Focused professional with superior skills in fulfillment, communication and time management. Proud professional experienced in working in solitary role or as part of busy team. Punctual with terrific work ethic.
Patient Information
Patient Name Gomez, Kelly
Patient Demographics Address 1001 JOSHUA TREE HARVARD IL 60033
Legal Sex Female DOB 8/23/1996 Phone 815-388-3951 (Mobile)
E-mail Address kellypgomez1996@gmail.com
Current Immunizatiosn
Name Date
COVID-19, mRNA, 10/29/2021, 10/01/2021
SPIKE PROTEIN, LNP,
PF 18 YR AND UP
(MODERNA)
Dtap, unspecified 9/19/2002, 8/25/1998, 8/25/1997, 4/7/1997, 11/7/1996
Dtap/tdap/td 8/25/1998, 8/25/1997
Dtp-hib 4/7/1997, 11/7/1996
HIB 8/25/1997, 4/7/1997, 11/7/1996
HPV 8/22/2012, 8/16/2010, 12/7/2009
Hep A/Hep B Combined 4/7/1997, 11/7/1996, 8/25/1996
Vaccine
Hepatitis B 9/19/2002, 4/7/1997, 11/7/1996, 8/25/1996
Hib, Unspecified 8/25/1997
INFLUENZA VACCINE > 3 YEARS 12/7/200
Influenza Quadrivalent 10/8/2022, 10/1/2021, 11/8/2018
PF 6mo & up
M-M-R 9/19/2002, 8/25/1997
Meningococcal 12/7/2009
Meningococcal MCV4P 2/27/2015
(Menactra)
OPV 8/25/1997, 4/7/1997, 11/7/1996
Polio 9/19/2002, 8/25/1997, 4/7/1997, 11/7/1996
TB SKIN TEST 10/26/2018, 10/19/2018, 8/25/1997
TDAP VACCINE 12/07/2009
(BOOSTRIX)
TDAP Vaccine 12/1/2021, 5/1/2020
Varicella 8/22/2012
Varicella Vaccine Live (Varivax) 2/27/2015
Allergies as of 6/5/2025 Review status set to Review Complete by Shailesh R Virani, MD on 12/14/2024 No Known Allergies