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Formerly 1-13-2012 Last Revised 2-8-2016 Year Vaccine Month DOH 348-013 January 2015 Day Dose Pneumococcal PCV PPSV Polio IPV OPV Measles Mumps Rubella MMR Varicella chickenpox Hepatitis A Hep A Human Papillomavirus HPV does not print from the IIS write dates in by hand Office Use Only Reviewed by Signed Cert. Pdf 7 Be sure to sign and date the CIS and return to the school or child care. Vaccine Trade Names in alphabetical order Twnrx Vaqta Varivax Trade DTaP Hib IPV PPSV or PPV23 PCV or PCV7...
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