Editing 2532: Censored Vaccine Card

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:Date of birth                Patient number
 
:Date of birth                Patient number
  
:[A table fills the remainder of the card. It has four columns and five rows. The first row gives the column names:]
+
:{| class="wikitable"
:Vaccine. Manufacturer lot number. Date. Provider or clinic site.
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| Vaccine
:[The rest of the rows have been filled out. Each "date" cell also includes pre-printed "MM DD YY" below the line where the date is written.]
+
| Manufacturer lot number
:1st dose COVID-[censored]. '''Pfizer ER1138'''. '''04'''/'''01'''/'''21'''. '''CVS Pharmacy Clinician #5309'''.
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| Date
:2nd dose COVID-[censored]. '''Pfizer ES2187'''. '''04'''/'''22'''/'''21'''. '''CVS''' [censored] [censored].
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| Provider or clinic site
:Other. <sup>'''3rd dose'''</sup> [censored] '''FH1729'''. '''10'''/'''21'''/'''21'''. [censored] [censored] [censored]'''CIA'''[censored].
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|-
:Other. [censored]. [censored]/[censored]/[censored]. [censored].
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| 1st Dose<br/>COVID-[censored]
 +
| '''Pfizer ER1138'''
 +
| '''04'''/'''01'''/'''21'''<br/>MM DD YY
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| '''CVS Pharmacy Clinician #5309'''
 +
|-
 +
| 2nd Dose<br/>COVID-[censored]
 +
| '''Pfizer ES2187'''
 +
| '''04'''/'''22'''/'''21'''<br/>MM DD YY
 +
| '''CVS''' [censored] [censored]
 +
|-
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| Other
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| <sup>'''3rd dose'''</sup> [censored] '''FH1729'''
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| '''10'''/'''21'''/'''21'''<br/>MM DD YY
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| [censored] [censored] [censored]'''CIA'''[censored]
 +
|-
 +
| Other
 +
| [censored]
 +
| [censored]/[censored]/[censored]<br/>MM DD YY
 +
| [censored]
 +
|}
  
 
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