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{
"resourceType" : "ValueSet",
"id" : "us-core-vaccines-cvx",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Vaccine Administered Value Set (CVX)</h2><div><p>This identifies the vaccine substance administered - CVX codes. <strong>Inclusion Criteria:</strong> Any CVX code with CVX 'status' (VSAC Property) = <code>Active</code>,<code>Inactive</code>, <code>Non-US</code> except those noted in exclusions. <strong>Exclusion Criteria:</strong> CVX codes that have a CVX 'status' of either <code>Pending</code> or <code>Never Active</code> AND CVX codes with CVX 'Nonvaccine' property = True. Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/cvx</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>01</td><td>diphtheria, tetanus toxoids and pertussis vaccine</td><td/></tr><tr><td>02</td><td>trivalent poliovirus vaccine, live, oral</td><td/></tr><tr><td>03</td><td>measles, mumps and rubella virus vaccine</td><td/></tr><tr><td>04</td><td>measles and rubella virus vaccine</td><td/></tr><tr><td>05</td><td>measles virus vaccine</td><td/></tr><tr><td>06</td><td>rubella virus vaccine</td><td/></tr><tr><td>07</td><td>mumps virus vaccine</td><td/></tr><tr><td>08</td><td>hepatitis B vaccine, pediatric or pediatric/adolescent dosage</td><td/></tr><tr><td>09</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>10</td><td>poliovirus vaccine, inactivated</td><td/></tr><tr><td>100</td><td>pneumococcal conjugate vaccine, 7 valent</td><td/></tr><tr><td>101</td><td>typhoid Vi capsular polysaccharide vaccine</td><td/></tr><tr><td>102</td><td>DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine</td><td/></tr><tr><td>103</td><td>meningococcal C conjugate vaccine</td><td/></tr><tr><td>104</td><td>hepatitis A and hepatitis B vaccine</td><td/></tr><tr><td>105</td><td>vaccinia (smallpox) vaccine, diluted</td><td/></tr><tr><td>106</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens</td><td/></tr><tr><td>107</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation</td><td/></tr><tr><td>108</td><td>meningococcal ACWY vaccine, unspecified formulation</td><td/></tr><tr><td>109</td><td>pneumococcal vaccine, unspecified formulation</td><td/></tr><tr><td>11</td><td>pertussis vaccine</td><td/></tr><tr><td>110</td><td>DTaP-hepatitis B and poliovirus vaccine</td><td/></tr><tr><td>111</td><td>influenza virus vaccine, live, attenuated, for intranasal use</td><td/></tr><tr><td>112</td><td>tetanus toxoid, unspecified formulation</td><td/></tr><tr><td>113</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>114</td><td>meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)</td><td/></tr><tr><td>115</td><td>tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed</td><td/></tr><tr><td>116</td><td>rotavirus, live, pentavalent vaccine</td><td/></tr><tr><td>117</td><td>varicella zoster immune globulin (Investigational New Drug)</td><td/></tr><tr><td>118</td><td>human papilloma virus vaccine, bivalent</td><td/></tr><tr><td>119</td><td>rotavirus, live, monovalent vaccine</td><td/></tr><tr><td>12</td><td>diphtheria antitoxin</td><td/></tr><tr><td>120</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>121</td><td>zoster vaccine, live</td><td/></tr><tr><td>122</td><td>rotavirus vaccine, unspecified formulation</td><td/></tr><tr><td>123</td><td>influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)</td><td/></tr><tr><td>125</td><td>Novel Influenza-H1N1-09, live virus for nasal administration</td><td/></tr><tr><td>126</td><td>Novel influenza-H1N1-09, preservative-free, injectable</td><td/></tr><tr><td>127</td><td>Novel influenza-H1N1-09, injectable</td><td/></tr><tr><td>128</td><td>Novel influenza-H1N1-09, all formulations</td><td/></tr><tr><td>129</td><td>Japanese Encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>13</td><td>tetanus immune globulin</td><td/></tr><tr><td>130</td><td>Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated</td><td/></tr><tr><td>131</td><td>Historical record of a typhus vaccination</td><td/></tr><tr><td>132</td><td>Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.