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[p. 171]

Section N -- Immunization

Check Item 1
Refer to ages of all family members

1[] Persons 18 and over in family (1)
2[] No person 18 and over (Section O)

The following questions are about immunizations to prevent influenza, pneumonia, and tetanus. In this family, they refer to (read names of all persons 18+).


1a. During the past 12 months, that is, since (12-month date) a year ago, have any adults in the family received a flu shot?
Read if necessary: This vaccination is usually given in the fall and protects against influenza for about one year.

[] Yes
[] No (2)
[] DK (2)

b. Who was this?
Mark "influenza immunization" box in person's column.

1[] Influenza immunization

c. Anyone else?

[] Yes (Reask 1b and c)
[] No


2a. Have any adults in the family ever received a pneumonia vaccination?
Read if necessary: This shot first became available in 1979, and is given only once in a person's lifetime.

[] Yes
[] No (3)
[] DK (3)

b. Who was this?
Mark "Pneumonia vaccination" box in person's column.

1[] Pneumonia vaccination

c. Anyone else?

[] Yes (Reask 2b and c)
[] No


Ask for each person with "Pneumonia vaccination" in 2b.
d. Did -- receive the pneumonia shot within the past 12 months?

1[] Yes
2[] No
9[] DK


3a. During the past 5 years, have any adults in the family had a tetanus shot?
Read if necessary: Tetanus is sometimes called lockjaw.

[] Yes
[] No (Section O)
[] DK (Section O)

b. Who was this?
Mark "Tetanus immunization" box in person's column.

1[] Tetanus immunization

c. Anyone else?

[] Yes (Reask 3b and c)
[] No


Ask for each person with "Tetanus immunization" in 3b.
d. About how long ago did -- have the last tetanus shot?

1[] Less than 1 year
2[] 1 year, but less than 3 years
3[] 3 or more years ago
9[] DK