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COVID-19 VACCINE ADMINISTRATION RECORD SHEET ___ LAST NAME FIRST MI BIRTHDATE AGE ___ MAILING ADDRESS CITY STATE ZIP CODE ___ PHONE EMAIL ADDRESS EMPLOYER RACE: ___ETHNICITY: Hispanic or Latino Not

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How to fill out myvaccinerecordcdphcagovdigital covid-19 vaccine record

01

Go to myvaccinerecord.cdph.ca.gov/digital

02

Enter your personal information such as name, date of birth, and phone number

03

Verify your identity by providing information from your vaccine card or other documents

04

Enter information about your COVID-19 vaccination including the manufacturer, date of each dose, and location where you received it

05

Review and confirm the information entered is accurate

06

Receive a digital copy of your COVID-19 vaccine record

Who needs myvaccinerecordcdphcagovdigital covid-19 vaccine record?

01

Anyone who has received the COVID-19 vaccine and wants to access their vaccination records digitally

02

Individuals who need proof of vaccination for travel, work, or other activities

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What is myvaccinerecordcdphcagovdigital covid-19 vaccine record?

The myvaccinerecordcdphcagov digital covid-19 vaccine record is a digital platform where individuals can access their COVID-19 vaccination records.

Who is required to file myvaccinerecordcdphcagovdigital covid-19 vaccine record?

Individuals who have received the COVID-19 vaccine are required to file their vaccine record on myvaccinerecordcdphcagov digital platform.

How to fill out myvaccinerecordcdphcagovdigital covid-19 vaccine record?

You can fill out your myvaccinerecordcdphcagov digital covid-19 vaccine record by accessing the platform and entering your personal information along with details of your COVID-19 vaccination.

What is the purpose of myvaccinerecordcdphcagovdigital covid-19 vaccine record?

The purpose of myvaccinerecordcdphcagov digital covid-19 vaccine record is to provide individuals with easy access to their vaccination records for verification purposes.

What information must be reported on myvaccinerecordcdphcagovdigital covid-19 vaccine record?

The information that must be reported on myvaccinerecordcdphcagov digital covid-19 vaccine record includes personal details, vaccine manufacturer, vaccine doses received, and vaccination dates.

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