Why is a vaccination record card template used?

A vaccination record card template is used to document and keep track of the details of vaccinations received by an individual, ensuring accurate and organized immunization records.

What should be included in a vaccination record card?

A vaccination record card should include information such as the name of the vaccine, date of administration, dosage, and the administering healthcare provider.

When to use the vaccination record card template?

The vaccination record card template is used whenever vaccinations are administered to individuals to maintain an accurate record of their immunization history.

Who can use the vaccination record card template?

Healthcare providers and clinics can benefit from using the vaccination record card template to document and track the immunization details of their patients effectively.

How to create a vaccination record card with Jotform?

With Jotform's PDF Editor, users can easily create a customized vaccination record card by utilizing features like drag-and-drop functionality, custom CSS, and seamless data export options.

Vaccination Record Card - PDF Templates

Vaccination Record Card

Batch No.

123

Age

Name

John Smith

Date of Birth

September 3, 1995

Patient ID

123456789

Gender

Male

Vaccination Record

	Date	Dosage	Lot Number	Manufacturer	Location/Site
1st Dose	8/30/2021	2	123	Sinovac	Public School
2nd Dose
3rd Dose

Please keep this record card, it includes the medical information, details and the vaccine you have received. This card will show the next schedule of your vaccine. It is important to show this card to the next vaccination schedule for health officials to verify.

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Vaccination Record Card

Reminder:

Please return to your second vaccination schedule.
Please bring this card for your next schedule of vaccines.
Always check with the health workers and verify all information is correct so you won’t miss the next dose.

Location Address

111 Pine Street, Suite 1815

San Francisco, CA, 94111

Name of Health Coordinator

Helen Smith

Date and Time

Thursday, September 30, 2021

Please report to the nearest health workers of any severe reaction after the vaccination.

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About this template

A Vaccination Record Card is a document that servers as proof that an individual already received a vaccine from a health facility. It typically includes information such as the name of the vaccine, the date it was administered, the dosage, and the administering healthcare provider. Healthcare providers and clinics commonly use this template to keep track of patient immunization records accurately and efficiently.

This Vaccination Record Card template shows the name of the individual, age, date of birth, gender, batch number, patient number, vaccination record table, reminders, return date and time, and other important information. This PDF template uses the A5 paper size and the landscape layout to make it more presentable and easily read. This PDF template uses the Input Table tool to display the vaccination date, dosage, lot number, manufacturer, and the location where the patient received the vaccine. Customize this PDF template freely via the PDF editor, which is very easy to use.

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Created by

TommyBaker