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The vaccine s is are specifically contraindicated because please specify DTP/DTaP/Tdap DT/Td This contraindication is permanent OPV/IPV Hib or temporary Pneum Measles HBV Varicella and expected to preclude immunizations until Date Mo. IMMUNIZATION Date of Birth Mo. Day Yr. RECORD COMPLETE DATES month day year OF VACCINE DOSES GIVEN Diphtheria Tetanus Pertussis DTP DTaP years of age Tdap booster 6th grade entry Poliomyelitis IPV OPV Haemophilus influenzae Type b Hib conjugate only for...
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