儿童免疫接种告知书 模板

 

Advice of Children’s Immunization Vaccination

 

Dear parents, please handle Children Preventive Vaccination Certificate for your babies and read carefully the parts as below:

I. Vaccination schedule of the first class vaccine

Vaccine

Years (Months) Old

Neonate

1 months

2 months

3 months

4 months

5 months

6 months

8 months

18-24 months

4 years

6 years

HBV

1st dose

2nd dose

 

 

 

 

3rd dose

 

 

 

 

BCG

1 dose

3 months or above shall have PPD test. Negative PPD carrier can be vaccinated.

OPV

 

 

1st dose

2nd dose

3rd dose

 

 

 

 

4th dose

 

DPT

 

 

 

1st dose

2nd dose

3rd dose

 

 

4th dose

 

 

MV

 

 

 

 

 

 

 

1st dose

2nd dose

 

 

DT

 

 

 

 

 

 

 

 

 

 

1st dose

Aforesaid vaccines are classified in the first class. All children must be vaccinated. And costs of it will be assumed by the government. Please properly keep the Children Preventive Vaccination Certificate to avoid negative effect on childs entrance to school or kindergarten.

II. Vaccination schedule of the second class vaccine

Vaccine

6-9 months

8 months

12 months

18-24 months

2 years

3 years

6 years

HBV

 

1st dose

 

 

2nd dose

 

3rd dose

AMPV

1st, 2nd dose

 

 

 

 

 

 

A+C

2 years old above

RV

 

1st dose

 

 

 

 

2nd dose

Varicella

 

 

1st dose

 

 

 

 

Hib

1st, 2nd, 3rd dose

 

 

4th dose

 

 

 

MUMPS

 

1st dose

 

 

 

 

2nd dose

HA

 

 

1st dose

 

 

 

 

MMR

 

 

 

1st

 

 

 

 

Aforesaid vaccines are classified in the second class. Please voluntarily get your child injected with these vaccines. We suggest parents to get your children injected with such vaccines for keeping your children healthy. You will have to bear the costs of vaccines of the same variety classified in the first class, for example: APDT.

III. Caution on immunization vaccination

1. After getting child injected, please keep the injection site clean and dry in case of infection.

2. After vaccination, the child shall not go on strenuous exercise or eat spicy food or other excitant food. Please carefully take care of your child and pay close attention to them.

3. After vaccination, the child may have some slight reaction, for example: injection site marked by redness, light swelling or soreness. Most of such symptoms will vanish by itself within 48 hours, otherwise please take your child to hospital.

4. Minor child may have flashed skin, crying, objecting food, noising, throwing up or suffering diarrhea etc. Please pay close attention to them and feed some hot water. If his body temperature is over 38.5or he fevers for several days, please take your child to hospital.

   2307627

Leading Group Office of Mianyang Urban Area Child Immunization Program 

I. Personal Profile

 Certificate No. 2001030039

Holder

Name

YOU

Alias

 

Gender

F

Birth Date

Oct. 20, 2001

Address

XXX

Parents

Father

 

Work Unit

XX

Mother

XXX

Work Unit

XX

Issue Date

Aug. 29, 2008

Issue Unit

Chengbei Community Health Service Center

Seal of Mianyang Tumor Hospital (Prevention and Medical Care Department)

II. Vaccination Record (1)

 

Vaccine

Status

Date

Signature

YYYY

MM

DD

BCG

Primary

02

3

18

 

PPD

 

 

 

 

tOPV

Basic

1st

02

4

18

 

2nd

02

5

18

 

3rd

02

10

17

 

Revaccinationn

06

2

17

 

Universal

 

 

 

 

 

 

 

 

 

Vaccination Record (2)

Vaccine

Status

Date

Signature

YYYY

MM

DD

DPT

Basic

1st

02

4

18

 

2nd

02

5

18

 

3rd

02

10

17

 

Revaccinationn

03

6

16

 

Universal

 

 

 

 

 

 

 

 

DT

07

11

15

 

MV

Primary

02

10

16

 

Revaccinationn

03

5

17

 

Universal

 

 

 

 

 

 

 

 

 

Vaccination Record (3)

Vaccine

Status

Date

Signature

YYYY

MM

DD

JEV

Primary

03

4

16

 

Strengthen

04

3

18

 

Strengthen

08

6

16

 

MenCCV

Primary

03

10

15

 

Strengthen

1st

04

2

18

 

A+C

06

9

18

 

A+C

09

12

19

 

HBV

1st dose

01

10

20

Illegible

2nd dose

01

11

20

 

3rd dose

02

4

27

 

Revaccination

08

01

26

 

Revaccination

 

 

 

 

Revaccination

 

 

 

 

Vaccination Record (4)

Vaccine

Date

Signature

YYYY

MM

DD

HAV

03

3

17

 

 

08

8

18

 

RV

03

9

17

 

 

08

11

27

 

MuV

03

7

16

 

 

08

8

18

 

VARIVAX

07

6

18

 

 

Vaccination Record (5)

Vaccine

Date

Signature

YYYY

MM

DD

Hib

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PNEUMOVAX

07

9

25

 

SHIGELLA

04

5

17

 

 

 

 

 

 

Vaccination Record (6)

Vaccine

Date

Signature

YYYY

MM

DD

TIVs

09

9

8

Illegible

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vaccination Record (7)

Vaccine

Date

Signature

YYYY

MM

DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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