Beginning of Modal Dialog. Press escape to return to main screen.
Full Name {{ data.fullName }}
Vaccine Information Statement(s)
VIS Name: {{ stmt.visName }}
Edition Date: {{ stmt.editionDate | date: 'MM/dd/yyyy HH:mm' }}
Language: {{ stmt.editionLang }}
Date Administered:
{{ data.administered | date: 'MM/dd/yyyy HH:mm' }}
Dose/Dose Units:
{{ data.dose.value + data.dose.unit }}
Series: {{ data.series }}
Max # In Series: {{ data.maxInSeries }}
Admin Route/Site: {{ (data.adminRoute) ? data.adminRoute + '/' : ''}}{{data.adminBodySite }}
Reaction: {{ data.reaction }}
Contraindicated: {{ data.contraindicated }}
Manufacturer: {{ data.manufacturer }}
Lot Number: {{ data.lotNumber }}
Expiration Date: {{ data.expirationDate | date: 'MM/dd/yyyy HH:mm' }}
NDC: {{ data.ndc }}
Location/Facility:
{{ (data.location) ? data.location + '/' : '' }}{{data.facility?.siteName}}({{ data.facility?.stationNumber}})
Administered By: {{ data.administeredBy }}
Ordered By: {{ data.orderedBy }}
Comments: {{ data.comments }}