Cam shot record for clinicals
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Kemp & Sandoval Family Medicine Camille R. Pruitt · Sign out
Home | Appointments | Messages | Results | Immunizations | Billing
Immunization record
Camille Rose Pruitt Date of birth 03/08/2006 Chart 0041872
Primary care: Joanna Kemp, MD
Vaccine Dates given Status
DTaP (childhood 05/2006, 07/2006, 09/2006, 06/2007, complete
series) 04/2011
Tdap 08/14/2017 current until
08/2027
Polio (IPV) 05/2006, 07/2006, 12/2006, 04/2011 complete
MMR 03/20/2007, 04/12/2011 complete
Varicella 03/20/2007, 04/12/2011 complete
Hepatitis B 03/09/2006, 05/2006, 12/2006 complete
Hepatitis A 03/2007, 10/2007 complete
HPV 08/14/2017, 03/05/2018 complete
Meningococcal ACWY 08/14/2017, 07/19/2022 complete
Meningococcal B 07/16/2024, 08/13/2024 complete
Influenza 10/08/2025 due each fall
COVID-19 06/2021, 07/2021, 11/2022, 10/2025 up to date
Tests
Test Date Result
Hepatitis B surface antibody 07/22/2026 positive (immune)
Varicella IgG 07/22/2026 positive (immune)
Tuberculosis blood test (interferon gamma release) 07/22/2026 negative
Allergies on file
No known drug allergies. Exercise-induced asthma; uses an albuterol inhaler.
This record is taken from the patient's chart at Kemp & Sandoval Family Medicine, 1925 Gunner Mill
Road, Suite B, Chattanooga, TN 37421, (423) 555-0107. A printed page from this portal is accepted
as an official record by Tennessee schools and clinical sites when the office stamp or the electronic
verification line below is present.
Electronically verified by Joanna Kemp, MD, 08/10/2026. Verification code KS-IMM-7Q4-2218.
https://portal.kempsandoval.example/chart/immunizations Printed 08/10/2026, 9:02 PM
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The record values this file is made from: the ones its text names with {{record.field}}, and the fields its template reads. A value here is in the file's source; whether it is readable depends on the look.
| Value | Now |
|---|---|
| camille.date_of_birth | 2006-03-08 |
| vax-camille-menb-1.date | 2024-07-16 |
| vax-camille-menb-2.date | 2024-08-13 |
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