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The University of Utah Department of Dermatology Immunodermatology Laboratory Kristin M. Letterman, MD John J. Zone, MD 30 North 1900 East, 4A330 SOME Salt Lake City, UT 84132-2409 Phone: 801-581-7139
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Immunoderm is a form used for reporting immunization data.
Healthcare providers, clinics, and medical facilities that administer immunizations are required to file immunoderm.
Immunoderm can be filled out by providing the required information such as patient details, immunization type and date, and any adverse reactions.
The purpose of immunoderm is to collect and maintain immunization data in order to track and monitor immunization rates and prevent the spread of vaccine-preventable diseases.
The information that must be reported on immunoderm includes patient demographics (such as name, date of birth, and contact information), immunization details (such as vaccine type, date administered, and lot number), and any adverse events.
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