Dosc 4 Dose 5
DTaP/DTP2
DT'
Td4
PoHos
HIB6
MMR (Combined)9
(Separate)*
HepatitisB9
F PON rr
• The state immunization ID# is an identifier supplisby the state immunization registry ... local county health department.
VACCINE
DTaP/DTP2
DT3
Td'
Polio'
HIB6
MMR (Combine
(Separate
HepatitisB9
The state im
2 DTP 5 doses required. If the fourth primary dose is administered