| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 1 |
IM1
|
Vaccination card for child
|
Discrete |
numeric 1.0 |
2381
|
0
|
Is there a vaccination card for (name)? |
| 2 |
IM2Y
|
Year of BCG immunization
|
Continuous |
numeric 4.0 |
1722
|
659
|
|
| 3 |
IM2M
|
Month of BCG immunization
|
Continuous |
numeric 2.0 |
1722
|
659
|
|
| 4 |
IM2D
|
Day of BCG immunization
|
Continuous |
numeric 2.0 |
1722
|
659
|
|
| 5 |
IM3AY
|
Year of OPV0 immunization
|
Continuous |
numeric 4.0 |
1610
|
771
|
|
| 6 |
IM3AM
|
Month of OPV0 immunization
|
Continuous |
numeric 2.0 |
1610
|
771
|
|
| 7 |
IM3AD
|
Day of OPV0 immunization
|
Continuous |
numeric 2.0 |
1610
|
771
|
|
| 8 |
IM3BY
|
Year of OPV1 immunization
|
Continuous |
numeric 4.0 |
1705
|
676
|
|
| 9 |
IM3BM
|
Month of OPV1 immunization
|
Continuous |
numeric 2.0 |
1705
|
676
|
|
| 10 |
IM3BD
|
Day of OPV1 immunization
|
Continuous |
numeric 2.0 |
1705
|
676
|
|
| 11 |
IM3CY
|
Year of OPV2 immunization
|
Continuous |
numeric 4.0 |
1684
|
697
|
|
| 12 |
IM3CM
|
Month of OPV2 immunization
|
Continuous |
numeric 2.0 |
1684
|
697
|
|
| 13 |
IM3CD
|
Day of OPV2 immunization
|
Continuous |
numeric 2.0 |
1684
|
697
|
|
| 14 |
IM3DY
|
Year of OPV3 immunization
|
Continuous |
numeric 4.0 |
1650
|
731
|
|
| 15 |
IM3DM
|
Month of OPV3 immunization
|
Continuous |
numeric 2.0 |
1650
|
731
|
|
| 16 |
IM3DD
|
Day of OPV3 immunization
|
Continuous |
numeric 2.0 |
1650
|
731
|
|
| 17 |
IM3EY
|
Year of suport OPV
|
Continuous |
numeric 4.0 |
1011
|
1370
|
|
| 18 |
IM3EM
|
Month of suport OPV
|
Continuous |
numeric 2.0 |
1011
|
1370
|
|
| 19 |
IM3ED
|
Day of Suport OPV
|
Continuous |
numeric 2.0 |
1011
|
1370
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 20 |
IM4AY
|
Year of DPT1 immunization
|
Continuous |
numeric 4.0 |
1705
|
676
|
|
| 21 |
IM4AM
|
Month of DPT1 immunization
|
Continuous |
numeric 2.0 |
1705
|
676
|
|
| 22 |
IM4AD
|
Day of DPT1 immunization
|
Continuous |
numeric 2.0 |
1705
|
676
|
|
| 23 |
IM4BY
|
Year of DPT2 immunization
|
Continuous |
numeric 4.0 |
1678
|
703
|
|
| 24 |
IM4BM
|
Month of DPT2 immunization
|
Continuous |
numeric 2.0 |
1678
|
703
|
|
| 25 |
IM4BD
|
Day of DPT2 immunization
|
Continuous |
numeric 2.0 |
1678
|
703
|
|
| 26 |
IM4CY
|
Year of DPT3 immunization
|
Continuous |
numeric 4.0 |
1627
|
754
|
|
| 27 |
IM4CM
|
Month of DPT3 immunization
|
Continuous |
numeric 2.0 |
1627
|
754
|
|
| 28 |
IM4CD
|
Day of DPT3 immunization
|
Continuous |
numeric 2.0 |
1627
|
754
|
|
| 29 |
IM4DY
|
Year of suport DPT
|
Continuous |
numeric 4.0 |
1124
|
1257
|
|
| 30 |
IM4DM
|
Month of suport DPT
|
Continuous |
numeric 2.0 |
1124
|
1257
|
|
| 31 |
IM4DD
|
Day of suport DPT
|
Continuous |
numeric 2.0 |
1124
|
1257
|
|
| 32 |
IM6Y
|
Year of Measles or MMR immunization
|
Continuous |
numeric 4.0 |
1528
|
853
|
|
| 33 |
IM6M
|
Month Measles or MMR immunization
|
Continuous |
numeric 2.0 |
1528
|
853
|
|
| 34 |
IM6D
|
Day Measles or MMR immunization
|
Continuous |
numeric 2.0 |
1528
|
853
|
|
| 35 |
IM5AY
|
Year of HepB1 or DPTHepB1 immunization
|
Continuous |
numeric 4.0 |
1306
|
1075
|
|
| 36 |
IM5AM
|
Month of HepB1 or DPThepB1 immunization
|
Continuous |
numeric 2.0 |
1306
|
1075
|
|
| 37 |
IM5AD
|
Day of HepB1 or DPTHepB1 immunization
|
Continuous |
numeric 2.0 |
1306
|
1075
|
|
| 38 |
IM5BY
|
Year of HepB2 or DPTHepB2 immunization
|
Continuous |
numeric 4.0 |
1232
|
1149
|
|
| 39 |
IM5BM
|
Month of HepB2 or DPTHepB2 imunization
|
Continuous |
numeric 2.0 |
1232
|
1149