</td><td/></tr><tr><td>133</td><td>pneumococcal conjugate vaccine, 13 valent</td><td/></tr><tr><td>134</td><td>Japanese Encephalitis vaccine for intramuscular administration</td><td/></tr><tr><td>135</td><td>influenza, high dose seasonal, preservative-free</td><td/></tr><tr><td>136</td><td>meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)</td><td/></tr><tr><td>137</td><td>HPV, unspecified formulation</td><td/></tr><tr><td>138</td><td>tetanus and diphtheria toxoids, not adsorbed, for adult use</td><td/></tr><tr><td>139</td><td>Td(adult) unspecified formulation</td><td/></tr><tr><td>14</td><td>immune globulin, unspecified formulation</td><td/></tr><tr><td>140</td><td>Influenza, seasonal, injectable, preservative free</td><td/></tr><tr><td>141</td><td>Influenza, seasonal, injectable</td><td/></tr><tr><td>142</td><td>tetanus toxoid, not adsorbed</td><td/></tr><tr><td>143</td><td>Adenovirus, type 4 and type 7, live, oral</td><td/></tr><tr><td>144</td><td>seasonal influenza, intradermal, preservative free</td><td/></tr><tr><td>147</td><td>Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)</td><td/></tr><tr><td>148</td><td>Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine</td><td/></tr><tr><td>149</td><td>influenza, live, intranasal, quadrivalent</td><td/></tr><tr><td>15</td><td>influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE</td><td/></tr><tr><td>150</td><td>Influenza, injectable, quadrivalent, preservative free</td><td/></tr><tr><td>151</td><td>influenza nasal, unspecified formulation</td><td/></tr><tr><td>152</td><td>Pneumococcal Conjugate, unspecified formulation</td><td/></tr><tr><td>153</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free</td><td/></tr><tr><td>155</td><td>Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>156</td><td>Rho(D) Immune globulin- IV or IM</td><td/></tr><tr><td>157</td><td>Rho(D) Immune globulin - IM</td><td/></tr><tr><td>158</td><td>influenza, injectable, quadrivalent, contains preservative</td><td/></tr><tr><td>159</td><td>Rho(D) Unspecified formulation</td><td/></tr><tr><td>16</td><td>influenza virus vaccine, whole virus</td><td/></tr><tr><td>160</td><td>Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013</td><td/></tr><tr><td>161</td><td>Influenza, injectable,quadrivalent, preservative free, pediatric</td><td/></tr><tr><td>162</td><td>meningococcal B vaccine, fully recombinant</td><td/></tr><tr><td>163</td><td>meningococcal B vaccine, recombinant, OMV, adjuvanted</td><td/></tr><tr><td>164</td><td>meningococcal B, unspecified formulation</td><td/></tr><tr><td>165</td><td>Human Papillomavirus 9-valent vaccine</td><td/></tr><tr><td>166</td><td>influenza, intradermal, quadrivalent, preservative free, injectable</td><td/></tr><tr><td>167</td><td>meningococcal vaccine of unknown formulation and unknown serogroups</td><td/></tr><tr><td>168</td><td>Seasonal trivalent influenza vaccine, adjuvanted, preservative free</td><td/></tr><tr><td>169</td><td>Hep A, live attenuated-IM</td><td/></tr><tr><td>17</td><td>Haemophilus influenzae type b vaccine, conjugate unspecified