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 |
|