93
67162509146
Given8515960128101140210273342
the1229596012850120183
absence1447596012874143198260330393454
of1936596012882129
vaccination2099596012882145207269307378440479517588658
documents2792596012881151214283393453523562617
and3444596012874143214
the3693596012850120183
fact3911596012858120182221
that4168596012849120181221
the4424596012849120183
patient4642596012881143181221282353391
was50805960128101163218
not5334596012880151189
vaccinated851839012870133195258296365428467529599
in14868390128139209
adulthood,17308390128163233303341380450520590660696
she24618390128155224287
should27838390128155225294365404474
be32928390128170233
consideredunvaccinatedagainst3560839012816523630536039946953157864070943058410126781562252963574204595376066547167935134839012862132195233303358396
diphtheria.8511080012870110179249288358421468505568603
671135009146
Having85113210128101163233273343412
had12991321012876138207
the15421321012843113176
disease17531321012876114168231293347409
(diphtheria)21981321012852121160230300339409472518556619666
forms28991321012852121168278330
a32641321012868
strong,3368132101286099145216285355390
but37941321012875145184
not40131321012875145184
lifelong,4232132101284583130193231300371440476
post-infection47431321012874145199238290329398446508570608647717787
immunity8511563012839149257324395435474545
(on14291563012847117187
average16521563012862133195241303373435
for21221563012847117164
5-1023211563012871118188258
years).26141563012870131193240294342377
671183309146
After85118050128101148187249296
recovery11821805012899162224293364426473543
(in17581805012899138209
1-2200218050128123172242
months),227918050128162230300340410465511546
the28601805012891162223
patient311918050128122184223262324394433
must358718050128162230285324
undergo394718050128122193263325371441511
a449218050128115
full46451807012647125164203
course488418070126115184262324379441
of536018070126122170
vaccinationaccording851204801267014120326530438345249953760768515712046012862125187256303373412482551
to21582046012839108
the23022046012839108171
instructions25082046012839108162202249318381418458528597652
for31962046012847115163
unvaccinated33942046012870139209272334396434504567606667738
adults:41672046012863131201241279333373
1.6712287012870106
First8512287012878117164219257
vaccination11422287012871133196258296367428467506577646
(with18242287012846148186224294
DT-m215422870128101186233344
vaccine).25302287012871133195258297367429476511
2.6712529012870106
Second8512529012878140203273343412
vaccination12992529012870132195256295365428465505575644
–19792529012870
after20842529012862109148211257
30-4523752529012870141189258327
days.27382529012870132203256291
3.6712771012870106
Third8512771012886155195242311
vaccination11982771012870132194256294365427465504574644
–18772771012872
6-919832771012870116186
months220527710128109177247287357411
after26522771012862109147209256
the29432771012838109171
second.31492771012854116178248317388424
4.6713012012870106
Subsequently8513012012878148219273336405474537607646684755
–16403012012870
routine17463012012846116187225265335397
revaccinations21783012012847109178241304366404474536575614683754808
every30223012012862131194239309
1033653012012870140
years.35413012012871131194240295331