formulation</td><td/></tr><tr><td>170</td><td>non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>171</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent</td><td/></tr><tr><td>172</td><td>cholera, WC-rBS</td><td/></tr><tr><td>173</td><td>cholera, BivWC</td><td/></tr><tr><td>174</td><td>cholera, live attenuated</td><td/></tr><tr><td>175</td><td>Human Rabies vaccine from human diploid cell culture</td><td/></tr><tr><td>176</td><td>Human rabies vaccine from Chicken fibroblast culture</td><td/></tr><tr><td>177</td><td>pneumococcal conjugate vaccine, 10 valent</td><td/></tr><tr><td>178</td><td>Non-US bivalent oral polio vaccine (types 1 and 3)</td><td/></tr><tr><td>179</td><td>Non-US monovalent oral polio vaccine, unspecified formulation</td><td/></tr><tr><td>18</td><td>rabies vaccine, for intramuscular injection RETIRED CODE</td><td/></tr><tr><td>180</td><td>tetanus immune globulin</td><td/></tr><tr><td>181</td><td>anthrax immune globulin</td><td/></tr><tr><td>182</td><td>Oral Polio Vaccine, Unspecified formulation</td><td/></tr><tr><td>183</td><td>Yellow fever vaccine alternative formulation</td><td/></tr><tr><td>184</td><td>Yellow fever vaccine, unspecified formulation</td><td/></tr><tr><td>185</td><td>Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>186</td><td>Influenza, injectable, Madin Darby Canine Kidney, quadrivalent with preservative</td><td/></tr><tr><td>187</td><td>zoster vaccine recombinant</td><td/></tr><tr><td>188</td><td>zoster vaccine, unspecified formulation</td><td/></tr><tr><td>189</td><td>Hepatitis B vaccine (recombinant), CpG adjuvanted</td><td/></tr><tr><td>19</td><td>Bacillus Calmette-Guerin vaccine</td><td/></tr><tr><td>20</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine</td><td/></tr><tr><td>21</td><td>varicella virus vaccine</td><td/></tr><tr><td>22</td><td>DTP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>23</td><td>plague vaccine</td><td/></tr><tr><td>24</td><td>anthrax vaccine</td><td/></tr><tr><td>25</td><td>typhoid vaccine, live, oral</td><td/></tr><tr><td>26</td><td>cholera vaccine, unspecified formulation</td><td/></tr><tr><td>27</td><td>botulinum antitoxin</td><td/></tr><tr><td>28</td><td>diphtheria and tetanus toxoids, adsorbed for pediatric use</td><td/></tr><tr><td>29</td><td>cytomegalovirus immune globulin, intravenous</td><td/></tr><tr><td>30</td><td>hepatitis B immune globulin</td><td/></tr><tr><td>31</td><td>hepatitis A vaccine, pediatric dosage, unspecified formulation</td><td/></tr><tr><td>32</td><td>meningococcal polysaccharide vaccine (MPSV4)</td><td/></tr><tr><td>33</td><td>pneumococcal polysaccharide vaccine, 23 valent</td><td/></tr><tr><td>34</td><td>rabies immune globulin</td><td/></tr><tr><td>35</td><td>tetanus toxoid, adsorbed</td><td/></tr><tr><td>36</td><td>varicella zoster immune globulin</td><td/></tr><tr><td>37</td><td>yellow fever vaccine</td><td/></tr><tr><td>38</td><td>rubella and mumps virus vaccine</td><td/></tr><tr><td>39</td><td>Japanese Encephalitis Vaccine SC</td><td/></tr><tr><td>40</td><td>rabies vaccine, for intradermal injection</td><td/></tr><tr><td>41</td><td>typhoid vaccine, parenteral, other than acetone-killed, dried</td><td/></tr><tr><td>42</td><td>hepatitis B vaccine, adolescent/high risk infant dosage</td><td/></tr><tr><td>43</td><td>hepatitis B vaccine, adult dosage</td><td/></tr><tr><td>44</td><td>hepatitis B vaccine, dialysis patient dosage</td><td/></tr><tr><td>45</td><td>hepatitis B vaccine, unspecified formulation</td><td/></tr><tr><td>46</td><td>Haemophilus influenzae type b vaccine, PRP-D conjugate</td><td/></tr><tr><td>47</td><td>Haemophilus influenzae type b vaccine, HbOC conjugate</td><td/></tr><tr><td>48</td><td>Haemophilus influenzae type b vaccine, PRP-T conjugate</td><td/></tr><tr><td>49</td><td>Haemophilus influenzae