CIM.100
[ If age LE 6 ]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?
[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after (Child's name)'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)