| Document Date: 2013-10-25 17:18:25
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Facility Immunization Clinic / / / IndustryTerm cancer treatment / medical insurance / Insurance company name / / MedicalCondition Rubella / lung disease / cancer / Mumps / kidney disease / Chickenpox / flu / seizures / HIV/AIDS / diarrhea / Date Influenza / Measles / metabolic disease / Guillain-Barre syndrome / blood disorders / another disease / influenza / seizure disorders / heart disease / anemia / e.g. diabetes / wheezing / asthma / serious allergic reaction / / MedicalTreatment immunization / vaccination / immunizations / / Organization Nelson-Griggs District Health Unit / Centers for Disease Control and Prevention / / / Position nostril LA RA Nasal Nurse / / ProvinceOrState North Dakota / Female County / /
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CAVALIER COUNTY HEALTH DISTRICT VACCINE ADMINSTRATION RECORD