type b vaccine, PRP-OMP conjugate</td><td/></tr><tr><td>50</td><td>DTaP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>51</td><td>Haemophilus influenzae type b conjugate and Hepatitis B vaccine</td><td/></tr><tr><td>52</td><td>hepatitis A vaccine, adult dosage</td><td/></tr><tr><td>53</td><td>typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)</td><td/></tr><tr><td>54</td><td>adenovirus vaccine, type 4, live, oral</td><td/></tr><tr><td>55</td><td>adenovirus vaccine, type 7, live, oral</td><td/></tr><tr><td>62</td><td>human papilloma virus vaccine, quadrivalent</td><td/></tr><tr><td>66</td><td>Lyme disease vaccine</td><td/></tr><tr><td>69</td><td>parainfluenza-3 virus vaccine</td><td/></tr><tr><td>71</td><td>respiratory syncytial virus immune globulin, intravenous</td><td/></tr><tr><td>74</td><td>rotavirus, live, tetravalent vaccine</td><td/></tr><tr><td>75</td><td>vaccinia (smallpox) vaccine</td><td/></tr><tr><td>76</td><td>Staphylococcus bacteriophage lysate</td><td/></tr><tr><td>77</td><td>tick-borne encephalitis vaccine</td><td/></tr><tr><td>78</td><td>tularemia vaccine</td><td/></tr><tr><td>79</td><td>vaccinia immune globulin</td><td/></tr><tr><td>80</td><td>Venezuelan equine encephalitis, live, attenuated</td><td/></tr><tr><td>801</td><td>AS03 Adjuvant</td><td/></tr><tr><td>81</td><td>Venezuelan equine encephalitis, inactivated</td><td/></tr><tr><td>82</td><td>adenovirus vaccine, unspecified formulation</td><td/></tr><tr><td>83</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule</td><td/></tr><tr><td>84</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule</td><td/></tr><tr><td>85</td><td>hepatitis A vaccine, unspecified formulation</td><td/></tr><tr><td>86</td><td>immune globulin, intramuscular</td><td/></tr><tr><td>87</td><td>immune globulin, intravenous</td><td/></tr><tr><td>88</td><td>influenza virus vaccine, unspecified formulation</td><td/></tr><tr><td>89</td><td>poliovirus vaccine, unspecified formulation</td><td/></tr><tr><td>90</td><td>rabies vaccine, unspecified formulation</td><td/></tr><tr><td>91</td><td>typhoid vaccine, unspecified formulation</td><td/></tr><tr><td>92</td><td>Venezuelan equine encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>93</td><td>respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular</td><td/></tr><tr><td>94</td><td>measles, mumps, rubella, and varicella virus vaccine</td><td/></tr><tr><td>95</td><td>tuberculin skin test; old tuberculin, multipuncture device</td><td/></tr><tr><td>96</td><td>tuberculin skin test; purified protein derivative solution, intradermal</td><td/></tr><tr><td>97</td><td>tuberculin skin test; purified protein derivative, multipuncture device</td><td/></tr><tr><td>98</td><td>tuberculin skin test; unspecified formulation</td><td/></tr><tr><td>998</td><td>no vaccine administered</td><td/></tr></table></li></ul></div>"
},
"url" : "http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113762.1.4.1010.6"
},
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.3.88.12.80.22"
}
],
"version" : "3.0.0",
"name" : "USCoreVaccineAdministeredValueSetCvx",
"title" : "US Core Vaccine Administered Value Set (CVX)",
"status" : "active",
"date" : "2019-05-21T00:00:00-04:00",
"publisher" : "HL7 US Realm Steering Committee",
"contact" : [
{
"telecom" : [
{
"system" : "other",
"value" : "http://hl7.org/fhir"
}
]
}
],
"description" : "This identifies the vaccine substance administered - CVX codes. **Inclusion Criteria:** Any CVX code with CVX 'status' (VSAC Property) = `Active`,` Inactive`, `Non-US` except those noted in exclusions. **Exclusion Criteria:** CVX codes that have a CVX 'status' of either `Pending` or `Never Active` AND CVX codes with CVX 'Nonvaccine' property = True. Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"concept" : [
