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Fate,
IMMUNIZATION REGISTER
Last Name
First Name
Tate
anding M.
American Red Cross
Racmenican
american
white
SMALLPOX VACCINE
Date
Juy 28,1943
Type of Reaction
lied. Off.
negative
Hellowing
pretive
TRIPLE TYPHOID VACCINE
Dates of Administration
1st aug 9,1943
jod.
2nd aug. 16 1543
3rdaug 21,1943
the
TETANUS TOXOID
Initial Vaccin.
Stimuloting Dose
Date Med. Off. Date Med. Off.
2nd ls
3rd
58462
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