IMMUNIZATIONS STATUS
RED = Needs to be addressed
prior to deadline Orange
= Expires during course |
ID |
TB |
Hep B |
HEP B |
MMR Mo/Yr |
MMR Mo/Yy |
TDAP |
Pox |
Varicella |
Seasonal |
Number |
(Neg) |
Series |
Titer |
Child/Adult |
Child/Adult |
Td |
|
Vaccine |
Flu |
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
159 |
PPD |
Shot 1/ 3/1995 |
If 3rd shot |
Mar-96 |
Feb-18 |
tdap |
Have had |
Shot 1/ 2/2018 |
Jan-18 |
|
X-Ray |
Shot 2/ 1/1995 |
over 22yrs need titer. |
Titer Rubella |
|
Jan-18 |
Chickenpox? |
Shot 2/ 3/2018 |
|
|
Shot 3/ 8/1995 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
278 |
PPD |
Shot 1/ 4/1998 |
If 3rd shot |
Apr-99 |
Apr-02 |
tdap |
Have had |
Shot 1/ 4/1999 |
|
Need 2nd vaicella shot |
X-Ray |
Shot 2/ 5/1998 |
over 22yrs need titer. |
Titer Rubella |
|
Jun-10 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 10/1998 |
Date/Result |
Titer Mumps |
|
|
yes |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
387 |
PPD 3.2018 |
Shot 1/ 10/1998 |
If 3rd shot |
Sep-99 |
Sep-02 |
tdap |
Have had |
Shot 1/ 9/1999 |
Oct-17 |
|
X-Ray |
Shot 2/ 6/1999 |
over 22yrs need titer. |
Titer Rubella |
|
Sep-09 |
Chickenpox? |
Shot 2/ 7/2008 |
|
|
Shot 3/ 8/2009 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
441 |
PPD 2/2018 |
Shot 1/ 6/1996 |
If 3rd shot |
Apr-01 |
Jun-97 |
tdap |
Have had |
Shot 1/ |
Feb-18 |
|
X-Ray |
Shot 2/ 5/2001 |
over 22yrs need titer. |
Titer Rubella |
|
Feb-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 10/2001 |
Date/Result |
Titer Mumps |
|
|
yes |
Titer: 2/2018 |
|
|
|
|
Titer Measles |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
589 |
PPD |
Shot 1/ |
If 3rd shot |
|
|
tdap |
Have had |
Shot 1/ 11/2007 |
|
|
X-Ray |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
|
|
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
659 |
PPD |
Shot 1/ 3/2000 |
If 3rd shot |
Mar-01 |
Mar-05 |
tdap |
Have had |
Shot 1/ 3/2001 |
|
|
X-Ray |
Shot 2/ 4/2000 |
over 22yrs need titer. |
Titer Rubella |
|
Jul-12 |
Chickenpox? |
Shot 2/ 7/2012 |
|
|
Shot 3/ 9/2000 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
872 |
PPD |
Shot 1/ |
If 3rd shot |
|
|
tdap |
Have had |
Shot 1/ |
|
|
X-Ray |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
|
May-11 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
718 |
PPD |
Shot 1/ 1/1999 |
If 3rd shot |
Oct-00 |
Jan-03 |
|
Have had |
Shot 1/ 10/2000 |
Jan-18 |
Need tdap shot or proof within 10 yrs |
X-Ray |
Shot 2/ 10/2000 |
over 22yrs need titer. |
Titer Rubella |
|
|
Chickenpox? |
Shot 2/ 8/2010 |
|
|
Shot 3/ 8/2000 |
Date/Result |
Titer Mumps |
|
|
no |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
900 |
PPD |
Shot 1/ 12/1997 |
If 3rd shot |
Oct-99 |
May-02 |
tdap |
Have had |
Shot 1/ 8/2002 |
Feb-18 |
|
X-Ray |
Shot 2/ 1/1998 |
over 22yrs need titer. |
Titer Rubella |
|
Aug-10 |
Chickenpox? |
Shot 2/ 8/2010 |
|
|
Shot 3/ 7/1998 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
178 |
PPD 3/2018 |
Shot 1/ 5/1999 |
If 3rd shot |
Jan-89 |
Oct-91 |
tdap |
Have had |
Shot 1/ |
Sep-17 |
|
X-Ray |
Shot 2/ 6/1999 |
over 22yrs need titer. |
Titer Rubella |
|
Mar-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 12/1999 |
Date/Result |
Titer Mumps |
|
|
|
Titer: 3/2018 |
|
|
|
|
Titer Measles |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
234 |
PPD 2/2018 |
Shot 1/ 2/2018 |
If 3rd shot |
Feb-18 |
n/a |
tdap |
Have had |
Shot 1/ 2/2018 |
Feb-18 |
|
X-Ray |
Shot 2/ n/a |
over 22yrs need titer. |
Titer Rubella |
2/2018 imune |
Feb-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ n/a |
Date/Result |
Titer Mumps |
2/2018 low |
|
yes |
