| Jenis Imunisasi | Efek Imunisasi | Tgl. Imunisasi | |
|---|---|---|---|
| 1. | Hepatitis B I | - | 23 Oktober 2004 |
| 2. | Hepatitis B II | - | 23 November 2004 |
| 3. | BCG | Berbekas di kulit | 9 December 2004 |
| 4. | DPT & Polio I (Tdk Panas) | Badan pegal-pegal | 25 Januari 2005 |
| 5. | DPT & Polio II (Tdk Panas) | Badan pegal-pegal, rewel | 24 Februari 2005 |
| 6. | DPT & Polio III (Panas) | Demam | 24 Maret 2005 |
| 7. | Hepatitis B III | - | 23 April 2005 |
| 8. | HiB I & Polio IV | - | 23 Mei 2005 |
| 9. | HiB II & Polio V | - | 25 Juni 2005 |
| 10. | Campak | - | 9 September 2005 |
| 11. | HiB III & Polio VI | - | 24 September 2005 |
| 12. | MMR | - | 18 Februari 2006 |
| 13. | Polio VII | - | 27 Februari 2006 |
| 14. | Polio VIII | - | 12 April 2006 |
| 15. | DPT 4, HiB 4 & Polio IX | - | 22 Juli 2006 |
| 16. | Hepatitis A & Tifoid | - | 5 November 2006 |