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Immunization Administration Record Giant Eagle Advantage Card:Influenza (Inactivated) Vaccine Look up GEAC4First Nameless Name:Address:City:Phone’M State:Date of Birth:Insurance:Group#:Insurance:Group#:Age:Weight:(LBS)ID#:
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It is a document that records a person's immunization history.
Individuals who need to provide proof of immunizations, such as students or healthcare workers.
The form should be completed with all the required immunization information, including dates and types of vaccines received.
The purpose is to keep track of an individual's immunization history for healthcare or educational purposes.
Information such as the name of the individual, dates of vaccinations, types of vaccines received, and any exemptions or waivers.
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