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Date/ Dose 1 IMMUNIZATION Date/ Dose 2 Date/ Dose 3 Date/ Dose 4 Date/ Booster DTP/ Tap/ DT Polio/ IPA/OPT MMR Pneumococcal Meningococcal His Hepatitis A Hepatitis B Rotavirus Influenza Varicella
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Provide your medical history, including any allergies, pre-existing conditions, or medications you are currently taking. Be transparent and thorough in providing this information, as it will help ensure the appropriate dosage and treatment.
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Who needs dose 1:

01
Individuals who have not yet received any doses of the vaccine and are eligible for vaccination according to the guidelines set by their local public health authorities.
02
People who have not completed the recommended dosage schedule for a particular vaccine and need to start or resume the vaccination process.
03
Individuals who have specific medical conditions or risk factors that make them eligible for a specific vaccination, as determined by healthcare professionals or based on public health guidelines.
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Dose 1 refers to the initial dose of medication or vaccine.
Individuals who are eligible and recommended to receive the specific medication or vaccine.
Dose 1 can be filled out by a healthcare provider or pharmacist during the administration of the medication or vaccine.
The purpose of dose 1 is to provide the initial protection or immunity against a specific disease or condition.
Information such as the date and time of administration, the name of the medication or vaccine, and the dosage given.
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