Immunization Certificate
Official record for educational and healthcare enrollment.
Leo Augustus Miller
ID: NTX-0992-8812
Date of Birth
Oct 14, 2021
Age
2.5 Years
Current Status
Fully Compliant
Next Due
Oct 14, 2025 (4yr boosters)
| Vaccine / Disease | Dose Type | Date Given | Provider/Stamp |
|---|---|---|---|
|
DTaP Diphtheria, Tetanus, Pertussis |
Primary Series (4/5) | Mar 12, 2024 | ST. JUDE PEDIATRICS |
|
IPV Inactivated Poliovirus |
Dose 3 | Jan 05, 2023 | ST. JUDE PEDIATRICS |
|
MMR Measles, Mumps, Rubella |
Dose 1 | Oct 20, 2022 | ST. JUDE PEDIATRICS |
|
HepB Hepatitis B |
Completed (3/3) | Apr 15, 2022 | CITY GENERAL HOSP |
|
Varicella Chickenpox |
Dose 1 | Oct 20, 2022 | ST. JUDE PEDIATRICS |
Official Clinical Signature
Dr. Sarah Kensington, MD
St. Jude Pediatric Specialists • License #MD99201
Certified
Nerturix
Vault
Digitally Authenticated
April 12, 2024
This document serves as an official immunization record generated via Nerturix Health Vault. It complies with national healthcare data standards and is encrypted for your privacy. To verify this record, scan the QR code above or visit nerturix.app/verify/leo-miller.
Generated: 2024-05-18 14:32 UTC
Need to update these records? Contact your healthcare provider.