"GETTING VACCINATED IS A GESTURE

OF LOVE".
1
VACCINE
DISEASE PREVENTING Bolivarian Government I Ministry of People's
Power 0 of Venezuela 1 for Health
B.C.G Tuberculosis
ANTIPOLIO Poliomyelitis GENERAL DIRECTORATE OF EPIDEMIOLOGY IMMUNIZATION
Diphtheria DIRECTORATE
Tetanus
Pertussis
PENTAVALENT Meningitis and Pneumonia due VACCINATION CARD
to
Haemophilus Inf. Type b
ANTIROTAVIRUS Hepatitisrotavirus
Severe B diarrhea OFFICIAL DOCUMENT, IT IS IMPORTANT TO KEEP IT IN GOOD
CONDITION
ANTIHEPATITIS B Hepatitis B

TRIPLE BACTERIAL Diphtheria Tetanus Pertussis

Pertussis Vaccination Center Code
Measles Mumps Rubella
TRIVALENT VIRAL Measles Mumps
No. Registration
ANTI-AMARILIC Yellow fever
ANTI HAEMOPHILUS Meningitis and Pneumonia due
INFLUENZAE TYPE b to
ANTIMENINGOCOCCAL B-C Haemophilus
MeningococcalInfluenzae
MeningitisType b
DIPHTHERIA TOXOID Diphtheria ISSUED ON ______________/_______/______
Tetanus
TETANUS TOXOID Tetanus
ANTI-INFLUENZA Seasonal Influenza A: ____________________________________________________

C.I.: ________________________________________
Vaccines Protect Against Serious Diseases...
Building Our Collective Society

STAMP ISSUING BODY

Name and Last Name of the Vaccinated (a) Sex Date of Birth

Mother's First and Last Name Address

DATE OF VACCINATIONS
VACCINES 1st Dose 2nd Dose 3rd Dose Reinforcement Reinforcement Reinforcement
B.C.G

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ANTIPOLIO
VACCINATION

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PENTAVALENT
VACCINATION

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ANTIROTAVIRUS
VACCINATION

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ANTIHEPATITIS B R.N. ___/___/___
VACCINATION
Return to
TRIPLE BACTERIAL
VACCINATION

TRIVALENT VIRAL

LABORATORY BATCH LOT / LABORATORY

ANTI-AMARILIC

LABORATORY BATCH LOT / LABORATORY

DOUBLE VIRAL

ANTIHAEMOPHILUS INFLUENZAE TYPE b

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ANTIMENINGOCOCCAL B-C
VACCINATION
TETANUS TOXOID VACCINATION
DIPHETIC TOXOID (Adult) VACCINATION
ANT-INFLUENZA VACCINATION
OTHER