diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineDao.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineDao.java
index d4db61ad5b..55b4591be3 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineDao.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineDao.java
@@ -64,4 +64,12 @@ public interface IcVaccineDao extends BaseDao<IcVaccineEntity> {
 
     IcVaccineDTO getVaccineDTO(@Param("customerId") String customerId, @Param("icVaccineId") String icVaccineId, @Param("idCard") String idCard, @Param("inoculateTime") String inoculateTime);
 
+    /**
+     * 根据身份证号以及接种时间查询接种信息
+     * @param idCard
+     * @param time
+     * @return
+     */
+    List<IcVaccineEntity> getVaccineListByIdCard(@Param("idCard") String idCard,@Param("time") String time);
+
 }
diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineRelationDao.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineRelationDao.java
index 60d80b3f61..6d087a1055 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineRelationDao.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/dao/IcVaccineRelationDao.java
@@ -14,4 +14,8 @@ import org.apache.ibatis.annotations.Param;
 @Mapper
 public interface IcVaccineRelationDao extends BaseDao<IcVaccineRelationEntity> {
     int delRelation(@Param("icVaccineId") String icNatId, @Param("agencyId") String agencyId);
-}
\ No newline at end of file
+
+    void updateRelationInfoByVaccineId(IcVaccineRelationEntity icVaccineRelationEntity);
+
+
+}
diff --git a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java
index 83cb4a4f29..6c68f85c19 100644
--- a/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java
+++ b/epmet-user/epmet-user-server/src/main/java/com/epmet/service/impl/IcVaccinePrarmeterServiceImpl.java
@@ -22,16 +22,15 @@ import com.epmet.commons.tools.utils.ExcelPoiUtils;
 import com.epmet.commons.tools.utils.Result;
 import com.epmet.constants.ImportTaskConstants;
 import com.epmet.dao.IcResiUserDao;
+import com.epmet.dao.IcVaccineDao;
 import com.epmet.dao.IcVaccinePrarmeterDao;
+import com.epmet.dao.IcVaccineRelationDao;
 import com.epmet.dto.IcVaccinePrarmeterDTO;
 import com.epmet.dto.form.*;
 import com.epmet.dto.result.GridInfoByNameResultDTO;
 import com.epmet.dto.result.IcHouseInfoCollectResultDTO;
 import com.epmet.dto.result.UploadImgResultDTO;
-import com.epmet.entity.IcResiCollectEntity;
-import com.epmet.entity.IcResiUserEntity;
-import com.epmet.entity.IcUserChangeRecordEntity;
-import com.epmet.entity.IcVaccinePrarmeterEntity;
+import com.epmet.entity.*;
 import com.epmet.excel.IcVaccinePrarmeterImportExcel;
 import com.epmet.excel.error.IcVaccinePrarmeterImportErrorModel;
 import com.epmet.feign.EpmetCommonServiceOpenFeignClient;
@@ -40,6 +39,7 @@ import com.epmet.feign.OssFeignClient;
 import com.epmet.redis.IcVaccinePrarmeterRedis;
 import com.epmet.service.IcUserChangeRecordService;
 import com.epmet.service.IcVaccinePrarmeterService;
+import lombok.SneakyThrows;
 import lombok.extern.slf4j.Slf4j;
 import org.apache.commons.collections4.CollectionUtils;
 import org.apache.commons.fileupload.FileItem;
@@ -57,6 +57,7 @@ import org.springframework.web.multipart.commons.CommonsMultipartFile;
 import java.io.IOException;
 import java.io.InputStream;
 import java.io.OutputStream;
+import java.text.SimpleDateFormat;
 import java.util.*;
 import java.util.function.Function;
 import java.util.stream.Collectors;
@@ -89,6 +90,12 @@ public class IcVaccinePrarmeterServiceImpl extends BaseServiceImpl<IcVaccinePrar
     @Autowired
     private IcUserChangeRecordService icUserChangeRecordService;
 
