Volume 15, Issue 6
Fishers High School
May 2021
N THE RED
Vaccin ation Status
3
COVID-19 Vaccination Record Card Please keep this record card, which includes medical information about the vaccines you have recieved. Por favor, guarde esta tarjeta de registro, que incluye informacion medica sobre las vacunas que ha recibido.
Last name
First name
Date of Birth
Patient Number (medical record or IIS record number)
Vaccine 1st Dose COVID-19 2nd Dose COVID-19
MI
Producr Name/Lot Number
Date /
/
/
/
Clinic Site
Hope for normalcy COVID vaccines present chance for return to pre-pandemic life www.fishersnthered.com