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Current Immunizations

This is a list of immunizations that your clinic has on file for you.

Pediatric Patients: You can get an Immunization form in the Colorado Department of Health Format.


DTaP (Diphtheria, Tetanus, acellular Pertussis)

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Dates on file: 10/25/2004, 10/15/2004, 10/12/2004
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HAV ped (Hepatitis A)

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Dates on file: 10/25/2004, 10/15/2004, 10/12/2004
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HBV (Hepatitis B)

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Dates on file: 10/25/2004, 10/15/2004, 10/12/2004
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DTaP (Diphtheria, Tetanus, acellular Pertussis)

This is a list of doses that your clinic has on file for you.

Administered on Nov 22, 2022

Manufacturer:Sanofi Pasteur
Lot #:C5855AA
Dose:0.5 mL
Route:Intramuscular
Site:Right Deltoid
Location:Kaiser Permanente Colorado

Administered on Feb 11, 2010

Manufacturer:Sanofi Pasteur
Lot #:DTPA600A2
Dose:0.5mL
Route:Intramuscular
Site:Left Deltoid
Location:Kaiser Permanente Colorado
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If you think this list is not accurate, or is incomplete, you can update the medical record. Simply provide a hard copy of the immunization information to the primary care physician. You can find the address for the physician's office in our facility directory.

If you have specific questions about the information on this page, or if you need a signed copy of the immunizations record, email the doctor at a Kaiser Permanente medical office, or call 303-338-4545, 1-800-218-1059 (toll free), or 711 (TTY for the deaf/hard of hearing/speech impaired).

If you or a person you care for sees a network provider, those immunization records are stored at that physician's office and may not appear here.