+    @Autowired
+    private IcVaccineDao icVaccineDao;
+
+    @Autowired
+    private IcVaccineRelationDao icVaccineRelationDao;
+
     @Override
     public PageData<IcVaccinePrarmeterDTO> page(Map<String, Object> params) {
         IPage<IcVaccinePrarmeterEntity> page = baseDao.selectPage(
@@ -447,31 +454,31 @@ public class IcVaccinePrarmeterServiceImpl extends BaseServiceImpl<IcVaccinePrar
         // 审核状态：0待审核 1未通过 2已通过
         if("2".equals(formDTO.getCheckState())){
 
-            // 同步接种记录
+            String icResiUserId = "";
 
+            // 根据身份证号和房屋ID获取人员信息
+            IcResiUserEntity userIdCardEntity = queryOriginUserByIdCard(icResiCollectEntity.getIdCard(),icResiCollectEntity.getCustomerId());
 
             if(StringUtils.isBlank(icResiCollectEntity.getHomeId())){
                 // 新增房屋（新增房屋操作已在审核接口之前，前端调用新增接口实现）
                 // 更新登记表房屋ID
                 icResiCollectEntity = updateHomeId(icResiCollectEntity,formDTO);
 
-                // 根据身份证号和房屋ID获取人员信息
-                IcResiUserEntity userIdCardEntity = queryOriginUserByIdCard(icResiCollectEntity.getIdCard(),icResiCollectEntity.getCustomerId());
                 if(userIdCardEntity != null){
+                    icResiUserId = userIdCardEntity.getId();
                     // 已存在人员 人员房屋不一致（更新人员信息和变更记录）
                     updateUserInfo(icResiCollectEntity,true,formDTO,userIdCardEntity);
                 }else{
                     // 不存在人员
-                    insertUserInfo(icResiCollectEntity,formDTO);
+                    icResiUserId = insertUserInfo(icResiCollectEntity,formDTO);
                 }
             }else{
                 // 更新房屋
                 updateHouseInfo(icResiCollectEntity);
 
-                // 根据身份证号和房屋ID获取人员信息
-                IcResiUserEntity userIdCardEntity = queryOriginUserByIdCard(icResiCollectEntity.getIdCard(),icResiCollectEntity.getCustomerId());
                 Map<String, IcResiUserEntity> userMap = queryOriginUserByHomeId(icResiCollectEntity.getHomeId(),icResiCollectEntity.getCustomerId());
                 if(userIdCardEntity != null){
+                    icResiUserId = userIdCardEntity.getId();
                     // 已存在人员
                     if(userMap.containsKey(icResiCollectEntity.getIdCard())){
                         // 人员房屋一致（只更新人员信息）
@@ -482,12 +489,135 @@ public class IcVaccinePrarmeterServiceImpl extends BaseServiceImpl<IcVaccinePrar
                     }
                 }else{
                     // 不存在人员
-                    insertUserInfo(icResiCollectEntity,formDTO);
+                    icResiUserId = insertUserInfo(icResiCollectEntity,formDTO);
                 }
             }
+
+            // 同步接种记录 and 疫苗接种记录关系
+            synchronizationVaccineInfo(icResiCollectEntity,icResiUserId);
+
+
         }
     }
 
