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The Polio 4-dose series is complete after 4 doses, except when one of the 4-dose Series Exception Rules74351383 apply.

Vaccine Dose Parameters -  Minimum and Routine Ages

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

Polio 4-dose

38 days

42 days (6 weeks)

2 months

3 months + 4 weeks 02, 10, 89, 110, 120, 130, 132, 146, 170, 182 N/A

2

Polio 4-dose

66 days

70 days (10 weeks)

4 months

5 months + 4 weeks 02, 10, 89, 110, 120, 130, 132, 146, 170, 182 N/A

3

Polio 4-dose

94 days

98 days (14 weeks)

6 months

19 months + 4 weeks 02, 10, 89, 110, 120, 130, 132, 146, 170, 182 N/A

4

Polio 4-dose

122 days if dose 4 administered < 8/7/2010 12009

4 years - 4 days if dose 4 administered >= 8 8/7/20102009

126 days if dose 4 administered < 4 administered < 8/7/201012009

4 years if dose 4 administered >= 8 8/7/20102009

4 years

7 years + 4 weeks 02, 10, 89, 110, 120, 130, 132, 146, 170, 182 N/A

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Doses

Series Name

Absolute Minimum Interval

Minimum Interval

Minimum Recommended Interval

Latest Recommended Interval (less than)

Dose 1 to 2

Polio 4-dose

24 days

28 days

28 days

15 months + 4 weeks

Dose 2 to 3

Polio 4-dose

24 days

28 days

28 days

13 weeks

Dose 3 to 4

Polio 4-dose

24 days if dose 4 was administered before before 8/7/2010 12009

6 months minus 4 days if dose 4 was administered >= 8/7/20102009

28 days if dose 4 was administered before 8/7/2010 1, 32009

6 months if dose 4 was administered >= 8 8/7/20102009

6 months

6 years + 4 weeks


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Series Special Rules 

4-dose Series Exception Rules

The 4-dose series above applies unless:

  • Series complete with 3 doses:
    • If all administered doses are IPVs (containing component CVX 10) or all administered doses are OPVs (containing component CVX 02 or CVX 182), and patient is >= 4 years old (or will be >= 4 years old at the dose 3 recommended due date), recommend target dose 3 (and final dose) at 4 years old; recommended interval = 6 months.
    • If dose 3 was administered when the patient was >= 4 years and was administered at least 6 months - 4 days after the previous dose, then the series is complete with 3 doses. 
  • For children who received target dose 4 at >= 8/7/2010 2009 and before 4 years - 4 days of age, evaluate target dose 4 as Accepted/ BELOW_MINIMUM_AGE_FINAL_DOSE (if absolute minimum interval is met). (An additional dose will be recommended at >= 4 years of age).

OPV Rule

If a patient receives shots of OPV administered >= 4/1/2016, these shots do not count towards the series. Evaluate these shots as Invalid with reason code MISSING_ANTIGEN.

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Notes

ICE takes into consideration changes to the polio schedule (dose 4) made in early 2010, and will evaluate under the old schedule if the conditions are met.1  The CDC CDSi rules do not take this into consideration in their CDS logic; the CDC CDSi uses only the "new" rules.

  • CDSi follows a maximum age of 18 years for all Polio series, for all doses. Therefore, according to the CDSi Logic Specifications, a shot administered at >= 18 years old would be NOT be evaluated as Valid and the patient would NOT be able to complete the series at >= 18 years old.2
  • In rare circumstances, when the Overdue Date calculation results in a date that is earlier than the Recommended Due Date, ICE will set the Overdue Date to be equal to the Recommended Due Date. Here's an example test scenario:3
    • Patient has 3 doses on record and Dose 3 was given on 1/1/2008 (at 8 years old).
    • Target Dose 4 Overdue Date would be calculated as Dose 3 + Latest Minimum Interval (28 days) = 1/29/2008.
    • Recommended Due Date would be calculated as Dose 3 + Recommended Interval (6 months) = 7/1/2008. 
    • Since the Overdue Date results in a date that is earlier than the Recommended Due Date, ICE will set the Overdue Date to be equal to the Recommended Due Date. So adjusted Overdue Date will be set to 7/1/2008. 

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