Philippine Pediatric Society, Inc.
Immunization (Newborn – 5 years old)
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Step
1
of
3
33%
PRC No.
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Area of Practice
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National Capital Region (NCR)
Cordillera Administrative Region (CAR)
Ilocos Region (Region I)
Cagayan Valley (Region II)
Central Luzon (Region III)
CALABARZON (Region IV-A)
Southwestern Tagalog Region (MIMAROPA)
Bicol Region (Region V)
Western Visayas (Region VI)
Central Visayas (Region VII)
Eastern Visayas (Region VIII)
Zamboanga Peninsula (Region IX)
Northern Mindanao (Region X)
Davao Region (Region XI)
Soccsksargen (Region XII)
Caraga (Region XIII)
Bangsamoro (BARMM)
Period Covered (From)
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MM slash DD slash YYYY
Period Covered (To)
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MM slash DD slash YYYY
Choice of Vaccine
Combination Vaccine
Individual Vaccine
Select All
Combination Vaccines
Tetraxim (4-in-1)
Infanrix – DPT + IPV + HIB (5-in-1)
Pentaxim (5-in-1)
Infanrix – Hexa (6-in-1)
Hexaxim (6-in-1)
Select All
Individual Vaccine
BCG
DPT
dTaP
HEPATITIS A
HEPATITIS B
HIB
Influenza
Japanese Encephalitis
Measles
Meningococcal
MMR
OPV / IPV
Pneumococcal Conjugate
Pneumococcal Polysaccharide
Rabies
Rotavirus
Typhoid
Varicella
Covid Vaccine
Select All
BCG
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Covid Vaccine
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Infanrix – DPT + IPV + HIB (5-in-1)
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DPT 1
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HIB 1
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OPV / IPV 1
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TETRAXIM – DPT + IPV (4-in-1)
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DPT 3
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OPV / IPV 3
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PENTAXIM – DPT + IPV + HIB (5-in-1)
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DPT 4
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HIB 4
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OPV / IPV 4
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Infanrix – Hexa 1 (6-in-1)
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DPT 5 (Infanrix – Hexa (6-in-1))
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OPV / IPV 5 (Infanrix – Hexa (6-in-1))
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HIB 5 (Infanrix – Hexa (6-in-1))
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HEPATITIS B 2 (Infanrix – Hexa (6-in-1))
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HEPATITIS B 1
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Please enter a number from
0
to
1000
.
HEPATITIS B Booster
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DPT 2
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DPT Booster
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Hexaxim 1 (6-in-1)
DPT 6 (Hexaxim (6-in-1))
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HIB 6 (Hexaxim (6-in-1))
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OPV / IPV 6 (Hexaxim (6-in-1))
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HEPATITIS B 3 (Hexaxim (6-in-1))
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HIB 2
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HIB 3
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HIB Booster
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OPV / IPV 2
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IPV Booster
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Rotavirus 1
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Rotavirus 2
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Rotavirus 3
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PCV 1
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Total No. of patient given
PCV 2
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PCV 3
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PCV Booster
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Measles 1
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Measles 2
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MMR 1
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MMR 2
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HEPATITIS A 1
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HEPATITIS A 2
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Varicella 1
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Varicella 2
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Meningococcal 1
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Meningococcal 2
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Typhoid 1
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Typhoid 2
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Pneumococcal Conjugate 1
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Pneumococcal Conjugate 2
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Pneumococcal Conjugate 3
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Pneumococcal Conjugate 4
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Pneumococcal Polysaccharide 1
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Pneumococcal Polysaccharide 2
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Pneumococcal Polysaccharide 3
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Pneumococcal Polysaccharide 4
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Japanese Encephalitis 1
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Japanese Encephalitis 2
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Influenza 1
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Influenza 1
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Influenza Booster
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Rabies
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dTaP
Remarks
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