+    /**
+     * 同步接种记录 and 疫苗接种记录关系
+     * @param icResiCollectEntity
+     * @param icResiUserId
+     */
+    @SneakyThrows
+    private void synchronizationVaccineInfo(IcVaccinePrarmeterEntity icResiCollectEntity,String icResiUserId){
+        // 同步接种记录
+        SimpleDateFormat sdf = new SimpleDateFormat("yyyy-MM-dd");
+        // 处理第一次接种时间格式
+        String firstTime = icResiCollectEntity.getFirstVacTime();
+        Date firstDate = sdf.parse(firstTime);
+        icResiCollectEntity.setFirstVacTime(sdf.format(firstDate));
+        // 处理第二次接种时间格式
+        String secondTime = icResiCollectEntity.getSecondVacTime();
+        Date secondDate = sdf.parse(secondTime);
+        icResiCollectEntity.setSecondVacTime(sdf.format(secondDate));
+        // 处理第三次接种时间格式
+        String thirdTime = icResiCollectEntity.getThirdVacTime();
+        Date thirdDate = sdf.parse(thirdTime);
+        icResiCollectEntity.setThirdVacTime(sdf.format(thirdDate));
+
+        // 查询第一次接种信息
+        List<IcVaccineEntity> icVaccineEntityFirstList = icVaccineDao.getVaccineListByIdCard(icResiCollectEntity.getIdCard(),sdf.format(firstDate));
+        if(icVaccineEntityFirstList.size() > 0){
+            // 更新疫苗接种记录 and 疫苗接种记录关系
+            for(IcVaccineEntity entity : icVaccineEntityFirstList){
+                updateVaccineInfo(entity,icResiCollectEntity);
+
+            }
+
+        }else{
+            // 新增疫苗接种记录 and 疫苗接种记录关系
+            insertVaccineInfo(icResiCollectEntity,icResiUserId,firstDate);
+
+        }
+
+        // 查询第二次接种信息
+        List<IcVaccineEntity> icVaccineEntitySecondList = icVaccineDao.getVaccineListByIdCard(icResiCollectEntity.getIdCard(),sdf.format(secondDate));
+        if(icVaccineEntitySecondList.size() > 0){
+            // 更新疫苗接种记录 and 疫苗接种记录关系
+            for(IcVaccineEntity entity : icVaccineEntitySecondList){
+                updateVaccineInfo(entity,icResiCollectEntity);
+
+            }
+
+        }else{
+            // 新增疫苗接种记录 and 疫苗接种记录关系
+            insertVaccineInfo(icResiCollectEntity,icResiUserId,firstDate);
+
+        }
+
+        // 查询第三次接种信息
+        List<IcVaccineEntity> icVaccineEntityThirdList = icVaccineDao.getVaccineListByIdCard(icResiCollectEntity.getIdCard(),sdf.format(thirdDate));
+        if(icVaccineEntityThirdList.size() > 0){
+            // 更新疫苗接种记录 and 疫苗接种记录关系
+            for(IcVaccineEntity entity : icVaccineEntityThirdList){
+                updateVaccineInfo(entity,icResiCollectEntity);
+
+            }
+
+        }else{
+            // 新增疫苗接种记录 and 疫苗接种记录关系
+            insertVaccineInfo(icResiCollectEntity,icResiUserId,firstDate);
+
+        }
+    }
+
+    /**
+     * 更新疫苗接种记录 and 疫苗接种记录关系
+     * @param entity
+     * @param icResiCollectEntity
+     */
+    private void updateVaccineInfo(IcVaccineEntity entity,IcVaccinePrarmeterEntity icResiCollectEntity){
+        // 更新疫苗接种记录
+        entity.setInoculateAddress(icResiCollectEntity.getFirstVacSite());
+        entity.setUserType("prarmeter");
+        entity.setCustomerId(icResiCollectEntity.getCustomerId());
+        icVaccineDao.updateById(entity);
+
+        // 更新疫苗接种记录关系
+        IcVaccineRelationEntity icVaccineRelationEntity = new IcVaccineRelationEntity();
+        icVaccineRelationEntity.setIcVaccineId(entity.getId());
+        icVaccineRelationEntity.setUserType("prarmeter");
+        icVaccineRelationEntity.setCustomerId(icResiCollectEntity.getCustomerId());
+        icVaccineRelationDao.updateRelationInfoByVaccineId(icVaccineRelationEntity);
+
+    }
+
+    /**
+     * 新增疫苗接种记录 and 疫苗接种记录关系
+     * @param icResiCollectEntity
+     * @param icResiUserId
+     * @param time
+     */
+    private void insertVaccineInfo(IcVaccinePrarmeterEntity icResiCollectEntity,String icResiUserId,Date time){
+        IcVaccineEntity icVaccineEntity = new IcVaccineEntity();
+        icVaccineEntity.setCustomerId(icResiCollectEntity.getCustomerId());
+        icVaccineEntity.setName(icResiCollectEntity.getName());
+        icVaccineEntity.setMobile(icResiCollectEntity.getMobile());
+        icVaccineEntity.setIdCard(icResiCollectEntity.getIdCard());
+        icVaccineEntity.setIsResiUser("1");
+        icVaccineEntity.setUserType("prarmeter");
+        icVaccineEntity.setUserId(icResiUserId);
+        icVaccineEntity.setInoculateTime(time);
+        icVaccineEntity.setInoculateAddress(icResiCollectEntity.getFirstVacSite());
+        icVaccineDao.insert(icVaccineEntity);
+
+        // 新增关系
+        IcVaccineRelationEntity icVaccineRelationEntity = new IcVaccineRelationEntity();
+        icVaccineRelationEntity.setCustomerId(icResiCollectEntity.getCustomerId());
+        icVaccineRelationEntity.setAgencyId(icResiCollectEntity.getAgencyId());
+        icVaccineRelationEntity.setPids(icResiCollectEntity.getPids());
+        icVaccineRelationEntity.setIcVaccineId(icVaccineEntity.getId());
+        icVaccineRelationEntity.setUserType("prarmeter");
+        icVaccineRelationDao.insert(icVaccineRelationEntity);
+    }
+
     /**
      * 更新新冠病毒疫苗接种人员信息台账表房屋ID
      * @param icResiCollectEntity
@@ -601,7 +731,7 @@ public class IcVaccinePrarmeterServiceImpl extends BaseServiceImpl<IcVaccinePrar
      * @param icResiCollectEntity
      * @param formDTO
      */
-    private void insertUserInfo(IcVaccinePrarmeterEntity icResiCollectEntity,IcVaccineCheckFormDTO formDTO){
+    private String insertUserInfo(IcVaccinePrarmeterEntity icResiCollectEntity,IcVaccineCheckFormDTO formDTO){
 
