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Adult Vaccine Record

Bring this record to medical and pharmacy visits. Ask which vaccines are due based on age, health, and prior doses.

Vaccine history

VaccineDateClinic or pharmacyNext dose / notes
Flu
COVID-19
RSV
Shingles
Pneumococcal
Tdap / Td

Questions, reactions, or vaccines to discuss

Recommendations change. Confirm the current schedule with a pharmacist or other qualified healthcare professional.