{
"code" : "01",
"display" : "diphtheria, tetanus toxoids and pertussis vaccine"
},
{
"code" : "02",
"display" : "trivalent poliovirus vaccine, live, oral"
},
{
"code" : "03",
"display" : "measles, mumps and rubella virus vaccine"
},
{
"code" : "04",
"display" : "measles and rubella virus vaccine"
},
{
"code" : "05",
"display" : "measles virus vaccine"
},
{
"code" : "06",
"display" : "rubella virus vaccine"
},
{
"code" : "07",
"display" : "mumps virus vaccine"
},
{
"code" : "08",
"display" : "hepatitis B vaccine, pediatric or pediatric/adolescent dosage"
},
{
"code" : "09",
"display" : "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"
},
{
"code" : "10",
"display" : "poliovirus vaccine, inactivated"
},
{
"code" : "100",
"display" : "pneumococcal conjugate vaccine, 7 valent"
},
{
"code" : "101",
"display" : "typhoid Vi capsular polysaccharide vaccine"
},
{
"code" : "102",
"display" : "DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine"
},
{
"code" : "103",
"display" : "meningococcal C conjugate vaccine"
},
{
"code" : "104",
"display" : "hepatitis A and hepatitis B vaccine"
},
{
"code" : "105",
"display" : "vaccinia (smallpox) vaccine, diluted"
},
{
"code" : "106",
"display" : "diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens"
},
{
"code" : "107",
"display" : "diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation"
},
{
"code" : "108",
"display" : "meningococcal ACWY vaccine, unspecified formulation"
},
{
"code" : "109",
"display" : "pneumococcal vaccine, unspecified formulation"
},
{
"code" : "11",
"display" : "pertussis vaccine"
},
{
"code" : "110",
"display" : "DTaP-hepatitis B and poliovirus vaccine"
},
{
"code" : "111",
"display" : "influenza virus vaccine, live, attenuated, for intranasal use"
},
{
"code" : "112",
"display" : "tetanus toxoid, unspecified formulation"
},
{
"code" : "113",
"display" : "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"
},
{
"code" : "114",
"display" : "meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)"
},
{
"code" : "115",
"display" : "tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed"
},
{
"code" : "116",
"display" : "rotavirus, live, pentavalent vaccine"
},
{
"code" : "117",
"display" : "varicella zoster immune globulin (Investigational New Drug)"
},
{
"code" : "118",
"display" : "human papilloma virus vaccine, bivalent"
},
{
"code" : "119",
"display" : "rotavirus, live, monovalent vaccine"
},
{
"code" : "12",
"display" : "diphtheria antitoxin"
},
{
"code" : "120",
"display" : "diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"
},
{
"code" : "121",
"display" : "zoster vaccine, live"
},
{
"code" : "122",
"display" : "rotavirus vaccine, unspecified formulation"
},
{
"code" : "123",
"display" : "influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)"
},
{
"code" : "125",
"display" : "Novel Influenza-H1N1-09, live virus for nasal administration"
},
{
"code" : "126",
"display" : "Novel influenza-H1N1-09, preservative-free, injectable"
},
{
"code" : "127",
"display" : "Novel influenza-H1N1-09, injectable"
},
{
"code" : "128",
"display" : "Novel influenza-H1N1-09, all formulations"
},
{
"code" : "129",
"display" : "Japanese Encephalitis vaccine, unspecified formulation"
},
{
"code" : "13",
"display" : "tetanus immune globulin"
},
{
"code" : "130",
"display" : "Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated"
},
{
"code" : "131",
"display" : "Historical record of a typhus vaccination"
},
{
"code" : "132",
"display" : "Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine."
