Admin
(current)
Add Vaccine
(current)
Give Vaccine
(current)
View
Inventory
Immunizations
Give Vaccine to Patient
Patient Name:
Vaccine Name:
DTaP-Hib-IPV
DTaP-IPV
Fluzone Quadrivalent 6 months and above
Fluzone High Dose 65 years and above
Afluria Quadrivalent 36 months and above
Afluria Quadrivalent 6 to 35 months
Flucelvax 4 years and above
Hep A, ped/adol, 2 dose
Hep B, adolescent or pediatric (11-19), 3 dose schedule
Hep B, adult dosage, for intramuscular use
Hib (PRP-OMP), 3 dose schedule
HPV (Human papillomavirus) 9 Valent
IPV
Meningococcal MCV4O (CVX 114)
MMR
Pneumococcal conjugate PCV 13
Pneumococcal polysaccharide PPV23
Rotavirus, pentavalent (3 dose schedule)
Tdap
Varicella
Date of Birth:
Lot #:
Manufacturer:
GlaxoSmithKline
Sanofi Pasteur
Merck &Co.
Pfizer, Inc
Seqirus
Date of Administration:
Staff Administering:
Elizabeth Flores
Elizabeth Fuentes
Consuelo Beltran
Aundreah Anaya
Isabel Arvizu
Brenda Villegas
Submit