Page 1 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
Bureau of Immunization Address:
CIR ID: 452795163 Citywide Immunization Registry
Name: KEIRA AAHLIYAH MALDONADO 42-09 28th Street, 5th Floor, CN 21
Age: 19y 8m Long Island City, NY 11101-4132
DOB: 02/28/2005 Email:
[email protected] Sex: Female Website: https://nyc.gov/health/cir
Immunization History
Date: November 6, 2024 at 6:09 PM EST
Vaccine Vaccine Name Date Recommendation / Next Due
Influenza Ongoing / Due on 07/01/2025 Influenza, not specified
Influenza, ccIIV4 09/19/2024
Influenza, IIV4, p-free, Lot #UJ899AA 10/25/2022
Influenza, IIV4, p-free, Lot #39D2G 10/11/2021
Influenza, IIV4, p-free, Lot #37BH7 09/22/2020
Influenza, IIV4, p-free, Lot #2DB5X 10/31/2019
Influenza, IIV4, p-free, Lot #2D24J 10/13/2018
Influenza, IIV4, p-free 09/09/2017
Influenza, IIV4, Lot #UT5673JA 10/31/2016
Influenza, IIV3, (>=3yrs), Lot #DF4TX 09/21/2015
Influenza, IIV3, (>=3yrs), Lot #34MM3 10/08/2014
Influenza, IIV3, (>=3yrs), Lot #UH936AB 10/30/2013
Influenza, not specified 10/20/2011
Influenza, inj, not specified, Lot
10/14/2010
#U3564AA
Influenza, inj, not specified, Lot
10/15/2009
#U3174FA
Influenza, inj, not specified 10/06/2008
Influenza, inj, not specified 10/17/2007
Influenza, inj, not specified 12/07/2006
Influenza, inj, not specified 11/06/2006
DTP Administer Td or Tdap / Due on 03/04/2026 Tdap
Tdap, Lot #45MH5 03/04/2016
DTaP 03/25/2009
DTaP-Hib (TriHIBit) 10/06/2006
DTaP-HepB-IPV (Pediarix) 09/21/2005
DTaP-HepB-IPV (Pediarix) 07/21/2005
Page 2 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
Vaccine Vaccine Name Date Recommendation / Next Due
DTaP-HepB-IPV (Pediarix) 05/19/2005
Hib Completed Vaccine Series
DTaP-Hib (TriHIBit) 10/06/2006
Hib, not specified 07/21/2005
Hib-HbOC (HibTiter) 05/19/2005
Recommended / Due on 02/28/2070 Pneumococcal,
Pneumococcal
not specified
PCV7 (Prevnar 7) 10/06/2006
PCV7 (Prevnar 7) 09/21/2005
PCV7 (Prevnar 7) 07/21/2005
PCV7 (Prevnar 7) 05/19/2005
Polio Completed Vaccine Series
IPV 03/25/2009
DTaP-HepB-IPV (Pediarix) 09/21/2005
DTaP-HepB-IPV (Pediarix) 07/21/2005
DTaP-HepB-IPV (Pediarix) 05/19/2005
MMR Completed Vaccine Series
* MMR, Lot #W026512 09/18/2023
MMR 03/25/2009
MMR 04/07/2006
Varicella Completed Vaccine Series
Varicella 03/25/2009
Varicella 04/07/2006
HepA Completed Vaccine Series
HepA, ped/adol 2-dose 07/27/2007
HepA, ped/adol 2-dose 10/06/2006
Meningococcal
Series complete unless high risk
(MenACWY)
Meningococcal ACWY (Menactra), Lot
03/02/2021
#U6877BA
Meningococcal ACWY (Menactra), Lot
03/04/2016
#U5186AA
Human Papillomavirus Completed Vaccine Series
HPV9 (Gardasil-9), Lot #M028323 02/16/2017
HPV9 (Gardasil-9) 07/22/2016
HPV9 (Gardasil-9), Lot #L014415 03/04/2016
Page 3 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
Vaccine Vaccine Name Date Recommendation / Next Due
H1N1 Influenza Completed Vaccine Series
H1N1-09, p-free, Lot #UP025AA 12/18/2009
H1N1-09, p-free, Lot #101326 5P 11/16/2009
COVID-19 Due now COVID, mRNA, not specified
COVID, Pfizer, PBS,12y+, Lot #FL3209 01/21/2022
COVID, Pfizer, PBS,12y+, Lot #ER8727 05/21/2021
COVID, Pfizer, PBS,12y+, Lot #EN6201 04/30/2021
HepB Completed Vaccine Series
DTaP-HepB-IPV (Pediarix) 09/21/2005
DTaP-HepB-IPV (Pediarix) 07/21/2005
DTaP-HepB-IPV (Pediarix) 05/19/2005
Page 4 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
Recommendations and Due Dates
Vaccine Recommendation / Next Due
Influenza Ongoing / Due on 07/01/2025 Influenza, not specified
HepB Completed Vaccine Series
Rotavirus Not recommended after 8 months.
