Live chart source: Elation · read-only in Northstar; make clinical chart changes in Elation

Theodore Petersen

8y, M

DOB 2018-08-28 · ID ba34bcf4

Phone 6513081367 Address 5824 Lyle Cir, Minneapolis, MN 55436

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Briefing Timeline Inbox Encounter Problems Meds Vitals Growth Immunizations Orders Results Documents Claims Screenings Care plans Family Consent

Immunizations

Parent record →

VFC eligibility

→ Private stock

Forecast paused for history review. Records may be incomplete, duplicated, conflicting, undated or unsupported by this forecast. Source history remains below. Reconcile with the source chart and registry before interpreting due doses.

Source history (33)

2025-10-11Spikevax 6m-11y Intramuscular Suspension Prefilled Syringe 25 MCG/0.25ML (covid-19)completed · Elation · CVX 311 · lot 30523667 · Moderna US, Inc.
2025-10-11Fluzone Intramuscular Suspension Prefilled Syringe 0.5 ML (TIV, inactivated)completed · Elation · CVX 140 · lot U8889CA · SANOFI
2024-10-10Flu, trivalent, MDCK, pfreecompleted · Elation · CVX 153 · lot 946581 · Seqirus
2023-10-14Flucelvax quad pfreecompleted · Elation · CVX 171 · lot 944493 · Seqirus
2022-09-07Fluarix quad pfreecompleted · Elation · CVX 150 · lot 9337Z · GlaxoSmithKline
2022-09-07MMRVcompleted · Elation · CVX 94 · lot W017567 · Merck and Co., Inc.
2022-09-07Kinrixcompleted · Elation · CVX 130 · lot G9N2M · GlaxoSmithKline
2022-07-25Spikevax-MOD 25mcg PEDScompleted · Elation · CVX 228 · lot AR9237B · Moderna US, Inc.
2022-06-26Spikevax-MOD 25mcg PEDScompleted · Elation · CVX 228 · lot AS1416B
2021-09-10Flu, quadrivalent, pfreecompleted · Elation · CVX 150 · lot 3SE27 · GlaxoSmithKline
2020-09-19Fluarix quad pfreecompleted · Elation · CVX 150 · lot AJ3AC · GlaxoSmithKline
2020-09-19HepA-Ped 2 Dosecompleted · Elation · CVX 83 · lot N592C · GlaxoSmithKline
2020-02-17Fluarix quad pfreecompleted · Elation · CVX 150 · lot E5C24 · GlaxoSmithKline
2019-12-10Pneumo-PCV13completed · Elation · CVX 133 · lot X39679 · Pfizer, Inc.
2019-12-10Hib-OMPcompleted · Elation · CVX 49 · lot S007078 · Merck and Co., Inc.
2019-12-10DtaPcompleted · Elation · CVX 20 · lot NG5GF · GlaxoSmithKline
2019-09-10Fluarix quad pfreecompleted · Elation · CVX 150 · lot 7AR35 · GlaxoSmithKline
2019-09-10Varicellacompleted · Elation · CVX 21 · lot S008695 · Merck and Co., Inc.
2019-09-10MMRcompleted · Elation · CVX 3 · lot R036580 · Merck and Co., Inc.
2019-09-10HepA-Ped 2 Dosecompleted · Elation · CVX 83 · lot BE554 · GlaxoSmithKline
2019-03-12Rotavirus, pentavalent 3-dosecompleted · Elation · CVX 116 · lot R017948 · Merck and Co., Inc.
2019-03-12Fluarix quad pfreecompleted · Elation · CVX 150 · lot 49Z43 · GlaxoSmithKline
2019-03-12Pneumo-PCV13completed · Elation · CVX 133 · lot X49142 · Pfizer, Inc.
2019-03-12DTAP/Polio/Hep Bcompleted · Elation · CVX 110 · lot 2HC47 · GlaxoSmithKline
2019-01-07Rotavirus, pentavalent 3-dosecompleted · Elation · CVX 116 · lot R021648 · Merck and Co., Inc.
2019-01-07Pneumo-PCV13completed · Elation · CVX 133 · lot X35262 · Pfizer, Inc.
2019-01-07Hib-OMPcompleted · Elation · CVX 49 · lot R021076 · Merck and Co., Inc.
2019-01-07DTAP/Polio/Hep Bcompleted · Elation · CVX 110 · lot KZ4TM · GlaxoSmithKline
2018-11-06Rotavirus, pentavalent 3-dosecompleted · Elation · CVX 116 · lot R002805 · Merck and Co., Inc.
2018-11-06Pneumo-PCV13completed · Elation · CVX 133 · lot W28770 · Pfizer, Inc.
2018-11-06Hib-OMPcompleted · Elation · CVX 49 · lot R013572 · Merck and Co., Inc.
2018-11-06DTAP/Polio/Hep Bcompleted · Elation · CVX 110 · lot 4ZH95 · GlaxoSmithKline
2018-09-05HepB-Pedscompleted · Elation · CVX 8 · lot LR2T7 · GlaxoSmithKline