Survey Text

2003
2002
2001
2000
top
2003
Survey form view entire document:  text  image
CIM.412

Has {Child's name} ever received a pneumococcal vaccine? (This is for some types of meningitis, pneumonia and ear infections and called NU-MO-COC-AL vaccine, NU-MO-COC-AL conjugate vaccine, NU-MO-COC-AL polysaccharide vaccine, PCV, PCV7, PNUcn_CRM7, Prevnar, PPV, Pnuimune, or Pneumovax).
PNEEV
(1) Yes
(2) No (Check item CIMCCI8)
(7) Refused (Check item CIMCCI8)
(9) Don't know (Check item CIMCCI8)

top
2002
Survey form view entire document:  text  image
CIM.412

Has {Child's name} ever received a pneumococcal vaccine? (This is for some types of meningitis, pneumonia and ear infections and called NU-MO-COC-AL vaccine, NU-MO-COC-AL conjugate vaccine, NU-MO-COC-AL polysaccharide vaccine, PCV, PCV7, PNUcn_CRM7, Prevnar, PPV, Pnuimune, or Pneumovax).
PNEEV
(1) Yes
(2) No (Check item CIMCCI8)
(7) Refused (Check item CIMCCI8)
(9) Don't know (Check item CIMCCI8)

top
2001
Survey form view entire document:  text  image
CIM.412

Has {Child's name} ever received a pneumococcal vaccine? (This is for some types of meningitis, pneumonia and ear infections and called NU-MO-COC-AL vaccine, NU-MO-COC-AL conjugate vaccine, NU-MO-COC-AL polysaccharide vaccine, PCV, PCV7, PNUcn_CRM7, Prevnar, PPV, Pnuimune, or Pneumovax).
PNEEV
(1) Yes
(2) No (Check item CIMCCI8)
(7) Refused (Check item CIMCCI8)
(9) Don't know (Check item CIMCCI8)

top
2000
Survey form view entire document:  text  image
CIM.412

Has {Child's name} ever received a pneumococcal vaccine? (This is for some types of meningitis, pneumonia and ear infections and called NU-MO-COC-AL vaccine, NU-MO-COC-AL conjugate vaccine, NU-MO-COC-AL polysaccharide vaccine, PCV, PCV7, PNUcn_CRM7, Prevnar, PPV, Pnuimune, or Pneumovax).
PNEEV
(1) Yes
(2) No (Check item CIMCCI8)
(7) Refused (Check item CIMCCI8)
(9) Don't know (Check item CIMCCI8)