剂量:0.3毫升辉瑞/Biontech Covid-19疫苗0.5 ml Moderna Covid-19疫苗批次:______________________________________。Date: ________ Record: Vaccination record card provided to Patient Vaccinator's Comments (use additional space on back of form if necessary): ______________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________ ______________________________________________ Vaccinator Signature Vaccinator Printed Name and Title Date Date Entered into ICARE:_______________________ Date Uploaded into AllVax:_______________ ICARE PID:____________________________
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