Survey Text

1996
1995
1994
1993
1992
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1996
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2. Transcribe from shot record - If telephone ask: Looking at the shot record, please tell me how many times -- has received (name of vaccines)?
Record number of times for each vaccine. What is the date on the record for (first) (vaccine)? Repeat for second, third, etc. shots.

(5) A Hepatitis B shot?

Shots ________ (Number) (Record dates, then 3)
00[] None (3)
99[] DK (3)



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1995
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2. Transcribe from shot record - If telephone ask: Looking at the shot record, please tell me how many times -- has received (name of vaccines)?
Record number of times for each vaccine. What is the date on the record for (first) (vaccine)? Repeat for second, third, etc. shots.

(5) A Hepatitis B shot?

Shots ____ (Record dates, then 3)
[] 00 None (3)
[] 99 DK (3)



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1994
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2. Transcribe from shot record -- If telephone ask: Looking at the shot record, please tell me how many times -- have received (names of vaccines)? Record number of times for each vaccine. What is the date on the record for (first) (vaccine)? Repeat for second, third [and other] shots.

(5) A Hepatitis B shot?

Shots ____ (Record dates, then 3)
[] 00 None (3)
[] 99 DK (3)

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1993
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1. Transcribe from shot record

Hepatitis B

1 [] Yes (Record dates)
2 [] No (2)

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1992
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1. Transcribe from shot record

Hepatitis B

1 [] Yes (Record dates)
2 [] No (2)