In- Out-of-
Number Given (By age group) Dose Total
school school
Vaccine/Commodities
0 - 11 12 - 23 >= 24 Total
HPV 1
months months months Administered
BCG HPV 2
Hep B
OPV0
Vitamin
OPV-3
A
IPV
ADVERSE EVENTS FOLLOWING
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Non-
Rotavirus - 2 AEFI Serious
serious
No. of cases
Penta-1
reported
Penta-2
PCV-3
Measles Rubella 1
Measles Rubella 2
Cold chain temperatures at Health Facilities
(at 18 Months)
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Number of functional
Td-1
refrigerators
Td-2
Td-3
No. of IEC
Td-5
sessions
Td-5+ (Not
No. of participants
Vaccinated)
Quantity (doses)
VVM
Total doses Stock No. of
Status Other
Beginning Received opened for Expired at days of
Change losses
vaccination end stockouts
(3 or 4)
BCG
Hep B
OPV
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IPV
Rotavirus
Penta
PCV
Measles-
Rubella
YF
Men A
Td
HP
Stock No. of
Other
Beginning Received Issued Expired at days of
Losses
hand stockouts
LLIN
Vitamin A
(100,000 IU)
- Blue
Vitamin A
(200,000 IU)
- Red
ADS_0.05ml
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ADS_0.5ml
Sdilution_2ml
Sdilution_5ml
Safety boxes
Child Health
Records
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E-mail:
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