Has (NAME) received any vaccinations that are not recorded on this card, including vaccination received in a national immunization day / immunization campaign (Pentav.)?
Warning: these figures indicate the number of cases found in the data file. They cannot be interpreted as summary statistics of the population of interest.
For questions 6.3 to 6.4 copy vaccination date for each vaccine from the card. Write '44' in 'day' column if card shows a vaccination was given, but no date is recorded. Write '66' in 'day' column if card shows a vaccination was given, but date is not legible
Probe for the specific vaccination. Tick the box for the vaccination mentioned. Then enter date.
In the first box for other: indicate B=BCG; V = PENTAV; P=POLIO; M=MEASLES; then probe for date when vaccination was given and record month and year in the boxes provided. If does not recall, record 98. If no campaign/ did not participate circle 99.