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Table of Contents

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CVX Code

Vaccine Name

Component
CVX Code

Component
Vaccine Name

22DTP-Hib (Tetramune; OmniHib-DTP)01DTP
50DTaP-Hib (TriHiBit)

20

DTaP

102DTP-Hib-Hep B01DTP
110DTaP-Hep B-IPV (Pediarix)106DTaP
120DTaP-Hib-IPV (Pentacel)20DTaP
130DTaP-IPV20DTaP
132DTaP-IPV-Hib-Hep B, historical107DTaP NOS
146DTaP, IPV, Hib, Hep B107DTaP NOS
170DTaP-IPV-Hib20107DTaP NOS
198DTP-Hep B-Hib Pentavalent Non-US01DTP

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 SeriesInvalid CVX Code(s) per Dose for this Series

1

DTP 5-dose

38 days

42 days (6 weeks)

2 months

3 months + 4 weeks01, 20, 283, 106, 107, 1151, 092, 1132, 1382, 1392, 22, 50, 102, 110, 120, 130, 132, 146, 198   

 

2

DTP 5-dose

66 days

70 days (10 weeks)

4 months

5 months + 4 weeks01, 20, 283, 106, 107, 1151, 092, 1132, 1382, 1392, 22, 50, 102, 110, 120, 130, 132, 146 , 198

3

DTP 5-dose

94 days

98 days (14 weeks)

6 months

7 months + 4 weeks01, 20, 283, 106, 107, 1151, 092, 1132, 1382, 1392, 22, 50, 102, 110, 120, 130, 132, 146, 198

4

DTP 5-dose1 year - 4 days

15 months

15 months

19 months + 4 weeks01, 20, 283, 106, 107, 1151, 092, 1132, 1382, 1392, 22, 50, 102, 110, 120, 130, 132, 146, 198

5DTP 5-dose4 years - 4 days4 years 4 years7 years01, 20, 283, 106, 107, 1151, 092, 1132, 1382, 1392, 22, 50, 102, 110, 120, 130, 132, 146, 198


Vaccine Dose Parameters - Minimum and Recommended Intervals

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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 SeriesInvalid CVX Code(s) per Dose for this Series

1

DTP 3-dose

7 years

7 years

7 years

7 years 01, 2020, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146, 198

2

DTP 3-doseN/A7 years

N/A

7 years 01 01, 2020, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146, 198
 

3

DTP 3-doseN/A

7 years

N/A

7 years 01, 2020, 28, 106, 107, 115, 09, 113, 138, 139, 22, 50, 102, 110, 120, 130, 132, 146, 198
 

Vaccine Dose Parameters - Minimum and Recommended Intervals

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