Transcription of COVID-19 Vaccination Record Card
1 COVID-19 Vaccination Record CardPlease keep this Record card, which includes medical information about the vaccines you have favor, guarde esta tarjeta de registro, que incluye informaci n m dica sobre las vacunas que ha Name First Name MIDate of birth Patient number (medical Record or IIS Record number)
2 VaccineProduct Name/ManufacturerDateHealthcare Professional or Clinic SiteLot Number1st Dose COVID-19____/____/____ mm dd yy2nd Dose COVID-19____/____/____ mm dd yyOther____/____/____ mm dd yyOther____/____/____ mm dd yyReminder! Return for a second dose! Recordatorio! Regrese para la segunda dosis!VaccineDate / FechaCOVID-19 vaccineVacuna contra el COVID-19_____/_____/_____ mm dd yyOtherOtra_____/_____/_____ mm dd yyBring this Vaccination Record to every Vaccination or medical visit.
3 Check with your health care provider to make sure you are not missing any doses of routinely recommended more information about COVID-19 and COVID-19 vaccine, visit can report possible adverse reactions following COVID-19 Vaccination to the Vaccine Adverse Event Reporting System (VAERS) at este registro de vacunaci n a cada cita m dica o de vacunaci n. Consulte con su proveedor de atenci n m dica para asegurarse de que no le falte ninguna dosis de las vacunas obtener m s informaci n sobre el COVID-19 y la vacuna contra el COVID-19 , visite notificar las posibles reacciones adversas despu s de la vacunaci n contra el COVID-19 al Sistema de Notificaci n de Reacciones Adversas a las Vacunas (VAERS) en
