Survey Text

2003
2002
2001
2000
1999
1998
1997
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2003
Survey form view entire document:  text  image
CIM.086

FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

Looking at the shot record, please tell me how many times {Child's name} has 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)
PNEU
(00) None (CIMCCI3)
(01-04) 1-4 shots
(97) Refused (CIMCCI3)
(99) Don't know (CIMCCI3)

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2002
Survey form view entire document:  text  image
CIM.086

FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

Looking at the shot record, please tell me how many times {Child's name} has 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)
PNEU
(00) None (CIMCCI3)
(01-04) 1-4 shots
(97) Refused (CIMCCI3)
(99) Don't know (CIMCCI3)

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2001
Survey form view entire document:  text  image
CIM.086

FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

Looking at the shot record, please tell me how many times {Child's name} has 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)
PNEU
(00) None (CIMCCI3)
(01-04) 1-4 shots
(97) Refused (CIMCCI3)
(99) Don't know (CIMCCI3)

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2000
Survey form view entire document:  text  image
CIM.086

FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

Looking at the shot record, please tell me how many times {Child's name} has 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)
PNEU
(00) None (CIMCCI3)
(01-04) 1-4 shots
(97) Refused (CIMCCI3)
(99) Don't know (CIMCCI3)

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1999
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FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

CIM.123

Looking at the shot record, please tell me how many times {Child's name} has received a Pneumococcal vaccine shot?
OTH2
Number of shots __________

(00)None (OTHREDIT)
(01-06) 1-6 times (CIM.124)
(97) Refused (OTHREDIT)
(99) DK (OTHREDIT)

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1998
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FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

CIM.123

Looking at the shot record, please tell me how many times {Child's name} has received a Pneumococcal vaccine shot?
OTH2
Number of shots __________

(00)None (OTHREDIT)
(01-06) 1-6 times (CIM.124)
(97) Refused (OTHREDIT)
(99) DK (OTHREDIT)

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1997
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FR: TRANSCRIBE FROM SHOT RECORD OR ASK:

CIM.123

Looking at the shot record, please tell me how many times {Child's name} has received a Pneumococcal vaccine shot?
OTH2
Number of shots __________

(00)None (OTHREDIT)
(01-06) 1-6 times (CIM.124)
(97) Refused (OTHREDIT)
(99) DK (OTHREDIT)