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Beau Anderson

4y, M
DOB 2022-05-23 · ID 81c42980
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Immunization record

Beau Anderson · DOB 2022-05-23 · printed 9/9/2026

Northstar pediatric record. For school, camp, and childcare submission.

VaccineDateLotManufacturer
HepB-Peds2022-05-23
Rotavirus, pentavalent 3-dose2022-07-25W011279Merck and Co., Inc.
Hib-PRP-T2022-07-25UJ642AAASanofi Pasteur
DTAP/Polio/Hep B2022-07-25X9HS4GlaxoSmithKline
Rotavirus, pentavalent 3-dose2022-10-241892788Merck and Co., Inc.
Hib-PRP-T2022-10-24UJ646AAASanofi Pasteur
DTAP/Polio/Hep B2022-10-249552XGlaxoSmithKline
Rotavirus, pentavalent 3-dose2022-11-301892784Merck and Co., Inc.
Hib-PRP-T2022-11-30UJ649AAASanofi Pasteur
Pneumo-PCV132022-11-30FM5700Pfizer, Inc.
FluLaval quad pfree2022-11-30Y725AID Biomedical
DTAP/Polio/Hep B2022-11-30TS425GlaxoSmithKline
Varicella2023-06-09W025274
MMR2023-06-09W017555
VAXNEUVANCE2023-12-07X020316Merck and Co., Inc.
Hib-PRP-T2023-12-07UJ864ABSanofi Pasteur
HepA-Ped 2 Dose2023-12-07X017317Merck and Co., Inc.
HepA-Ped 2 Dose2024-06-11X025484Merck and Co., Inc.
DtaP2024-06-1173SX2GlaxoSmithKline
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