Immunization Register
Last Name: Mariam / First Name Rudolf / ASN 32091969
Grade Company Regt 37 A.R.HQ 3rd BN. / Age / Race
Smallpox Vaccine
Date – Type of Reaction – Med 0
5/17/41 Vaccinoid
3/4/42 Immune
5-27-43 Immune
3-11-44 Immune
Triple Typhoid Vaccine
Dates of Administration (Series – 1st Dose – 2 Dose – 3 Dose) – Med 0
[different dates between 1941 and 1945]
Tetanus Toxoid
Initial Vaccination Stim Doses
Date – Med Officer – Date – Med Officer
[different dates in 1941]
Yellow Fever Vaccine
Date – Lot No. – Amount – Med Officer
10-20-42 368 0:5cc
Other Vaccines
Disease – Date – Type of Vacc – Med Off
Typhus 12-9-44 5-3-45
Typhus 12/16/42 12/21/43 12/26/43
[handwritten:] Blood type A – 8/29/41