Public Health Department
Resume:
Name: Darrinae
Pittman
Address: **** **** ** *** *******, LA 70128
DOB: 03/11/2003 Phone: 504-***-****
Age: 20
Immunization Needs
Vaccine Type Status Recommended Date
COVID-19
Pfizer
Due Now 03/11/2022
Flu
Sanofi
Due Now 07/01/2022
DTaP/DT/Td
GlaxoSmithKline
Up to Date 04/25/2024
Herpes Zoster
Not Available
Up to Date 03/11/2053
Pneumo (PCV13)
Not Available
Up to Date 03/11/2068
Immunization History
Vaccine Type Date Received Manufacturer, Lot Number Record Source
Varicella 05/27/2009
05/18/2004
Merck, 0340Y
Not Available
LA
LA
Pneumo (PCV13) 12/13/2006
09/17/2003
05/28/2003
Not Available
Not Available
Not Available
LA
LA
LA
Meningococcal
www.myirmobile.com
03/24/2023
Your immunization record has been verified by the reporting Public Health department. The document is a representation of the immunizations you have received and does not reflect valid or invalid dosing based upon federal guidelines. 1/4
Immunization History
Vaccine Type Date Received Manufacturer, Lot Number Record Source
06/06/2019
04/25/2014
Sanofi, U5984AB
Novartis, M11081
LA
LA
Meningococcal B,
Recombinant
06/06/2019 GlaxoSmithKline, ABX747AA LA
Tdap 04/25/2014 Sanofi, U4612AA LA
MMR 05/27/2009
09/10/2007
05/18/2004
Merck, 1726X
Not Available
Not Available
LA
LA
LA
Flu 10/15/2012
12/01/2010
12/13/2006
Sanofi, UH747AB
Not Available
Not Available
LA
LA
LA
Polio 05/27/2009
09/10/2007
09/17/2003
05/28/2003
GlaxoSmithKline,
AC21B149AA
Not Available
Not Available
Not Available
LA
LA
LA
LA
www.myirmobile.com
03/24/2023
Your immunization record has been verified by the reporting Public Health department. The document is a representation of the immunizations you have received and does not reflect valid or invalid dosing based upon federal guidelines. 2/4
Immunization History
Vaccine Type Date Received Manufacturer, Lot Number Record Source
Hep-B 05/27/2009
09/17/2003
05/28/2003
03/11/2003
GlaxoSmithKline,
AC21B149AA
Not Available
Not Available
GlaxoSmithKline, ENG5355A2
LA
LA
LA
LA
HIB 05/18/2004
09/17/2003
07/22/2003
05/28/2003
Not Available
Not Available
Not Available
Not Available
LA
LA
LA
LA
Hep-A 07/29/2015
12/13/2006
GlaxoSmithKline, X22P4
Not Available
LA
LA
HPV 07/29/2015
09/30/2014
04/25/2014
GlaxoSmithKline, BF7A2
GlaxoSmithKline, PH43F
GlaxoSmithKline, PH43F
LA
LA
LA
DTaP/DT/Td 05/27/2009
09/10/2007
GlaxoSmithKline,
AC21B149AA
LA
LA
www.myirmobile.com
03/24/2023
Your immunization record has been verified by the reporting Public Health department. The document is a representation of the immunizations you have received and does not reflect valid or invalid dosing based upon federal guidelines. 3/4
Immunization History
Vaccine Type Date Received Manufacturer, Lot Number Record Source
12/13/2006
09/17/2003
07/22/2003
05/28/2003
Not Available
Not Available
Not Available
Not Available
Not Available
LA
LA
LA
LA
COVID-19 10/11/2021
05/28/2021
Pfizer, FF8839
Pfizer, ER8731
LA
LA
www.myirmobile.com
03/24/2023
Your immunization record has been verified by the reporting Public Health department. The document is a representation of the immunizations you have received and does not reflect valid or invalid dosing based upon federal guidelines. 4/4
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