EFTA00139070

# Bureau of Prisons Health Services Immunizations

<table><thead><tr><th>Immunization</th><th>Immunization Date</th><th>Administered</th><th>Location</th><th>Dosage Drug Mfg.</th><th>Lot #</th><th>Exp Date</th></tr></thead><tbody><tr><td>Hepatitis A and B (TwinRx)</td><td></td><td>History Unknown</td><td></td><td></td><td></td><td></td></tr><tr><td>Orig Entered: 07/09/2019 12:51 EST</td><td></td><td>.MLP</td><td></td><td></td><td></td><td></td></tr><tr><td>Measles/Mumps/Rubella Series</td><td></td><td>History Unknown</td><td></td><td></td><td></td><td></td></tr><tr><td>Orig Entered: 07/09/2019 12:51 EST</td><td></td><td>.MLP</td><td></td><td></td><td></td><td></td></tr><tr><td>Smallpox Series</td><td></td><td>History Unknown</td><td></td><td></td><td></td><td></td></tr><tr><td>Orig Entered: 07/09/2019 12:51 EST</td><td></td><td>.MLP</td><td></td><td></td><td></td><td></td></tr><tr><td>Tetanus</td><td></td><td>History Unknown</td><td></td><td></td><td></td><td></td></tr><tr><td>Orig Entered: 07/09/2019 12:51 EST</td><td></td><td>.MLP</td><td></td><td></td><td></td><td></td></tr><tr><td>Varicella Series</td><td></td><td>History Unknown</td><td></td><td></td><td></td><td></td></tr><tr><td>Orig Entered: 07/09/2019 12:51 EST</td><td></td><td>.MLP</td><td></td><td></td><td></td><td></td></tr><tr><td>Total: 5</td><td></td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

Generated 05/11/2020 09:57 by Allen, Tamara OGC

Bureau of Prisons - DAN

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