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CIM.355

Has {Child's name} ever received a rotavirus vaccine by mouth?

FR: READ IF NECESSARY:

This vaccine is to prevent diarrhea caused by rotavirus. It is given by mouth and is usually yellow-orange in color.
ROTEV
(1) Yes
(2) No (CIM.360)
(7) Refused (CIM.360)
(9) Don't Know (CIM.360)