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Updated 4/20  profile page below immunization chart

     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
458 PPD 4/2018 Shot 1/  7/1995 If 3rd shot  Jul-96 Aug-99 TDAP Have had Shot 1/ 8/1999 Jan-18
  X-Ray Shot 2/  9/1995 over 22yrs need titer. Titer Rubella   Jan-18 Chickenpox? Shot 2/ 1/2008  
  X-ray - must have proof of + PPD Shot 3/  1/1996 Date/Result Titer Mumps     unk Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
147 PPD 4/2018 Shot 1/  1/2001 If 3rd shot  Nov-93 Oct-90 TDAP Have had Shot 1/ 4/2016 Mar-18
  X-Ray Shot 2/  8/2000 over 22yrs need titer. Titer Rubella   Apr-16 Chickenpox? Shot 2/ 5/2004  
  X-ray - must have proof of + PPD Shot 3/  5/2000 Date/Result Titer Mumps       Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
980 PPD 3/2018 Shot 1/  12/1995 If 3rd shot  Oct-96 Oct-95 TDAP Have had Shot 1/ 10/1995 Jan-18
  X-Ray Shot 2/  5/1995 over 22yrs need titer. Titer Rubella   Jan-18 Chickenpox? Shot 2/ 2/2018  
  X-ray - must have proof of + PPD Shot 3/  10/1994 Date/Result Titer Mumps     unk Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
768 PPD 4/2018 Shot 1/  11/1992 If 3rd shot  Feb-94 Apr-97 TDAP Have had Shot 1/ Jan-18
  X-Ray Shot 2/  1/1993 over 22yrs need titer. Titer Rubella   Jan-14 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  11/1993 Date/Result Titer Mumps       Titer: 1/2014  
      Titer Measles     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
335 PPD 11/2017 Shot 1/  7/2000 If 3rd shot  Apr-91 May-93 TDAP Have had Shot 1/ Jan-18
  X-Ray Shot 2/  8/2000 over 22yrs need titer. Titer Rubella   Jan-18 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  1/2001 Date/Result Titer Mumps       Titer: 1/2018  
      Titer Measles     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
681 PPD 2/2018 Shot 1/  7/2014 If 3rd shot  Jul-14   TDAP Have had Shot 1/ 2/2015 Sep-17
  X-Ray Shot 2/  8/2014 over 22yrs need titer. Titer Rubella 9/2015 imune Apr-17 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  2/2015 Date/Result Titer Mumps 9/2015 imune   unk Titer: 9/2015  
      Titer Measles 9/2015 imune     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
558 Tspot 2/2018 Shot 1/  2/2001 If 3rd shot  Apr-89 Feb-96 TDAP Have had Shot 1/ 12/2015 Sep-17
  X-Ray Shot 2/  3/2001 over 22yrs need titer. Titer Rubella   Feb-15 Chickenpox? Shot 2/ 1/2016  
  X-ray - must have proof of + PPD Shot 3/  8/2001 Date/Result Titer Mumps     yes Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
718 PPD 4/2018 Shot 1/  9/1999 If 3rd shot  Sep-02 May-99 TDAP Have had Shot 1/ 12/2008 Apr-18
  X-Ray Shot 2/  8/1998 over 22yrs need titer. Titer Rubella   Apr-18 Chickenpox? Shot 2/ 5/1999  
  X-ray - must have proof of + PPD 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
488 PPD 4/2018 Shot 1/  2/2018 If 3rd shot  Feb-17 Mar-17 TDAP Have had Shot 1/ 2/2017 Jan-18
  X-Ray Shot 2/  3/2018 over 22yrs need titer. Titer Rubella   Feb-17 Chickenpox? Shot 2/ 3/2017  
  X-ray - must have proof of + PPD Shot 3/  2/1994 Date/Result Titer Mumps     unk Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
612 PPD 4/2018 Shot 1/  2/1994 If 3rd shot  Jul-95 Jul-98 TDAP Have had Shot 1/ Jan-18
  X-Ray Shot 2/  4/1994 over 22yrs need titer. Titer Rubella   Jan-18 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  7/1995 Date/Result Titer Mumps     yes Titer: 9/2016  
      Titer Measles     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
387 PPD 4/2018 Shot 1/  8/2000 If 3rd shot  Apr-91 Aug-97 TDAP Have had Shot 1/ Oct-17
  X-Ray Shot 2/  9/2000 over 22yrs need titer. Titer Rubella   Jan-18 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  6/2001 Date/Result Titer Mumps     unk Titer: 4/2018  
      Titer Measles     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
228 PPD 4/2018 Shot 1/  8/2000 If 3rd shot  Apr-91 Aug-97 TDAP Have had Shot 1/ Dec-17
  X-Ray Shot 2/  9/2000 over 22yrs need titer. Titer Rubella   Mar-18 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  6/2001 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
297 PPD 4/2018 Shot 1/   If 3rd shot  Mar-17 Mar-91 TDAP Have had Shot 1/ Oct-17
  X-Ray Shot 2/   over 22yrs need titer. Titer Rubella   Mar-17 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/   Date/Result Titer Mumps       Titer: 3/2017  
    3/2017 imune Titer Measles     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
816 PPD 8/2017 Shot 1/  1/2008 If 3rd shot  Aug-17 Nov-08 TDAP Have had Shot 1/ Feb-18
  X-Ray Shot 2/  11/2008 over 22yrs need titer. Titer Rubella   Feb-18 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/  2/2018 Date/Result Titer Mumps     yes Titer: 8/2017  
      Titer Measles     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
194 PPD Shot 1/   If 3rd shot      TDAP Have had Shot 1/  
  X-Ray Shot 2/   over 22yrs need titer. Titer Rubella     Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/   Date/Result Titer Mumps       Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
899 PPD 1/2018 Shot 1/  1/1997 If 3rd shot  Aug-00 Apr-00 TDAP Have had Shot 1/ Oct-17
  X-Ray Shot 2/  9/1996 over 22yrs need titer. Titer Rubella   Feb-18 Chickenpox? Shot 2/  
X-ray - must have proof of + PPD Shot 3/  8/1996 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
308 PPD 4/2018 Shot 1/  9/2010 If 3rd shot      TDAP Have had Shot 1/ Jan-18
  X-Ray Shot 2/   over 22yrs need titer. Titer Rubella 9/2009 imune May-15 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/   Date/Result Titer Mumps 9/2009 imune   unk Titer: 9/2009  
    Sep-09 Titer Measles 9/2009 imune     imune  
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
704 PPD 3/2018 Shot 1/  3/1998 If 3rd shot  Feb-03 Sep-98 TDAP Have had Shot 1/ 9/1999 Dec-17
  X-Ray Shot 2/  11/1997 over 22yrs need titer. Titer Rubella   Sep-16 Chickenpox? Shot 2/ 2/2018  
  X-ray - must have proof of + PPD Shot 3/  9/1997 Date/Result Titer Mumps     yes Titer:  
      Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
993 PPD 4/2018 Shot 1/  2/2000 If 3rd shot  Feb-90 Feb-00 TDAP Have had Shot 1/ 3/2018 Mar-18
Get 2nd varicella no sooner than 4/28. X-Ray Shot 2/  4/2000 over 22yrs need titer. Titer Rubella   Mar-18 Chickenpox? Shot 2/  
X-ray - must have proof of + PPD Shot 3/  11/2000 Date/Result Titer Mumps     yes Titer:  
    Titer Measles        
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
463 PPD Shot 1/  10/2009 If 3rd shot      TDAP Have had Shot 1/ Oct-17
  X-Ray Shot 2/  11/2009 over 22yrs need titer. Titer Rubella 10/2009 imune Jul-13 Chickenpox? Shot 2/ need lot #
  X-ray - must have proof of + PPD Shot 3/  3/2010 Date/Result Titer Mumps 10/2009 imune     Titer: 10/2009
      Titer Measles 10/2009 imune     imune
ID TB Hep B Hep B Titer MMR MMR TDAP/Td Pox Varicella Flu
876 TB 4/2018 Shot 1/   If 3rd shot      TDAP Have had Shot 1/ Oct-17
  X-Ray Shot 2/   over 22yrs need titer. Titer Rubella Dec-17 Nov-17 Chickenpox? Shot 2/  
  X-ray - must have proof of + PPD Shot 3/   Date/Result Titer Mumps 12/2017 imune   yes Titer: 12/2017  
    12/2017 imune Titer Measles  12/2017 imune     imune  

