1 Initial adult vaccination (and for puppies older than 16 weeks of age) ideally consists of two vaccines three to four weeks apart, though one vaccine is considered protective. 2  All dogs should receive one vaccine one year after the final puppy vaccination.
Rep: This would be the closest. Open the pdf file in some kind of pdf viewer, print it to files (postscript) having each page as one file, open up the ps file in gimp, mark it up as you want, save the ps files, join the files together with psjoin, use ps2pdf to bring it back to pdf form.
Just follow these 6 simple steps to edit text in a scanned PDF file using Acrobat XI Std. or Pro. Open your scanned file. click the Selection tool. click anywhere over the page. the blue highlight means the page is a single image. Open the Text Recognition panel and click In this File.