Survey Text

2003 1999 1995 1991
2002 1998 1994
2001 1997 1993
2000 1996 1992
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2003
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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2002
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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2001
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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2000
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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1999
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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1998
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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1997
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CIM.290

FR: ASK SHOT HISTORY

Has {Child's name} ever received an immunization (that is a shot or drops)?
SHOTAY
(1) Yes
(2) No (ICSTAT)
(7) Refused (ICSTAT)
(9) Don't know (ICSTAT)
Check item CIMCCI7: If age GE 6 go to CIM.360.

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1996
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9. Has -- ever received an immunization (that is a shot or drops)?

1[] Yes (10)
2[] No (Item I5 on page 4)
9[] DK (Item I5 on page 4)

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1995
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9. Has -- ever received an immunization (that is a shot or drops)?

1[] Yes (10)
2[] No (Item I5 on page 6)
9[] DK (Item I5 on page 6)

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1994
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9. Has -- ever received an immunization (that is a shot or drops)?

[] 1 Yes (10)
[] 2 No (Item I5 on page 6)
[] 9 DK (Item I5 on page 6)

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1993
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8. Has -- ever received an immunization (that is a shot or drops)?

1 [] Yes (9)
2 [] No (Item IZ3)
9 [] DK (Item IZ3)

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1992
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8. Has -- ever received an immunization (that is a shot or drops)?

1 [] Yes (9)
2 [] No (Item IZ3)
9 [] DK (Item IZ3)

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1991
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7. Has -- ever received an immunization (that is a shot or drops)?

1[] Yes (8)
2[] No (9)
9[] DK (9)