},
{
"code" : "133",
"display" : "pneumococcal conjugate vaccine, 13 valent"
},
{
"code" : "134",
"display" : "Japanese Encephalitis vaccine for intramuscular administration"
},
{
"code" : "135",
"display" : "influenza, high dose seasonal, preservative-free"
},
{
"code" : "136",
"display" : "meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)"
},
{
"code" : "137",
"display" : "HPV, unspecified formulation"
},
{
"code" : "138",
"display" : "tetanus and diphtheria toxoids, not adsorbed, for adult use"
},
{
"code" : "139",
"display" : "Td(adult) unspecified formulation"
},
{
"code" : "14",
"display" : "immune globulin, unspecified formulation"
},
{
"code" : "140",
"display" : "Influenza, seasonal, injectable, preservative free"
},
{
"code" : "141",
"display" : "Influenza, seasonal, injectable"
},
{
"code" : "142",
"display" : "tetanus toxoid, not adsorbed"
},
{
"code" : "143",
"display" : "Adenovirus, type 4 and type 7, live, oral"
},
{
"code" : "144",
"display" : "seasonal influenza, intradermal, preservative free"
},
{
"code" : "147",
"display" : "Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)"
},
{
"code" : "148",
"display" : "Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine"
},
{
"code" : "149",
"display" : "influenza, live, intranasal, quadrivalent"
},
{
"code" : "15",
"display" : "influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE"
},
{
"code" : "150",
"display" : "Influenza, injectable, quadrivalent, preservative free"
},
{
"code" : "151",
"display" : "influenza nasal, unspecified formulation"
},
{
"code" : "152",
"display" : "Pneumococcal Conjugate, unspecified formulation"
},
{
"code" : "153",
"display" : "Influenza, injectable, Madin Darby Canine Kidney, preservative free"
},
{
"code" : "155",
"display" : "Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free"
},
{
"code" : "156",
"display" : "Rho(D) Immune globulin- IV or IM"
},
{
"code" : "157",
"display" : "Rho(D) Immune globulin - IM"
},
{
"code" : "158",
"display" : "influenza, injectable, quadrivalent, contains preservative"
},
{
"code" : "159",
"display" : "Rho(D) Unspecified formulation"
},
{
"code" : "16",
"display" : "influenza virus vaccine, whole virus"
},
{
"code" : "160",
"display" : "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"
},
{
"code" : "161",
"display" : "Influenza, injectable,quadrivalent, preservative free, pediatric"
},
{
"code" : "162",
"display" : "meningococcal B vaccine, fully recombinant"
},
{
"code" : "163",
"display" : "meningococcal B vaccine, recombinant, OMV, adjuvanted"
},
{
"code" : "164",
"display" : "meningococcal B, unspecified formulation"
},
{
"code" : "165",
"display" : "Human Papillomavirus 9-valent vaccine"
},
{
"code" : "166",
"display" : "influenza, intradermal, quadrivalent, preservative free, injectable"
},
{
"code" : "167",
"display" : "meningococcal vaccine of unknown formulation and unknown serogroups"
},
{
"code" : "168",
"display" : "Seasonal trivalent influenza vaccine, adjuvanted, preservative free"
},
{
"code" : "169",
"display" : "Hep A, live attenuated-IM"
},
{
"code" : "17",
"display" : "Haemophilus influenzae type b vaccine, conjugate unspecified formulation"
},
{
"code" : "170",
"display" : "non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"
},
{
"code" : "171",
"display" : "Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent"