Titer: 2/2018 |
|
|
|
2/2018 low |
Titer Measles 2/2018 low |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
384 |
PPD 3/2018 |
Shot 1/ 6/1997 |
If 3rd shot |
Dec-98 |
Jul-01 |
tdap |
Have had |
Shot 1/ 12/1998 |
n/a |
|
X-Ray |
Shot 2/ 8/1997 |
over 22yrs need titer. |
Titer Rubella |
|
Aug-09 |
Chickenpox? |
Shot 2/ 8/2009 |
|
|
Shot 3/ 2/1998 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
443 |
PPD |
Shot 1/ |
If 3rd shot |
|
|
|
Have had |
Shot 1/ |
|
|
X-Ray |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
|
|
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
532 |
PPD |
Shot 1/ 8/1999 |
If 3rd shot |
Jan-92 |
Jan-95 |
tdap |
Have had |
Shot 1/ |
Feb-18 |
Need Varicella Titer blood test. Not the shots |
X-Ray |
Shot 2/ 9/1999 |
over 22yrs need titer. |
Titer Rubella |
|
Mar-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 1/2000 |
Date/Result |
Titer Mumps |
|
|
unk |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
631 |
PPD 2/2018 |
Shot 1/ 2/1996 |
If 3rd shot |
Oct-98 |
Oct-00 |
tdap |
Have had |
Shot 1/ |
Feb-18 |
Need Varicella Titer blood test. Not the shots |
X-Ray |
Shot 2/ 12/1995 |
over 22yrs need titer. |
Titer Rubella |
|
Feb-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 7/1996 |
Date/Result |
Titer Mumps |
|
|
yes |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
767 |
PPD 3/2018 |
Shot 1/ 1/1998 |
If 3rd shot |
Mar-99 |
Mar-02 |
tdap |
Have had |
Shot 1/ 3/1999 |
Mar-18 |
|
X-Ray |
Shot 2/ 6/1998 |
over 22yrs need titer. |
Titer Rubella |
|
Jul-10 |
Chickenpox? |
Shot 2/ 7/2010 |
|
|
Shot 3/ 11/1998 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
827 |
PPD |
Shot 1/ 6/1996 |
If 3rd shot |
Oct-90 |
Jun-97 |
|
Have had |
Shot 1/ |
Jan-18 |
Need tdap shot or proof within 10 yrs |
X-Ray |
Shot 2/ 8/1996 |
over 22yrs need titer. |
Titer Rubella |
|
|
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 4/1997 |
Date/Result |
Titer Mumps |
|
|
|
Titer: 1/2018 |
|
|
|
|
Titer Measles |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
991 |
PPD |
Shot 1/ 10/1997 |
If 3rd shot |
Nov-98 |
Aug-02 |
tdap |
Have had |
Shot 1/ 2/2018 |
|
|
X-Ray |
Shot 2/ 2/1998 |
over 22yrs need titer. |
Titer Rubella |
|
Feb-18 |
Chickenpox? |
Shot 2/ 4/2018 |
|
|
Shot 3/ 5/1998 |
Date/Result |
Titer Mumps |
|
|
yes |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
n/a |
177 |
PPD 2/2018 |
Shot 1/ |
If 3rd shot |
|
|
tdap |
Have had |
Shot 1/ |
Feb-18 |
|
X-Ray 2/2018 |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
2/2018 imune |
Oct-10 |
Chickenpox? |
Shot 2/ |
Need lot # |
|
Shot 3/ |
Date/Result |
Titer Mumps |
2/2018 imune |
|
|
Titer: 2/2018 |
|
|
2/2018 imune |
Titer Measles 2/2018 imune |
|
|
imune |
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
445 |
PPD 3/2018 |
Shot 1/ 5/1998 |
If 3rd shot |
Mar-99 |
Aug-02 |
tdap |
Have had |
Shot 1/ 3/1999 |
Mar-18 |
|
X-Ray |
Shot 2/ 7/1998 |
over 22yrs need titer. |
Titer Rubella |
|
Apr-10 |
Chickenpox? |
Shot 2/ 4/2010 |
|
|
Shot 3/ 9/1998 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
242 |
PPD 2/2018 |
Shot 1/ 11/1996 |
If 3rd shot |
Nov-98 |
Nov-00 |
tdap |
Have had |
Shot 1/ 1/1998 |
Jan-18 |
|
X-Ray |
Shot 2/ 1/1997 |
over 22yrs need titer. |
Titer Rubella |
|
Jan-18 |
Chickenpox? |
Shot 2/ 8/2009 |
|
|
Shot 3/ 6/1997 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
339 |
PPD |
Shot 1/ |
If 3rd shot |
|
|
|
Have had |
Shot 1/ |
|
|
X-Ray |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
|
|
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
418 |
PPD 2/2018 |
Shot 1/ 2/2017 |
If 3rd shot |
Feb-17 |
Feb-18 |
tdap |
Have had |
