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1)   * Vaccine Type   Pfizer   Moderna   Johnson & Johnson   Other   Booster

2)   Received Dose #1 Yes No

3)   Received Dose #2 (if Pfizer or Moderna) Yes No

4)   Received Booster #1 Yes No

5)   Received Booster #2 Yes No

6)   Received Booster #3 Yes No