},
{
"code" : "172",
"display" : "cholera, WC-rBS"
},
{
"code" : "173",
"display" : "cholera, BivWC"
},
{
"code" : "174",
"display" : "cholera, live attenuated"
},
{
"code" : "175",
"display" : "Human Rabies vaccine from human diploid cell culture"
},
{
"code" : "176",
"display" : "Human rabies vaccine from Chicken fibroblast culture"
},
{
"code" : "177",
"display" : "pneumococcal conjugate vaccine, 10 valent"
},
{
"code" : "178",
"display" : "Non-US bivalent oral polio vaccine (types 1 and 3)"
},
{
"code" : "179",
"display" : "Non-US monovalent oral polio vaccine, unspecified formulation"
},
{
"code" : "18",
"display" : "rabies vaccine, for intramuscular injection RETIRED CODE"
},
{
"code" : "180",
"display" : "tetanus immune globulin"
},
{
"code" : "181",
"display" : "anthrax immune globulin"
},
{
"code" : "182",
"display" : "Oral Polio Vaccine, Unspecified formulation"
},
{
"code" : "183",
"display" : "Yellow fever vaccine alternative formulation"
},
{
"code" : "184",
"display" : "Yellow fever vaccine, unspecified formulation"
},
{
"code" : "185",
"display" : "Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free"
},
{
"code" : "186",
"display" : "Influenza, injectable, Madin Darby Canine Kidney, quadrivalent with preservative"
},
{
"code" : "187",
"display" : "zoster vaccine recombinant"
},
{
"code" : "188",
"display" : "zoster vaccine, unspecified formulation"
},
{
"code" : "189",
"display" : "Hepatitis B vaccine (recombinant), CpG adjuvanted"
},
{
"code" : "19",
"display" : "Bacillus Calmette-Guerin vaccine"
},
{
"code" : "20",
"display" : "diphtheria, tetanus toxoids and acellular pertussis vaccine"
},
{
"code" : "21",
"display" : "varicella virus vaccine"
},
{
"code" : "22",
"display" : "DTP-Haemophilus influenzae type b conjugate vaccine"
},
{
"code" : "23",
"display" : "plague vaccine"
},
{
"code" : "24",
"display" : "anthrax vaccine"
},
{
"code" : "25",
"display" : "typhoid vaccine, live, oral"
},
{
"code" : "26",
"display" : "cholera vaccine, unspecified formulation"
},
{
"code" : "27",
"display" : "botulinum antitoxin"
},
{
"code" : "28",
"display" : "diphtheria and tetanus toxoids, adsorbed for pediatric use"
},
{
"code" : "29",
"display" : "cytomegalovirus immune globulin, intravenous"
},
{
"code" : "30",
"display" : "hepatitis B immune globulin"
},
{
"code" : "31",
"display" : "hepatitis A vaccine, pediatric dosage, unspecified formulation"
},
{
"code" : "32",
"display" : "meningococcal polysaccharide vaccine (MPSV4)"
},
{
"code" : "33",
"display" : "pneumococcal polysaccharide vaccine, 23 valent"
},
{
"code" : "34",
"display" : "rabies immune globulin"
},
{
"code" : "35",
"display" : "tetanus toxoid, adsorbed"
},
{
"code" : "36",
"display" : "varicella zoster immune globulin"
},
{
"code" : "37",
"display" : "yellow fever vaccine"
},
{
"code" : "38",
"display" : "rubella and mumps virus vaccine"
},
{
"code" : "39",
"display" : "Japanese Encephalitis Vaccine SC"
},
{
"code" : "40",
"display" : "rabies vaccine, for intradermal injection"
},
{
"code" : "41",
"display" : "typhoid vaccine, parenteral, other than acetone-killed, dried"
},
{
"code" : "42",
"display" : "hepatitis B vaccine, adolescent/high risk infant dosage"
},
{
"code" : "43",
"display" : "hepatitis B vaccine, adult dosage"
},
{
"code" : "44",
"display" : "hepatitis B vaccine, dialysis patient dosage"
