Transcription of Your Child’s Immunization Record - …
1 your child s Immunization Record It s important to keep up-to-date records of all your child s immunizations, beginning at birth and continuing through adolescence. Make entries into this chart each time your child receives a vaccination by filling in the date. Record of Immunizations Date Given: Where Given: Reaction: Hepatitis B Rotavirus Diphtheria, Tetanus, Pertussis Tetanus, Diphtheria, Pertussis H influenzae type b Varicella (Chickenpox) Inactivated Polio Measles, Mumps, Rubella Hepatitis A Pneumococcal Conjugate Influenza (Flu) Adapted from Immunizations & Infectious Diseases: An Informed Parent s Guide Copyright 2006 American Academy of Pediatrics, revised 2/2012 Note: Immunization information is updated periodically.
2 Please go to for the most current information from the American Academy of Pediatrics. Meningococcal Conjugate Human Papillomavirus Other Note: Immunization information is updated periodically. Please go to for the most current information from the American Academy of Pediatrics.
