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Rules Based on Patient's Age

  • For persons born prior to 01/01/1957, if the series is NOT complete, then the Recommendation is Conditional and the reason code is HIGH_RISK.

Proof of Immunity Rules

  • If a patient has immunity (reported as having a positive titer or serology) for all three componentscomponents (measles, mumps, rubella), vaccine is not recommended. 
  • Any shot administered prior to the date of immunity is evaluated as Valid or Invalid, based on minimum age and minimum interval rules.
  • Any shot administered on or after the date of immunity is evaluated as Accepted with a reason code of PROOF_OF_IMMUNITY; Recommendation is Not Recommended and the reason code is PROOF_OF_IMMUNITY.

Live Vaccine Interval Rule

  • The Live Vaccine Interval rule (also referred to as the Live Virus rule) applies to all MMR vaccines. For rule details, see the Live Vaccine Interval rule on the General ICE Rules page.

Series Completion Special Rule

  • Once a patient completes the MMR 2-dose series the Recommendation is Not Recommended and the reason code is COMPLETE_HIGH_RISK. (MMR should never have a recommendation of Not Recommended/Complete.)

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Series Name

  • MMR Series3

Series Selection Rules

  • There is only one series for this vaccine group.

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Doses

Series Name

Absolute Minimum Interval

Minimum Interval

Minimum Recommended Interval

Latest Recommended Interval

(less than)

Dose 1 to 2

MMR

28 days 2 1

28 days

28 days (4 weeks)

6 years + 4 weeks

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Series Special Rules 

There are no special rules for this series.

DOB prior to 1/1/1957

  • For persons born prior to 01/01/1957, if the series is NOT complete, then the Recommendation is Conditional and the reason code is HIGH_RISK.

Series Complete with 1 Dose

  • If the recommended due date for Target Dose 2 is >= 19 years old, then that dose is not required; the series is complete with 1 dose. 

Notes

  • The minimum interval between dose 1 and dose 2 (28 days)2 1 differs from the CDC CDSi minimum interval of 24 days. In order to be consistent with the 28-day varicella minimum interval and the Live Vaccine minimum interval, the ICE Workgroup decided not to apply the 4-day grace period.The ICE Workgroup decided not to add the MMR 1-dose series for adults.3 They would like to continue recommending 2 doses of MMR for adults, because the high risk conditions for the second MMR are more commonplace these days. (e.g., international travelers).