colorado's immunization law for school enrollment and maintaining an accurate vaccination record. Additionally, it provides contact information for local health departments and the Colorado HELP Line for immunization inquiries.

Uploaded by

henryrobertson818
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

= Invalid Dose. CDPHE minimum age/interval not met.

= Dose determined invalid by provider


Colorado Immunization Record
Vaccine/Vacuna Date Given Doctor or Clinic Date Next Due
Official Document Dada en la Doctor o Clinica Proxima vacuna
Fecha MM/DD/YYYY
MM/DD/YYYY
Registro de Inmunizacion
DTaP / TD / Tdap
Documento Oficial 1 Td (adsorbed) 07/18/2019 K28 08/03/2023
2
Your child must comply with Colorado's immunization law to be enrolled in Polio
school. Retain this document as proof of immunization. 1
Su niño/a debe cumplir con la ley de inmunización de Colorado para poder
inscribirse en la escuela. Guarde este documento como prueba de Hib
vacunas. 1

For appointment or information, contact your local county health Pneumococcal


department or your physician's office. 1 PCV-13 (Prevnar) 01/24/2020 K28 08/03/2023

A vaccination health record helps you and your healthcare provider keep 2
your/your child's vaccinations on schedule. If you move or change Rotavirus
providers, having an accurate record might prevent you/your child from
repeating vaccinations you have already had. A shot record should be 1
started when you receive your first vaccination and updated with each Hep A
vaccination visit. Bring this record to every visit.
1 Hep A, Adult 01/24/2020 K28 08/03/2023
If you have questions or need to know where you can get immunizations, 2
call the Colorado HELP Line at 1-877-462-2911.
Hep B
Colorado Immunization Section 1 08/03/2023
4300 Cherry Creek Drive South
Denver, CO 80246 2

Present this record at each medical visit. MMR


Presente este documento durante sus visitas medicas. 1

Name/Nombre: ROBERT W WARRICK (6604058) Varicella (CPOX)


1 08/03/2023
Date of Birth/Fecha de Nacimiento: 07/19/1952 2
Meningococcal
1
Vaccine Reactions / Reacciones contra Vacunas:
HPV
1
COVID-19
1 COV MOD BIVALENT 6m+ 05/11/2023 CW440
Comments
2 COV MOD BIVALENT 6m+ 09/08/2022 CW440
Date Note 3 COV MOD MONO 12y+ 06/01/2022 CW440
4 COV MOD MONO 12y+ 11/10/2021 CW439
5 COV MOD MONO 12y+ 03/26/2021 CTFD
Vaccines Refused 6 COV MOD MONO 12y+ 02/26/2021 CTFD
Date Note 7
Influenza
1 Influenza Quad Inj PF 12/14/2021 K22 08/03/2023
Vaccine/Vacuna Date Given Doctor or Clinic Date Next Due 2 Influenza, High Dose 12/12/2019 K28
Dada en la Doctor o Clinica Proxima vacuna
Fecha MM/DD/YYYY 3
MM/DD/YYYY Travel
1
Other
1
2
3
4
5
6

Print Date 8/3/2023 3:06:32PM Page 1 of 1

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