| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 1 |
IM1 |
Vaccination card for child |
Discrete |
numeric 1.0 |
1061
|
11
|
Is there a vaccination card for (name)? |
| 2 |
IM2AD |
Day of BCG immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 3 |
IM2AM |
Month of BCG immunization |
Continuous |
numeric 2.0 |
492
|
580
|
|
| 4 |
IM2AY |
Year of BCG immunization |
Continuous |
numeric 4.0 |
492
|
580
|
|
| 5 |
IM2BD |
Day of BCG re-vacctination |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 6 |
IM2BM |
Month of BCG re-vacctination |
Continuous |
numeric 2.0 |
80
|
992
|
|
| 7 |
IM2BY |
Year of BCG re-vacctination |
Continuous |
numeric 4.0 |
80
|
992
|
|
| 8 |
IM3AD |
Day of DTP1 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 9 |
IM3AM |
Month of DTP1 immunization |
Continuous |
numeric 2.0 |
655
|
417
|
|
| 10 |
IM3AY |
Year of DTP1 immunization |
Continuous |
numeric 4.0 |
655
|
417
|
|
| 11 |
IM3BD |
Day of DTP2 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 12 |
IM3BM |
Month of DTP2 immunization |
Continuous |
numeric 2.0 |
630
|
442
|
|
| 13 |
IM3BY |
Year of DTP2 immunization |
Continuous |
numeric 4.0 |
630
|
442
|
|
| 14 |
IM3CD |
Day of DTP3 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 15 |
IM3CM |
Month of of DTP3 immunization |
Continuous |
numeric 2.0 |
596
|
476
|
|
| 16 |
IM3CY |
Year of of DTP3 immunization |
Continuous |
numeric 4.0 |
596
|
476
|
|
| 17 |
IM3DD |
Day of DTP immunization R1 |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 18 |
IM3DM |
Month of DTP immunization R1 |
Continuous |
numeric 2.0 |
379
|
693
|
|
| 19 |
IM3DY |
Year of DTP immunization R1 |
Continuous |
numeric 4.0 |
379
|
693
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 20 |
IM3ED |
Day of DT immunization R2 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 21 |
IM3EM |
Month of DT immunization R2 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 22 |
IM3EY |
Year of DT immunization R2 |
Continuous |
numeric 4.0 |
0
|
1072
|
|
| 23 |
IM3FD |
Day of DT immunization R3 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 24 |
IM3FM |
Month of DT immunization R3 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 25 |
IM3FY |
Year of DT immunization R3 |
Continuous |
numeric 4.0 |
0
|
1072
|
|
| 26 |
IM4D |
Day of TT immunization |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 27 |
IM4M |
Month of TT immunization |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 28 |
IM4Y |
Year of TT immunization |
Continuous |
numeric 4.0 |
0
|
1072
|
|
| 29 |
IM5AD |
Day of HepB1 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 30 |
IM5AM |
Month of HepB1 immunization |
Continuous |
numeric 2.0 |
210
|
862
|
|
| 31 |
IM5AY |
Year of HepB1 immunization |
Continuous |
numeric 4.0 |
210
|
862
|
|
| 32 |
IM5BD |
Day HepB2 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 33 |
IM5BM |
Month of HepB2 imunization |
Continuous |
numeric 2.0 |
196
|
876
|
|
| 34 |
IM5BY |
Year of HepB2 immunization |
Continuous |
numeric 4.0 |
196
|
876
|
|
| 35 |
IM5CD |
Day of HepB3 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 36 |
IM5CM |
Month of HepB3 ummunization |
Continuous |
numeric 2.0 |
143
|
929
|
|
| 37 |
IM5CY |
Year of HepB3 immunization |
Continuous |
numeric 4.0 |
143
|
929
|
|
| 38 |
IM6AD |
Day of OPV immunization I |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 39 |
IM6AM |
Month of OPV immunization I |
Continuous |
numeric 2.0 |
642
|
430
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 40 |
IM6AY |
Year of OPV immunization I |
Continuous |
numeric 4.0 |
642
|
430
|
|
| 41 |
IM6BD |
Day of OPV immunization II |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 42 |
IM6BM |
Month of OPV immunization II |
Continuous |
numeric 2.0 |
618
|
454
|
|
| 43 |
IM6BY |
Year of OPV immunization II |
Continuous |
numeric 4.0 |
618
|
454
|
|
| 44 |
IM6CD |
Day of OPV immunization III |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 45 |
IM6CM |
Month of OPV immunization III |
Continuous |
numeric 2.0 |
588
|
484
|
|
| 46 |
IM6CY |
Year of OPV immunization III |
Continuous |
numeric 4.0 |
588
|
484
|
|
| 47 |
IM6DD |
Day of OPV immunization R1 |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 48 |
IM6DM |
Month of OPV immunization R1 |
Continuous |
numeric 2.0 |
371
|
701
|
|
| 49 |
IM6DY |
Year of OPV immunization R1 |
Continuous |
numeric 4.0 |
371
|
701
|
|
| 50 |
IM6ED |
Day of OPV immunization R2 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 51 |