},
{
"code" : "45",
"display" : "hepatitis B vaccine, unspecified formulation"
},
{
"code" : "46",
"display" : "Haemophilus influenzae type b vaccine, PRP-D conjugate"
},
{
"code" : "47",
"display" : "Haemophilus influenzae type b vaccine, HbOC conjugate"
},
{
"code" : "48",
"display" : "Haemophilus influenzae type b vaccine, PRP-T conjugate"
},
{
"code" : "49",
"display" : "Haemophilus influenzae type b vaccine, PRP-OMP conjugate"
},
{
"code" : "50",
"display" : "DTaP-Haemophilus influenzae type b conjugate vaccine"
},
{
"code" : "51",
"display" : "Haemophilus influenzae type b conjugate and Hepatitis B vaccine"
},
{
"code" : "52",
"display" : "hepatitis A vaccine, adult dosage"
},
{
"code" : "53",
"display" : "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"
},
{
"code" : "54",
"display" : "adenovirus vaccine, type 4, live, oral"
},
{
"code" : "55",
"display" : "adenovirus vaccine, type 7, live, oral"
},
{
"code" : "62",
"display" : "human papilloma virus vaccine, quadrivalent"
},
{
"code" : "66",
"display" : "Lyme disease vaccine"
},
{
"code" : "69",
"display" : "parainfluenza-3 virus vaccine"
},
{
"code" : "71",
"display" : "respiratory syncytial virus immune globulin, intravenous"
},
{
"code" : "74",
"display" : "rotavirus, live, tetravalent vaccine"
},
{
"code" : "75",
"display" : "vaccinia (smallpox) vaccine"
},
{
"code" : "76",
"display" : "Staphylococcus bacteriophage lysate"
},
{
"code" : "77",
"display" : "tick-borne encephalitis vaccine"
},
{
"code" : "78",
"display" : "tularemia vaccine"
},
{
"code" : "79",
"display" : "vaccinia immune globulin"
},
{
"code" : "80",
"display" : "Venezuelan equine encephalitis, live, attenuated"
},
{
"code" : "801",
"display" : "AS03 Adjuvant"
},
{
"code" : "81",
"display" : "Venezuelan equine encephalitis, inactivated"
},
{
"code" : "82",
"display" : "adenovirus vaccine, unspecified formulation"
},
{
"code" : "83",
"display" : "hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule"
},
{
"code" : "84",
"display" : "hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule"
},
{
"code" : "85",
"display" : "hepatitis A vaccine, unspecified formulation"
},
{
"code" : "86",
"display" : "immune globulin, intramuscular"
},
{
"code" : "87",
"display" : "immune globulin, intravenous"
},
{
"code" : "88",
"display" : "influenza virus vaccine, unspecified formulation"
},
{
"code" : "89",
"display" : "poliovirus vaccine, unspecified formulation"
},
{
"code" : "90",
"display" : "rabies vaccine, unspecified formulation"
},
{
"code" : "91",
"display" : "typhoid vaccine, unspecified formulation"
},
{
"code" : "92",
"display" : "Venezuelan equine encephalitis vaccine, unspecified formulation"
},
{
"code" : "93",
"display" : "respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular"
},
{
"code" : "94",
"display" : "measles, mumps, rubella, and varicella virus vaccine"
},
{
"code" : "95",
"display" : "tuberculin skin test; old tuberculin, multipuncture device"
},
{
"code" : "96",
"display" : "tuberculin skin test; purified protein derivative solution, intradermal"
},
{
"code" : "97",
"display" : "tuberculin skin test; purified protein derivative, multipuncture device"
},
{
"code" : "98",
"display" : "tuberculin skin test; unspecified formulation"
},
{
"code" : "998",
"display" : "no vaccine administered"
}
]
}
]
}
}
