Viewing page 16 of 57

This transcription has been completed. Contact us with corrections.

Civilian
Immunization Register1

LAST NAME Marsh,
FIRST NAME Reginald
ARMY SERIAL NO.

Grade
Company 
Regt. of Staff Corps 3 
Age 
Race 

Smallpox Vaccine
[[3 columned table]]
|DATE | TYPE OF REACTION6| MED. OFFICER2|
|---|---|---|
|4-4-43|   |Private Physician|

Triple Typhoid Vaccine
[[5 columned table]]
| Dates of Administration SERIES | Dates of Administration 1ST DOSE | | Dates of Administration 2D DOSE | Dates of Administration 3D DOSE |  Med Officer 2 |
| --- | --- | --- | --- | --- |
| 1st | Private Physician| May 24 '43 | 2nd May 29 '43 | DHS |
| 2d |   |   |   |   |
| 3d |   |   |   |   |

[[left margin]] 3 wks [[/left margin]]

Tetanus Toxoid
[[6 columned table]]
| Initial Vaccination Wed 135 ED| Initial Vaccination Date | Initial Vaccination Med. Off.2 | Stimulating Doses | Stimulating Doses Date | Stimulating Doses Med. Off.2|
| --- | --- | --- | --- | --- | --- |
| 1st dose | May 24 '43 | DHS |   |   |   |
| 27984 2d dose | Jun 14 '43 | DHS |   |   |   |
| 86412 3d dose | Jul 6- '43 | HBY |   |   |   |


Yellow Fever Vaccine
[[4 columned table]]
| Date | Lot No. | Amount | Med. Off. 2 |
| --- | --- | --- | --- |
| May 29 1943 | PHS | 1/2 cc | DHS |
|   | AB 160 |   |   |

Other Vaccines
[[5 columned table]]
| Type of Vaccine | Date | MFR'S Lot No. | Amount | Med. Off 2 |
| --- | --- | --- | --- | --- | 
| Typhus | May 24 '43 | G.065296B | 1 CC | DHS |
| Typhus | May 29 '43 | G.065296B | 1 CC | DHS |
| Typhus | Jun 3- '43 | G.065296B | 1 CC | DHS |

[[stamp]] War Department
Corps of Engineers, U.S. Army
Office of Division Engineer North Atlantic Division
270: Broadway
New York, N.Y. [[\stamp]]

M.C.,
U.S. Army

16--20202-1

Blood Type A