Page Comparison

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Table of Contents

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CVX Code	Vaccine Name	Component CVX Code	Component Vaccine Name
22	DTP-Hib (Tetramune; OmniHib-DTP)	17	Hib NOS
50	DTaP-Hib (TriHiBit)	48	Hib-PRP-T
51	Hep B-Hib (PRP-OMP (ComVAX)	49	Hib-PRP-OMP
102	DTP-Hib-Hep B	17	Hib NOS
120	DTaP-Hib-IPV	48	Hib-PRP-T
132	DTaP-IPV-Hib-Hep B, historical	17	Hib NOS
146	DTaP, IPV, Hib, Hep B	17	Hib NOS
148	Meningococcal C/Y-HIB PRP (Menhibrix)	48	Hib-PRP-T
170	DTaP-IPV-Hib	48	Hib-PRP-T
198	DTP-Hep B-Hib Pentavalent, Non-US	17	Hib NOS

Immunization Series and Selection Rules

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Dose	Series Name	Absolute Minimum Age	Minimum Age	Routine Age	Latest Recommended Age (less than)	Valid CVX Code(s) per Dose for this Series	Invalid CVX Code(s) per Dose for this Series
1	Hib 4-dose	38 days	42 days (6 weeks)	2 months	3 months + 4 weeks	17, 46, 47, 48, 49, 51, 120, 22, 148, 102, 132, 146, 170, 198	50¹
2	Hib 4-dose	66 days	70 days (10 weeks)	4 months	5 months + 4 weeks	17, 46, 47, 48, 49, 51, 120, 22, 148, 102, 132, 146, 170, 198	50¹
3	Hib 4-dose	94 days	98 days (14 weeks)	6 months	7 months + 4 weeks	17, 46, 47, 48, 49, 51, 120, 22, 148, 102, 132, 146, 170, 198	50^₁
4	Hib 4-dose	1 year - 4 days	12 months	12 months	16 months + 4 weeks	17, 46, 47, 48, 49, 51, 120, 22, 148, 102, 132, 146, 170, 198	N/A

Vaccine Dose Parameters - Minimum and Recommended Intervals

Doses	Series Name	Absolute Minimum Interval	Minimum Interval	Minimum Recommended Interval	Latest Recommended Interval (less than)
Dose 1 to 2	Hib 4-dose	24 days	28 days	28 days	16 weeks
Dose 2 to 3	Hib 4-dose	24 days	28 days	28 days	16 weeks
Dose 3 to 4	Hib 4-dose	52 days	56 days	56 days	10 months + 4 weeks

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	Hib 4-dose Series Exception Rules
	Hib 4-dose Series Exception Rules

Follow the Hib 4-dose series tables (above) unless one of the following exceptions applies:

Exception 1:If a child is >= 7 months and < 12 months at time of execution and
- A. Has received 0 doses prior to 7 months then:
  - 3 doses are indicated (dose 2, 3, and 4) at => 7 months.
  - Routine age is 7 months for target dose 2.
  - Recommended interval is 28 days between doses 2 and 3; recommended interval is 56 days between doses 3 and 4.
  - For dose 4, absolute minimum age is 1 year - 4 days and recommended age is 12 months.
    - If target dose 4 is administered at < 1 year - 4 days the shot is Invalid and the reason code is BELOW_MINIMUM_AGE_FINAL_DOSE.

- Or -

- B. Has received 1 dose prior to 7 months and 1 dose at <= 28 days prior to 12 months then:
  - 3 doses are indicated (doses 1, 3, 4 or doses 2, 3, 4).
  - Recommended interval is 56 days between the final 2 doses.

Exception 2: If a child is >= 12 months and < 15 months at time of execution and
- A. Has received < 2 doses administered at < 12 months of age then:
  - 2 doses are indicated (dose 3 and 4) at >= 12 months.
  - Routine age is 12 months for target dose 3.
  - Recommended interval is 28 days between doses 2 and 3; recommended interval is 56 days between doses 3 and 4.

- Or -

- B. Has received 2 doses administered at < 12 months of age then:
  - 1 dose is indicated (dose 4) at >= 12 months.
  - Routine age is 12 months for target dose 4.
  - Recommended interval is 56 days between doses 3 and 4.

Exception 3: If a child is >= 15 months and < 5 years at time of execution and has not completed the series prior to the age of 15 months then:
- 1 dose is indicated (dose 4) at >= 15 months.
- Routine age is 15 months for target dose 4.
- Recommended interval is 56 days between doses 3 and 4.

The Hib component of CVX 50 (which is CVX 48) is evaluated as Valid only when it is the final dose of the series, follows a previous dose of Hib, and patient is => 1 year - 4 days; otherwise, the Hib component of CVX 50 (which is CVX 48) is Invalid and the reason code is BOOSTER_ONLY).¹
This rule applies only to CVX 48 when it is the Hib component of the combination vaccine CVX 50; this rule does not apply when CVX 48 is given by itself or as part of any other combination vaccine.

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Dose	Series Name	Absolute Minimum Age	Minimum Age	Routine Age	Latest Recommended Age (less than)	Valid CVX Code(s) per Dose for this Series	Invalid CVX Code(s) per Dose for this Series
1	Hib OMP	38 days	42 days (6 weeks)	2 months	3 months + 4 weeks	49, 51	17, 46, 47, 48, 120, 22, 148, 50, 102, 132, 146, 170, 198
2	Hib OMP	66 days	70 days (10 weeks)	4 months	5 months + 4 weeks	49, 51	17, 46, 47, 48, 120, 22, 148, 50, 102, 132, 146, 170, 198
3	Hib OMP	1 year - 4 days	12 months	12 months	16 months + 4 weeks	17, 46, 47, 48, 49, 50, 51, 120, 22, 148, 102, 132, 146, 170, 198

Vaccine Dose Parameters - Minimum and Recommended Intervals

Doses	Series Name	Absolute Minimum Interval	Minimum Interval	Minimum Recommended Interval	Latest Recommended Interval (less than)
Dose 1 to 2	Hib OMP	24 days	28 days	28 days	16 weeks
Dose 2 to 3	Hib OMP	52 days	56 days	56 days	10 months + 4 weeks

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