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 40 |
IM5BD
|
Day HepB2 or DPTHepB2 immunization
|
Continuous |
numeric 2.0 |
1232
|
1149
|
|
| 41 |
IM5CY
|
Year of DPTHepB3 or HepB3 immunization
|
Continuous |
numeric 4.0 |
1042
|
1339
|
|
| 42 |
IM5CM
|
Month of DPTHepB3 or HepB3 ummunization
|
Continuous |
numeric 2.0 |
1042
|
1339
|
|
| 43 |
IM5CD
|
Day of DPTHepB3 or HepB3 immunization
|
Continuous |
numeric 2.0 |
1042
|
1339
|
|
| 44 |
IM6AY
|
Year of MMR
|
Continuous |
numeric 4.0 |
837
|
1544
|
|
| 45 |
IM6AM
|
Month of MMR
|
Continuous |
numeric 2.0 |
837
|
1544
|
|
| 46 |
IM6AD
|
Day of MMR
|
Continuous |
numeric 2.0 |
837
|
1544
|
|
| 47 |
IM7AY
|
Year of Hib1 immunization
|
Continuous |
numeric 4.0 |
110
|
2271
|
|
| 48 |
IM7AM
|
Month of Hib1 immunization
|
Continuous |
numeric 2.0 |
110
|
2271
|
|
| 49 |
IM7AD
|
Day of Hib1 immunization
|
Continuous |
numeric 2.0 |
110
|
2271
|
|
| 50 |
IM7BY
|
Year of Hib2 immunization
|
Continuous |
numeric 4.0 |
50
|
2331
|
|
| 51 |
IM7BM
|
Month of Hib2 imunization
|
Continuous |
numeric 2.0 |
50
|
2331
|
|
| 52 |
IM7BD
|
Day Hib2 immunization
|
Continuous |
numeric 2.0 |
50
|
2331
|
|
| 53 |
IM7CY
|
Year of Hib3 immunization
|
Continuous |
numeric 4.0 |
28
|
2353
|
|
| 54 |
IM7CM
|
Month of Hib3 ummunization
|
Continuous |
numeric 2.0 |
28
|
2353
|
|
| 55 |
IM7CD
|
Day of Hib3 immunization
|
Continuous |
numeric 2.0 |
28
|
2353
|
|
| 56 |
IM9
|
Received additional vaccinations
|
Discrete |
numeric 1.0 |
1760
|
621
|
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? |
| 57 |
IM10
|
Child ever received any vaccinations
|
Discrete |
numeric 1.0 |
1662
|
719
|
Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day? |
| 58 |
IM11
|
Child ever given BCG vaccination
|
Discrete |
numeric 1.0 |
1043
|
1338
|
Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused a scar? |
| 59 |
IM11A
|
BCG vaccination left a mark
|
Discrete |
numeric 1.0 |
1018
|
1363
|
Is there are mark left from a BCG vaccination? |
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 60 |
IM12
|
Child ever given Polio vaccination
|
Discrete |
numeric 1.0 |
1040
|
1341
|
Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio? |
| 61 |
IM13
|
Polio first given just after birth or later
|
Discrete |
numeric 1.0 |
1008
|
1373
|
How old was he/she when the first dose was given - just after birth (within two weeks) or later? |
| 62 |
IM14
|
Times child given Polio vaccination
|
Continuous |
numeric 2.0 |
988
|
1393
|
How many times has he/she been given these drops? |
| 63 |
IM15
|
Child ever given DPT vaccination
|
Discrete |
numeric 1.0 |
1040
|
1341
|
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) |
| 64 |
IM16
|
Times child given DPT vaccination
|
Continuous |
numeric 2.0 |
996
|
1385
|
How many times? |
| 65 |
IM17
|
Child ever given Measles or MMR vaccination
|
Discrete |
numeric 1.0 |
1040
|
1341
|
Has (name) ever been given "Measles vaccination injections" or MMR - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles? |
| 66 |
IM19A
|
Child participated in national immunization day A
|
Discrete |
numeric 1.0 |
1772
|
609
|
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign A |
| 67 |
IM19B
|
Child participated in national immunization day B
|
Discrete |
numeric 1.0 |
1766
|
615
|
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign B |
| 68 |
IM19C
|
Child participated in national immunization day C
|
Discrete |
numeric 1.0 |
1766
|
615
|
Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign C |