Survey Text

1991
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1991
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1. Transcribe from shot record

Immunization: Measles/MMR (shots)

1st shot:
1[] Measles
2[] MMR
Month ____
Day ____
Year 19____

b. At what age(s) did -- receive (additional) -- vaccine(s)?

A measles or MMR (Measles-Mumps- Rubella) shot?

1st

1[] Measles
2[] MMR
Age ____
1[] Months
2[] Years