Get the free Vaccine Administration Record - PHPA
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DHH 4500 (Rev. 02/11). Maryland Department of Health and Mental Hygiene -- Center for Immunization www.EDCP.org (Immunization). Provider/Clinic Name ...
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What is vaccine administration record?
Vaccine administration record is a document that records the details of when and where a vaccine was administered to an individual.
Who is required to file vaccine administration record?
Healthcare providers, vaccination clinics, and pharmacies are required to file vaccine administration records.
How to fill out vaccine administration record?
To fill out a vaccine administration record, the healthcare provider must document the date, vaccine administered, dosage, route of administration, and recipient information.
What is the purpose of vaccine administration record?
The purpose of vaccine administration record is to track and monitor vaccination history of individuals, ensuring they receive the necessary vaccines.
What information must be reported on vaccine administration record?
The information that must be reported on vaccine administration record includes date of administration, vaccine type, dosage, route of administration, recipient's name, date of birth, and contact information.
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