Shot 1/ 2/2017 |
Jan-18 |
|
X-Ray |
Shot 2/ 3/2017 |
over 22yrs need titer. |
Titer Rubella |
|
Feb-17 |
Chickenpox? |
Shot 2/ 2/2018 |
|
|
Shot 3/ 9/2017 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
554 |
PPD |
Shot 1/ 8/2007 |
If 3rd shot |
Aug-07 |
|
tdap |
Have had |
Shot 1/ |
Nov-17 |
Need 2nd MMR shot, Need Vaicella Titer test |
X-Ray |
Shot 2/ 9/2007 |
over 22yrs need titer. |
Titer Rubella |
|
Jun-14 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 3/2009 |
Date/Result |
Titer Mumps |
|
|
unk |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
618 |
PPD |
Shot 1/ 4/1999 |
If 3rd shot |
Nov-91 |
Aug-94 |
tdap |
Have had |
Shot 1/ 8/1992 |
Mar-18 |
|
X-Ray |
Shot 2/ 5/1999 |
over 22yrs need titer. |
Titer Rubella |
|
Mar-18 |
Chickenpox? |
Shot 2/ 3/2018 |
|
|
Shot 3/ 10/1999 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
746 |
PPD 2/2018 |
Shot 1/ 1/2018 |
If 3rd shot |
Jan-18 |
Feb-03 |
tdap |
Have had |
Shot 1/ 7/2010 |
Jan-18 |
|
X-Ray |
Shot 2/ 2/1998 |
over 22yrs need titer. |
Titer Rubella |
|
Jul-10 |
Chickenpox? |
Shot 2/ 3/1999 |
|
|
Shot 3/ 4/1998 |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
886 |
PPD 1/2018 |
Shot 1/ 10/1992 |
If 3rd shot |
Jan-18 |
Mar-92 |
tdap |
Have had |
Shot 1/ |
Jan-18 |
|
X-Ray |
Shot 2/ 12/1992 |
over 22yrs need titer. |
Titer Rubella |
|
Jan-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 8/1993 |
Date/Result |
Titer Mumps |
|
|
|
Titer: 1/2018 |
|
|
|
|
Titer Measles |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
916 |
BCG hx |
Shot 1/ 2/2000 |
If 3rd shot |
Feb-00 |
Jan-99 |
tdap |
Have had |
Shot 1/ |
Sep-17 |
|
TB Gold 2/2018 |
Shot 2/ 1/2000 |
over 22yrs need titer. |
Titer Rubella |
|
Feb-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 3/2018 |
Date/Result |
Titer Mumps |
|
|
yes |
Titer: 2/2018 |
|
|
|
2/2018 low |
Titer Measles |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
167 |
PPD |
Shot 1/ 12/2012 |
If 3rd shot |
Mar-18 |
|
tdap |
Have had |
Shot 1/ 6/2012 |
Mar-18 |
Nee 2nd MMR shot |
X-Ray |
Shot 2/ 6/2012 |
over 22yrs need titer. |
Titer Rubella |
|
Jun-12 |
Chickenpox? |
Shot 2/ 7/2012 |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
3/2018 imune |
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
299 |
PPD 2/2018 |
Shot 1/ 1/2018 |
If 3rd shot |
Jul-97 |
Oct-01 |
DTP |
Have had |
Shot 1/ |
Jan-18 |
|
X-Ray |
Shot 2/ 9/1996 |
over 22yrs need titer. |
Titer Rubella |
|
Sep-11 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ 1/1997 |
Date/Result |
Titer Mumps |
|
|
unk |
Titer: 3/2018 |
|
|
|
|
Titer Measles |
|
|
imune |
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
371 |
PPD |
Shot 1/ 10/1995 |
If 3rd shot |
Nov-96 |
Jul-01 |
tdap |
Have had |
Shot 1/ 4/1996 |
n/a |
|
X-Ray |
Shot 2/ 12/1995 |
over 22yrs need titer. |
Titer Rubella |
|
Sep-11 |
Chickenpox? |
Shot 2/ 10/1997 |
|
|
Shot 3/ 5/1995 |
Date/Result |
Titer Mumps |
|
|
no |
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
865 |
PPD |
Shot 1/ |
If 3rd shot |
|
|
|
Have had |
Shot 1/ |
n/a |
|
X-Ray |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
|
|
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
|
|
|
Titer: |
|
|
|
|
Titer Measles |
|
|
|
|
ID |
TB |
Hep B |
Hep B Titer |
MMR |
MMR |
TDAP/Td |
Pox |
Varicella |
Flu |
308 |
PPD 3/2018 |
Shot 1/ |
If 3rd shot |
|
|
tdap |
Have had |
Shot 1/ |
Nov-17 |
|
X-Ray |
Shot 2/ |
over 22yrs need titer. |
Titer Rubella |
2/2018 imune |
Mar-18 |
Chickenpox? |
Shot 2/ |
|
|
Shot 3/ |
Date/Result |
Titer Mumps |
2/2018 imune |
|
yes |
Titer: 2/2018 |
|
|
|
2/2018 imune |
Titer Measles 2/2018 imune |
|
|
imune |
|