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Vaccine Administration Record for Adults - …

AbbreviationTrade Name and ManufacturerTdapAdacel (Sanofi Pasteur); Boostrix (GlaxoSmithKline [GSK])TdDecavac, Tenivac (Sanofi Pasteur); generic Td (MA Biological Labs)HepAHavrix (GSK); Vaqta (Merck)For hepatitis B, see footnote # (GSK); Recombivax HB (Merck); Heplisav-B (Dynavax)HepA-HepBTwinrix (GSK)HPV2*Cervarix (GSK)HPV4*, HPV9 Gardasil, Gardasil 9 (Merck)MMRMMRII (Merck)VARV arivax (Merck)MenACWYM enactra (Sanofi Pasteur); Menveo (GSK)MPSV4*Menomune (Sanofi Pasteur)MenBBexsero (GSK); Trumenba (Pfizer) Vaccine Administration Record for Adults See page 2 to Record influenza, pneumococcal, zoster, Hib, and other vaccines ( , travel vaccines).How to Complete this Record1. With the exception of hepatitis B vaccines, Record the generic abbrevia-tion ( , Tdap) or the trade name for each Vaccine ; for hepatitis B vac-cines, Record the trade name (see table at right).2. Record the funding source of the Vaccine given as either F (federal), S (state), or P (private).

1.With the exception of hepatitis B vaccines, record the generic abbrevia-tion (e.g., Tdap) or the trade name for each vaccine; for hepatitis B vac

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