Nevada Immunization Record
Immunization Record Provided By:
Nevada State Immunization Program
4150 Technology Way, Suite 210
Carson City, NV 89706
(775) 684-5900
Official Document
Registro de Inmunizacion
Documento Oficial
Name/Nombre: AARON JAY C SUBLATEN
Invalid Dose. NSIP minimum age/interval not met.
Vaccine/Vacuna
Date of Birth/Fecha de Nacimiento: 05/14/1999
Dose determined invalid by provider
Date Given
Dada en la Fecha
MM/DD/YYYY
Gender/Genero: Male
DTaP/Td/Tdap
1
Nevada WebIZ ID#: 5188447
2
Date of Next Vaccination/Fecha de Proxima Vacuna: 03/06/2022
3
Td (Adult) P-Free
10/28/2021
4
Present this record at each medical visit.
Presente este documento durante sus visitas medicas.
5
Polio
1
Date Given
Dada en la Fecha
MM/DD/YYYY
Vaccine/Vacuna
Age at Imm.
Edad Cuando Inm.
COVID-19 mRNA (MOD)
05/29/2021
2
2
3
COVID-19 (Most recent 3 doses)
1
4
22Y 0M 15D
MMR/Measles
1
Influenza (Most recent 3 doses)
2
1
Hib
1
2
2
3
4
HEPB
1
2
3
Date
Age at Imm.
Edad Cuando Inm.
HEPA
Note
1
2
Pneumococcal
1
2
3
4
ROTA
1
2
3
Varicella(CPOX)
1
2
Travel
1
Other
1
Meningococcal B
1
Meningococcal
1
2
HPV
1
2
3
Print Date 3/6/2022 9:00:25AM
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22Y 5M 14D
Immunization Recommendations for:
AARON JAY C SUBLATEN DOB: 05/14/1999
Recommended immunizations for today, 3/6/2022 (22Y 9M 20D) (8,332 days)
Vaccine
COVID-19 mRNA (MOD)
MMR
CPOX (Varicella)
Influenza Quad Inj P
HPV9
Future Recommendations
The first recommended return date is 04/03/2022 (22Y 9M 20D)
Vaccine
Date
Age
Age In Days
Pneumococcal
Zoster
COVID-19
Varicella(CPOX)
HPV
05/14/2064
05/14/2049
08/06/2022
04/03/2022
04/03/2022
65Y 0M 0D
50Y 0M 0D
23Y 2M 23D
22Y 10M 20D
22Y 10M 20D
23,742
18,263
8,485
8,360
8,360
Print Date 3/6/2022 9:00:25AM
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