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Immunization record

Penelope Hampton · DOB 2017-08-28 · printed 9/7/2026

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

VaccineDateLotManufacturer
HepB-Peds2017-08-3123G44
Rotavirus, pentavalent 3-dose2017-10-31N014983Merck and Co., Inc.
Pneumo-PCV132017-10-31S89080Pfizer, Inc.
HepB-Peds2017-10-31G9H24GlaxoSmithKline
Pentacel2017-10-31C5371AASanofi Pasteur
Rotavirus, pentavalent 3-dose2018-01-23N024294Merck and Co., Inc.
Pneumo-PCV132018-01-23S92741Pfizer, Inc.
Pentacel2018-01-23C5400AASanofi Pasteur
Pneumo-PCV132018-03-06T52799Pfizer, Inc.
Rotavirus, pentavalent 3-dose2018-03-06N032564Merck and Co., Inc.
Flu, quadrivalent, peds dosage, pfree2018-03-06UT5897NASanofi Pasteur
Pentacel2018-03-06C5384AASanofi Pasteur
HepB-Peds2018-08-305R52MGlaxoSmithKline
HepA-Ped 2 Dose2018-08-305E74TGlaxoSmithKline
Varicella2018-11-29R018931Merck and Co., Inc.
Flu, quadrivalent, peds dosage, pfree2018-11-29UT6315RASanofi Pasteur
MMR2018-11-29R000556Merck and Co., Inc.
Pneumo-PCV132019-05-02X39675Pfizer, Inc.
HepA-Ped 2 Dose2019-05-02R034340Merck and Co., Inc.
Pentacel2019-05-02UJ122AAASanofi Pasteur
Fluzone quad pfree2022-02-21UJ775ABSanofi Pasteur
Spikevax-MOD 25mcg PEDS2022-08-04AR9237BModerna US, Inc.
MMRV2022-08-04W016358Merck and Co., Inc.
Quadracel2022-08-04C6002BASanofi Pasteur
Fluzone quad pfree2023-10-09UT8134KASanofi Pasteur
SpikevaxMOD 25mcg2023-10-09AU5509BModerna US, Inc.
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