Vaccination record

M-M-R II VACCINE VIAL

Dose given on July 5, 2022

Patient information Vaccine administration information

First name Vaccine name

YANGSHU M-M-R II VACCINE VIAL

Last name Manufacturer

HU MERCK SHARP & D

Date of birth Lot #

12/01/1997 U023829

Route
Injection, subcutaneous

Site
Left arm

Volume (ml)
1