top

2003

Survey form view entire document: text image

CIM.413

How many pneumococcal vaccines did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.

PNEENO

(01-04) 1-4 Shots
(96) All
(97) Refused
(99) Don't know

Check item CIMCCI8: If age LE 6, go to OTHRAY.

top

2002

Survey form view entire document: text image

CIM.413

How many pneumococcal vaccines did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.

PNEENO

(01-04) 1-4 Shots
(96) All
(97) Refused
(99) Don't know

Check item CIMCCI8: If age LE 6, go to OTHRAY.

top

2001

Survey form view entire document: text image

CIM.413

How many pneumococcal vaccines did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.

PNEENO

(01-04) 1-4 Shots
(96) All
(97) Refused
(99) Don't know

Check item CIMCCI8: If age LE 6, go to OTHRAY.

top

2000

Survey form view entire document: text image

CIM.413

How many pneumococcal vaccines did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.

PNEENO

(01-04) 1-4 Shots
(96) All
(97) Refused
(99) Don't know

Check item CIMCCI8: If age LE 6, go to OTHRAY.

Survey Text