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Hendricks Hampton

6y, M
DOB 2019-11-23 · ID 99842cd3
Phone 6122372162Address 4044 Drew Avenue South, 6122372162, Minneapolis, MN 55410
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Immunization record

Hendricks Hampton · DOB 2019-11-23 · printed 9/8/2026

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

VaccineDateLotManufacturer
HepB-Peds2019-11-24——
Pentacel2020-01-23UJ230AAASanofi Pasteur
Rotavirus, pentavalent 3-dose2020-01-231660151Merck and Co., Inc.
HepB-Peds2020-01-23P7294GlaxoSmithKline
Pneumo-PCV132020-01-23CK0838Pfizer, Inc.
Rotavirus, pentavalent 3-dose2020-03-261660939Merck and Co., Inc.
Pneumo-PCV132020-03-26CM1133Pfizer, Inc.
Pentacel2020-03-26UJ229AAASanofi Pasteur
Pentacel2020-05-27UJ329AAASanofi Pasteur
HepB-Peds2020-05-27R028384Merck and Co., Inc.
Pneumo-PCV132020-05-27CK0843Pfizer, Inc.
Rotavirus, pentavalent 3-dose2020-05-271684144Merck and Co., Inc.
HepA-Ped 2 Dose2021-01-04T013204Merck and Co., Inc.
MMR2021-01-04S039312Merck and Co., Inc.
Fluzone quad pfree2021-01-04UT7096LASanofi Pasteur
Fluzone quad pfree2022-02-21UJ775ABSanofi Pasteur
Pneumo-PCV132022-04-05EW2018Pfizer, Inc.
Pentacel2022-04-05UJ620AAASanofi Pasteur
Spikevax-MOD 25mcg PEDS2022-08-04AR9237BModerna US, Inc.
HepA-Ped 2 Dose2023-10-09X010374Merck and Co., Inc.
Varicella2023-10-09X007372Merck and Co., Inc.
Fluzone quad pfree2023-10-09UT8134KASanofi Pasteur
SpikevaxMOD 25mcg2023-10-09AU5509BModerna US, Inc.
Kinrix Intramuscular Suspension Prefilled Syringe 0.5 ML (DTaP-IPV)2025-07-134L454GSK
ProQuad Subcutaneous Suspension Reconstituted (MMRV)2025-07-13Y010306MERCK SHARP & DOHME
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