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This section contains forms related to the Anthrax Vaccine Immunization Program.
 
Please choose a form below:


  • MEDCOM form #700-R has been rescinded (click here) and is no longer to be used for recording anthrax vaccinations. Please continue to record all vaccinations in the following places:
    - Health Record Immunization Record - SF 601
    - International Certification of Vaccination - HHS Form PHS 731
    - Adult Preventive and Chronic Care Flow-sheet - DD Form 2766 & DD Form 2766C
    - Service automated immunization tracking system - MEDPROS/AFCITA/SAMS

  • Civilian Acknowlegement Form [03 APR 03]

  • Vaccine Adverse Event Reporting System (VAERS)
    Form for reporting vaccine adverse events to the FDA.





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