         // 新增人员
         IcResiUserEntity userEntity = new IcResiUserEntity();
@@ -632,6 +762,8 @@ public class IcVaccinePrarmeterServiceImpl extends BaseServiceImpl<IcVaccinePrar
         changeRecordEntity.setChangeTime(new java.util.Date());
         icUserChangeRecordService.insert(changeRecordEntity);
 
+        return userEntity.getId();
+
     }
 
 }
diff --git a/epmet-user/epmet-user-server/src/main/resources/excel/ic_vaccine_prarmeter_excel.xls b/epmet-user/epmet-user-server/src/main/resources/excel/ic_vaccine_prarmeter_excel.xls
index 3ba6952842..903b0091ae 100644
Binary files a/epmet-user/epmet-user-server/src/main/resources/excel/ic_vaccine_prarmeter_excel.xls and b/epmet-user/epmet-user-server/src/main/resources/excel/ic_vaccine_prarmeter_excel.xls differ
diff --git a/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineDao.xml b/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineDao.xml
index 0ed766fb77..b8113074cf 100644
--- a/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineDao.xml
+++ b/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineDao.xml
@@ -174,4 +174,13 @@
             m.ID_CARD = t.ID_CARD
             AND m.DEL_FLAG = '0'
     </update>
+
+    <select id="getVaccineListByIdCard" resultType="com.epmet.entity.IcVaccineEntity">
+        select
+        *
+        from ic_vaccine
+        where  DEL_FLAG = '0'
+        and ID_CARD = #{idCard}
+        and DATE_FORMAT( INOCULATE_TIME, '%Y-%m-%d' ) = #{time}
+    </select>
 </mapper>
diff --git a/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineRelationDao.xml b/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineRelationDao.xml
index 011c1c7de1..acaf54c95f 100644
--- a/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineRelationDao.xml
+++ b/epmet-user/epmet-user-server/src/main/resources/mapper/IcVaccineRelationDao.xml
@@ -12,5 +12,10 @@
             AND AGENCY_ID = #{agencyId}
         </if>
     </delete>
+    <update id="updateRelationInfoByVaccineId" parameterType="com.epmet.entity.IcVaccineRelationEntity">
+        update ic_vaccine_relation
+        set CUSTOMER_ID = #{customerId},USER_TYPE = #{userType}
+        where IC_VACCINE_ID = #{icVaccineId}
+    </update>
 
-</mapper>
\ No newline at end of file
+</mapper>