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IMMUNIZATION REGISTER¹
LAST NAME
FIRST NAME
ARMY SERIAL NO.
Storey
Marjory
GRADE
COMPANY
REGT. OR STAFF CÓRPS
AGE
RACE
ARC Unit
SMALLPOX VACCINE
DATE
TYPE OF REACTION
MED. OFFICER³
6/1/42
Beaction of
H.O.
Prolettion
TRIPLE TYPHOID VACCINE
DATES OF ADMINISTRATION
MED. OFFICER²
SERIES
IST DOSE
2D DOSE
3D DOSE
1st
6/26/42
7/1/42
7/6/42
q.8.g.
2d
3d
TETANUS TOXOID
INITIAL VACCINATION
STIMULATING DOSES
DATE
MED. OFF.
DATE
MED.OFF.
1st dose.
7/14/42
M.B.L
2d dose.
3d dose
YELLOW FEVER VACCINE
DATE
LOT NO.
AMOUNT
MED. OFF.2
Dephthoia
OTHER VACCINES
TYPE OF
DISEASE
DATE
DOSES
MED. OFF.3
VACCINE
bladese
7/4/42
Toxaid
5cc
MBL
2dosp
7/28/42
"
556
MBL
3 des:
a)sihick lest Duts. 6/1/42
M,C.,
"
U. S. Army.
Roading neg. - Pas. X
8
2
8
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