Alameda County Public Health Department Flu Distribution Program Usage Report - SECOND REPORT
Please submit your clinic information to Alameda County for compilation and re-submission to the state, as agreed to in the Usage Agreement Form your agency signed.

Requirements to complete this form:
1. Amount of each vaccine type your organization received, administered, wasted and have left.
2. The age groups of patients who received doses of each type of vaccine.
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Second Submission Due Date: June 2, 2023
Note that this report should only include information about flu vaccine that was used since the first report.
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