 

 

 

Student ID Acknowledgment of Admission Packet Form Functional Position Description Emergency Contact Form Health Insurance Status Form Permission to Contact Employer Release Form Consent to Release Education Record Participation Statement and Form High School or Post-Secondary Degree Transcript Information Physician Fitness Statement Employer Fitness Statement Copy of Drivers License Copy of TxDSHS Cert Copy of NREMT Cert  Criminal Background Check Drug Screen
                    One or the other   One or the other  
458 filed reviewed filed filed filed filed filed filed   filed filed filed filed cleared Complete
147 filed reviewed filed filed filed filed filed missing   filed filed filed   cleared Complete
980 filed reviewed filed filed filed filed filed filed   filed filed filed filed cleared Complete
768 filed reviewed filed filed filed filed filed filed   filed filed filed filed cleared Complete
335 filed reviewed filed filed filed filed filed filed filed   filed filed filed complete Complete
681 filed reviewed filed filed filed filed filed filed filed   filed filed filed complete Complete
558 filed reviewed filed filed filed filed filed missing filed   filed   filed cleared Complete
718 filed reviewed filed filed filed filed filed missing filed   filed filed filed cleared Complete
488 filed reviewed filed filed filed filed filed filed filed   filed filed filed cleared Complete
612 filed reviewed filed filed filed filed filed missing   filed filed filed filed cleared Complete
387 filed reviewed filed filed filed filed filed missing   filed missing filed   cleared Complete
228 filed reviewed filed filed filed filed filed filed   filed filed filed   cleared Complete
297 filed reviewed filed filed filed filed filed filed filed   filed filed filed cleared Complete
816 filed reviewed filed filed filed filed filed missing filed   filed filed   cleared Complete
194 filed reviewed filed filed filed filed filed filed missing missing filed   filed cleared  
899 filed reviewed filed filed filed filed filed filed filed   filed filed   cleared Complete
308 filed reviewed filed filed filed filed filed filed   filed filed filed filed cleared Complete
704 filed reviewed filed filed filed filed filed filed filed   filed filed filed cleared Complete
993 filed reviewed filed filed filed filed filed filed   filed filed filed filed complete Complete
463 filed reviewed filed filed filed filed filed filed   filed filed missing filed Complete  
876 filed reviewed filed filed filed filed filed filed filed   filed filed   cleared Complete

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