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Are Your Immunizations Working For You?
Directions: For each of the adult immunizations listed below, indicate the dates of your initial immunization and most recent booster shot. Check the immunization schedule in Table 13-5 and determine whether your immunizations are current. If current, write "yes" in the last column. If not current, write "no" in the last column. A "no" means you need to discuss your immunizations with your health-care provider.
|
Immunization |
Initial Shot |
Booster Shot |
Yes/No |
|
Tetanus and diphtheria |
|
|
|
|
Measles |
|
|
|
|
Rubella |
|
|
|
|
Mumps |
|
|
|
|
Pneumonia |
|
|
|
|
Influenza |
|
|
|
|
Chicken pox |
|
|
|
|
Hepatitis B |
|
|
|
|