Survey Text

2003
2002
2001
2000
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2003
Survey form view entire document:  text  image

CIM.263

How many additional pneumococcal vaccines has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
PNEMNO
(01-04) 1-4 shots
(96) All
(97) Refused
(99) Don't know
Check item CIMCCI6: If age LE 7, go to CIM.283.

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2002
Survey form view entire document:  text  image

CIM.263

How many additional pneumococcal vaccines has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
PNEMNO
(01-04) 1-4 shots
(96) All
(97) Refused
(99) Don't know
Check item CIMCCI6: If age LE 7, go to CIM.283.

top
2001
Survey form view entire document:  text  image

CIM.263

How many additional pneumococcal vaccines has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
PNEMNO
(01-04) 1-4 shots
(96) All
(97) Refused
(99) Don't know
Check item CIMCCI6: If age LE 7, go to CIM.283.

top
2000
Survey form view entire document:  text  image

CIM.263

How many additional pneumococcal vaccines has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
PNEMNO
(01-04) 1-4 shots
(96) All
(97) Refused
(99) Don't know
Check item CIMCCI6: If age LE 7, go to CIM.283.