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<section>
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<!-- ******** Immunizations section template ******** -->
<code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations" />
<title>Immunizations</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Vaccine</th>
<th>Date</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<content ID="immun1" />Influenza virus vaccine, IM
</td>
<td>Nov 1999</td>
<td>Completed</td>
</tr>
<tr>
<td>
<content ID="immun2" />Influenza virus vaccine, IM
</td>
<td>Dec 1998</td>
<td>Completed</td>
</tr>
<tr>
<td>
<content ID="immun3" />
Pneumococcal polysaccharide vaccine, IM
</td>
<td>Dec 1998</td>
<td>Completed</td>
</tr>
<tr>
<td>
<content ID="immun4" />Tetanus and diphtheria toxoids, IM
</td>
<td>1997</td>
<td>Refused</td>
</tr>
</tbody>
</table>
</text>
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<templateId root="2.16.840.1.113883.10.20.22.4.52" />
<!-- **** Immunization activity template **** -->
...
</substanceAdministration>
</entry>
...
</section>