Created by gemini-2.0-flash-lite on 2025-04-30

This is a vintage vaccination certificate from Fitchburg, Massachusetts. The document is printed on off-white paper and has a classic, formal design.

Here's a breakdown of the key elements:

• Header: "Vaccination Certificate" in a stylized, elegant font.
• City and Date: "Fitchburg, Mass." followed by a blank line for a date (presumably the year 191_ based on the context).
• Addressee: "To the BOARD OF HEALTH;"
• Statement: "This is to Certify that I have successfully vaccinated" followed by a blank line for the name.
• Residency: "living at" with a blank line.
• School Certificate: "and he is thereby entitled to a school certificate."
• Signature: The certificate is to be signed by "M. D." which stands for "Medical Doctor".
• Rules of Board of Health: A section which contains the rules for admission to public schools.

The document also includes a circular seal of Fitchburg in the upper left corner. The document is a historical artifact, representing a time when vaccinations were a requirement for school attendance and a central public health concern.

Created by gemini-2.0-flash on 2025-04-30

Here's a description of the image:

The image shows a vintage "Vaccination Certificate" issued in Fitchburg, Massachusetts. It's printed in black ink on what appears to be a light cream or off-white paper.

At the top left is the seal of Fitchburg, with the words "Fitchburg" at the top of the seal, and "A Town Feb. 3, 1764. A City Mar. 8, 1872." curving along the bottom. To the right of the seal, the document reads "Vaccination Certificate." followed by "Fitchburg, Mass." and a handwritten year, "191".

Below this is the text "To the BOARD OF HEALTH;" followed by "This is to Certify that I have successfully vaccinated" with a blank line for the vaccinated person's name, and the phrase "living at" followed by another blank line for the person's address. Then it reads, "and he is thereby entitled to a school certificate." followed by a line for a signature, and "M. D." to indicate that the signature is of a medical doctor.

At the bottom of the certificate is a section titled "RULES OF BOARD OF HEALTH." with the following text: "RULE 10. No child shall be admitted to the public schools in this city unless it shall have first presented the teacher of the School it desires to attend, a certificate of vaccination or exemption from vaccination from the Board of Health. Such certificates will be issued by the Board upon the satisfactory evidence of any reputable physician in accordance with the provisions of the Statutes."