IM6EM |
Month of OPV immunization R2 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 52 |
IM6EY |
Year of OPV immunization R2 |
Continuous |
numeric 4.0 |
0
|
1072
|
|
| 53 |
IM6FD |
Day of OPV immunization R3 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 54 |
IM6FM |
Month of OPV immunization R3 |
Continuous |
numeric 2.0 |
0
|
1072
|
|
| 55 |
IM6FY |
Year of OPV immunization R3 |
Continuous |
numeric 4.0 |
0
|
1072
|
|
| 56 |
IM7AD |
Day of MMR immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 57 |
IM7AM |
Month of MMR immunization |
Continuous |
numeric 2.0 |
471
|
601
|
|
| 58 |
IM7AY |
Year of MMR immunization |
Continuous |
numeric 4.0 |
471
|
601
|
|
| 59 |
IM7BD |
Day MMR R immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 60 |
IM7BM |
Month of MMR R imunization |
Continuous |
numeric 2.0 |
15
|
1057
|
|
| 61 |
IM7BY |
Year of MMR R immunization |
Continuous |
numeric 4.0 |
15
|
1057
|
|
| 62 |
IM8AD |
Day of Hep.B*HBsAg 1 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 63 |
IM8AM |
Month of Hep.B*HBsAg 1 imunization |
Continuous |
numeric 2.0 |
184
|
888
|
|
| 64 |
IM8AY |
Year of Hep.B*HBsAg 1 immunization |
Continuous |
numeric 4.0 |
184
|
888
|
|
| 65 |
IM8BD |
Day of Hep.B*HBsAg 2 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 66 |
IM8BM |
Month of Hep.B*HBsAg 2 immunization |
Continuous |
numeric 2.0 |
166
|
906
|
|
| 67 |
IM8BY |
Year of Hep.B*HBsAg 2 immunization |
Continuous |
numeric 4.0 |
166
|
906
|
|
| 68 |
IM8CD |
Day Hep.B NBsAg 3 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 69 |
IM8CM |
Month Hep.B NBsAg 3 immunization |
Continuous |
numeric 2.0 |
115
|
957
|
|
| 70 |
IM8CY |
Year Hep.B NBsAg 3 immunization |
Continuous |
numeric 4.0 |
115
|
957
|
|
| 71 |
IM8D |
Day of Hep.B NBsAg 4 immunization |
Continuous |
numeric 2.0 |
698
|
374
|
|
| 72 |
IM8M |
Month of Hep.B NBsAg 4 immunization |
Continuous |
numeric 2.0 |
2
|
1070
|
|
| 73 |
IM8Y |
Year of Hep.B NBsAg 4 immunization |
Continuous |
numeric 4.0 |
2
|
1070
|
|
| 74 |
IM9 |
Received additional vaccinations |
Continuous |
numeric 1.0 |
698
|
374
|
In addition to the vaccinations and vitamin A capsules shown on this card, did (name) receive any other vaccinations - including
vaccinations received in campaigns or immunization days?
|
| 75 |
IM10 |
Child ever received any vaccinations |
Discrete |
numeric 1.0 |
363
|
709
|
Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign
or immunization day?
|
| 76 |
IM11 |
Child ever given BCG vaccination |
Discrete |
numeric 1.0 |
325
|
747
|
Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused
a scar?
|
| 77 |
IM12 |
Child ever given Polio vaccination |
Discrete |
numeric 1.0 |
325
|
747
|
Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio? |
| 78 |
IM13 |
Polio first given just after birth or later |
Discrete |
numeric 1.0 |
293
|
779
|
How old was he/she when the first dose was given - just after birth (within two weeks) or later? |
| 79 |
IM14 |
Times child given Polio vaccination |
Continuous |
numeric 2.0 |
293
|
779
|
How many times has he/she been given these drops? |
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 80 |
IM15 |
Child ever given DPT vaccination |
Discrete |
numeric 1.0 |
325
|
747
|
Has (name) ever been given "DPT vaccination injections" - that is, an injection in the thigh or buttocks - to prevent him/her
from getting tetanus, whooping cough, diphtheria? (sometimes given at the same time as polio)
|
| 81 |
IM16 |
Times child given DPT vaccination |
Continuous |
numeric 2.0 |
278
|
794
|
How many times? |
| 82 |
IM17 |
Child ever given Measles or MMR vaccination |
Discrete |
numeric 1.0 |
325
|
747
|
Has (name) ever been given “Measles vaccination injections” or MMR - that is, a shot in the arm between the age of 12 and
18 months - to prevent him/her from getting measles?
|
| 83 |
IM18 |
Hepatitis B vaccination given |
Discrete |
numeric 1.0 |
325
|
747
|
Has (name) ever been given hepatitis B vaccination, to prevent him/her from getting hepatitis B, that is, an injection in
buttocks or arm in three doses administered between the age of 12 and 24 months?
|
| 84 |
IM18A |
Times child given hepatitis B vaccination |
Continuous |
numeric 2.0 |
187
|
885
|
How many times? |
| 85 |
IM19A |
Child participated in any nonregular vaccination action besides the regular vaccinations |
Discrete |
numeric 1.0 |
1061
|
11
|
Has (name) ever participated in any nonregular vaccination action besides the regular vaccinations? |