40 lines
1.0 KiB
Markdown
40 lines
1.0 KiB
Markdown
---
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type: vaccination-record
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category: covid-19
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person: Erica Jiang
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date: 2021-04-10
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provider: LAFD USC
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source: erica-covid-vaccine.pdf
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---
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# COVID-19 Vaccination Record Card
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| Field | Value |
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|---|---|
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| **Last Name** | Jiang |
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| **First Name** | Erica |
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| **MI** | |
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| **Date of Birth** | 03/13/1993 |
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| **Patient Number** | |
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## Vaccination Details
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| | 1st Dose COVID-19 | 2nd Dose COVID-19 |
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|---|---|---|
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| **Product Name/Manufacturer** | Pfizer | Pfizer |
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| **Lot Number** | ER8329 | EW0171 |
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| **Date** | 04/10/2021 | |
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| **Healthcare Professional / Clinic Site** | LAFD USC | LAFO - USC |
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## Reminder (Back of Card)
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| Field | Value |
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|---|---|
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| **Vaccine** | COVID-19 vaccine |
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| **Return Date (2nd Dose)** | 04/27/21 |
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## Notes
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- The 2nd dose date field on the front of the card is not clearly filled in. The back of the card indicates a return date of 04/27/21 for the 2nd dose.
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- The 2nd dose clinic site appears to read "LAFO - USC" (handwriting is difficult to parse; may be the same site as the 1st dose, LAFD USC).
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