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

Maxwell Peterson

12y, M

DOB 2014-09-08 · ID c96effd1

Phone 6123250141 Address 6001 Porter Ln, Edina, MN 55436

No active allergy records returned. Confirm allergy status with the patient or caregiver.

Family and sibling links are not supplied by this Elation connection. Verify relationships in the source chart.

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 (38)

2026-08-28HPV9completed · Elation · CVX 165 · lot A007869 · Merck and Co., Inc.
2025-10-08FluMist Nasal Liquid (LAIV, live attenuated)completed · Elation · CVX 111 · lot yh3387c · MEDIMMUNE
2025-10-08MenQuadfi Intramuscular Solution (MenACWY, MCV4)completed · Elation · CVX 203 · lot U8361AA · sanofi pasteur
2025-10-08Adacel Intramuscular Suspension 5-2-15.5 LF-MCG/0.5 (Tdap)completed · Elation · CVX 115 · lot U8503AA · SANOFI
2025-10-08Gardasil 9 Intramuscular Suspension (HPV)completed · Elation · CVX 165 · lot Y018389 · MERCK SHARP & DOHME
2023-10-25FluMist quadcompleted · Elation · CVX 149 · lot TH2108 · MedImmune, Inc. (AstraZeneca)
2022-10-15FluMist quadcompleted · Elation · CVX 149 · lot PH3533B · MedImmune, Inc. (AstraZeneca)
2021-11-26Comirnaty-PFR t-s 10mcgcompleted · Elation · CVX 218 · lot FK5618 · Pfizer, Inc.
2021-09-18FluMist quadcompleted · Elation · CVX 149 · lot NH2451 · MedImmune, Inc. (AstraZeneca)
2020-10-28Varicellacompleted · Elation · CVX 21 · lot T017681 · Merck and Co., Inc.
2020-10-28Quadracelcompleted · Elation · CVX 130 · lot C5772AA · Sanofi Pasteur
2020-09-17Fluzone quad pfreecompleted · Elation · CVX 150 · lot UJ441AA · Sanofi Pasteur
2019-10-03Fluzone quad pfreecompleted · Elation · CVX 150 · lot U6655AA · Sanofi Pasteur
2018-10-16Fluzone quad pfreecompleted · Elation · CVX 150 · lot UJ027AB · Sanofi Pasteur
2017-09-21Fluzone quadcompleted · Elation · CVX 158 · lot UI826AE · Sanofi Pasteur
2017-04-24MMRcompleted · Elation · CVX 3 · lot M040624 · Merck and Co., Inc.
2016-10-18Flu, quadrivalent, peds dosage, pfreecompleted · Elation · CVX 161 · lot UT5583RA · Sanofi Pasteur
2016-03-08Pneumo-PCV13completed · Elation · CVX 133 · lot M51194
2016-03-08HepA-Ped 2 Dosecompleted · Elation · CVX 83 · lot 93B2D · GlaxoSmithKline
2016-03-08Hib-PRP-Tcompleted · Elation · CVX 48 · lot UI353AA · ZLB Behring [Inactive--use CSL]
2016-03-08DtaPcompleted · Elation · CVX 20 · lot C4756AA · Sanofi Pasteur
2016-01-08Fluzone quad (6-35 mos) pfreecompleted · Elation · CVX 161 · lot U5387DB · Sanofi Pasteur
2016-01-08Varicellacompleted · Elation · CVX 21 · lot L031066 · Merck and Co., Inc.
2015-10-20Fluzone quad (6-35 mos) pfreecompleted · Elation · CVX 161 · lot U5344AA · Sanofi Pasteur
2015-09-16MMRcompleted · Elation · CVX 3 · lot L003856 · Merck and Co., Inc.
2015-09-16HepA-Ped 2 Dosecompleted · Elation · CVX 83 · lot F3J75 · GlaxoSmithKline
2015-06-23HepB-Pedscompleted · Elation · CVX 8 · lot K026666 · Merck and Co., Inc.
2015-03-13Rotavirus, pentavalent 3-dosecompleted · Elation · CVX 116 · lot K012432 · Merck and Co., Inc.
2015-03-13Pneumo-PCV13completed · Elation · CVX 133 · lot J80525
2015-03-13Pentacelcompleted · Elation · CVX 120 · lot C4789AC · Sanofi Pasteur
2015-01-08Rotavirus, pentavalent 3-dosecompleted · Elation · CVX 116 · lot K023530 · Merck and Co., Inc.
2015-01-08Pentacelcompleted · Elation · CVX 120 · lot C4813AA · Sanofi Pasteur
2015-01-08Pneumo-PCV13completed · Elation · CVX 133 · lot J67647
2014-11-11Rotavirus, pentavalent 3-dosecompleted · Elation · CVX 116 · lot K010755 · Merck and Co., Inc.
2014-11-11Pneumo-PCV13completed · Elation · CVX 133 · lot J49846
2014-11-11HepB-Pedscompleted · Elation · CVX 8 · lot J013394 · Merck and Co., Inc.
2014-11-11Pentacelcompleted · Elation · CVX 120 · lot C4540AB · Sanofi Pasteur
2014-09-10HepB-Pedscompleted · Elation · CVX 8