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Template September 21, 2026Learning Clubhouse
Immunization Tracker
A printable immunization tracker per child — record each vaccine, date, and expiration to stay audit-ready.
Immunization Tracker
Child: ____________ DOB: ____________
| Vaccine | Date given | Next due | Notes |
|---|---|---|---|
| DTaP | ____ | ____ | ____ |
| IPV (polio) | ____ | ____ | ____ |
| MMR | ____ | ____ | ____ |
| Hib | ____ | ____ | ____ |
| Hep B | ____ | ____ | ____ |
| Varicella | ____ | ____ | ____ |
| Annual flu | ____ | ____ | ____ |
| COVID-19 | ____ | ____ | ____ |
Record on file: ☐ Yes ☐ No Expiration review date: ____________
Made with Learning Clubhouse.