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Overview

The Two Shots, Same Vaccine Group, Same Day general rule states that if any two vaccines from the same vaccine group are administered on the same day and both CVX codes would be considered valid (based on minimum age, minimum interval, insufficient antigen, live vaccine interval, etc), ICE will:

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• If CVX 133 (PCV 13) and CVX 100 (PCV 7) are reported as administered on the same day, then:
  • If the shot was administered < 6/1/2010, then:
    
    • evaluate CVX 133 (PCV 13) as Invalid with a reason code of DUPLICATE_SAME_DAY
    • evaluate CVX 100 (PCV 7) as Valid
  • If the shot was administered >= 6/1/2010, then:
    
    • evaluate CVX 100 (PCV 7) as Invalid with a reason code of DUPLICATE_SAME_DAY
    • evaluate CVX 133 (PCV 13) as Valid

Meningococcal B Exception Rules

If CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) and CVX 163 (Meningococcal B 4C, OMV (Bexsero)) are reported as administered on the same day, then:

• evaluate CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) as Invalid with a reason code of DUPLICATE_SAME_DAY
• evaluate CVX 163 (Meningococcal B 4C, OMV (Bexsero)) as Valid
• recommend based on the MenB 4C 2-dose Series.  

However, if both Meningococcal B vaccines are administered on the same day, and one vaccine would complete a Meningococcal B series, then evaluate that vaccine as Valid and the other Meningococcal B vaccine as Invalid with a reason code of DUPLICATE_SAME_DAY.  (Example - CVX 162 (Trumenba) administered at 16 years old.  CVX 162 (Trumenba) and CVX 163 (Bexsero) administered on same day (at 16 years, 6 months old). Trumenba 2-dose series applies/Series Complete. CVX 163 would be evaluated as Invalid/DUPLICATE_SAME_DAY.)