DTP Administer Td or Tdap / Due on 03/04/2026 Tdap
Hib Completed Vaccine Series
Pneumococcal Recommended / Due on 02/28/2070 Pneumococcal, not specified
Polio Completed Vaccine Series
MMR Completed Vaccine Series
Varicella Completed Vaccine Series
Zoster Recommended / Due on 02/28/2055 Zoster (Shingrix)
HepA Completed Vaccine Series
Meningococcal (MenACWY) Series complete unless high risk
Human Papillomavirus Completed Vaccine Series
Meningococcal B Clinical Patient Discretion
COVID-19 Due now COVID, mRNA, not specified
Orthopoxvirus
Notes
Rows marked with an asterisk * are vaccine doses that are invalid and do not count toward series completion according to national
immunization guidelines. Reasons may include: the vaccine was an extra dose, it was given too early before the recommended age, or the
vaccine is not licensed for the age of the patient.
This report contains immunization data that have been reported to the CIR. Individuals may have received vaccine doses that are not
contained in this report.
Review this report with your health care provider for completeness and accuracy. If you have questions about the immunization record,
contact your health care provider.
Brand names shown are used for identification purposes only, not as endorsement.
Page 5 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
Definitions for Recommendation / Next Due
Term Definition
Completed Series All recommended doses of this vaccine series have been administered.
Date The next dose of vaccine is due on the date shown.
Disease History History of disease was documented by the individual's health care provider.
DUE NOW A dose of the vaccine is due now.
Immunity Documented Proof of immunity was documented by the individual's health care provider.
Not Recommended The vaccine is not recommended based on the individual's current age.
Not Generally The vaccine is not generally recommended based on the individual's current age unless the individual is in a
Recommended After Age high-risk group. Talk to your health care provider to determine if you are in a high-risk group.
An "Ongoing" status requires additional doses at specific intervals, depending on the person's age, the
Ongoing
vaccine type, and latest CDC guidance.
Recommended for High- The vaccine is recommended only if the individual is in a high-risk group. Talk to your health care provider to
risk Groups determine if you are in a high-risk group.
Abbreviations
Term Definition
ID Intradermal
IM Intramuscular
IV Intravenous
NOS Not Otherwise Specified
P-Free Preservative free
SC Subcutaneous
Page 6 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
SMART® Health Cards
A SMART® Health Card is a record of your vaccination history that uses verifiable QR codes. My Vaccine Record (MVR) contains your
vaccination status that is on record with the Bureau of Immunization, New York City Health Department. You may share your records with
others if you choose.
1 of 9: DTP, H1N1 Influenza
2 of 9: HepA, HepB, Hib
Page 7 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
3 of 9: Human Papillomavirus, MMR, Meningococcal (MenACWY)
4 of 9: Pneumococcal, Polio
5 of 9: Varicella
Page 8 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
6 of 9: COVID-19
7 of 9: Influenza
8 of 9: Influenza
Page 9 of 9 • CIR ID: 452795163 • Name: KEIRA AAHLIYAH MALDONADO • DOB: 02/28/2005
9 of 9: Influenza
