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- For all vaccine groups EXCEPT for PCV, Hib, Rotavirus, Polio, HepA, DTP, and MMR, evaluate the 1st CVX processed as Valid and evaluate the 2nd CVX processed as Invalid with a reason code of DUPLICATE_SAME_DAY.
- For vaccine groups PCV, Hib, Rotavirus, Polio, HepA, DTP, and MMR, MMR, Pneumococcal, and Meningococcal B, see the exception rules below. (Combination vaccines would be evaluated at the component level.)
PCV Exception Rules
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- evaluate CVX 133 (PCV 13) as Invalid with a reason code of DUPLICATE_SAME_DAY
- evaluate CVX 100 (PCV 7) as Valid
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Hib Exception Rules
- If one of the shots is CVX 49 (Hib OMP), then:
- evaluate the CVX 49 as Invalid with a reason code of DUPLICATE_SAME_DAY
- evaluate the other Hib CVX as Valid
- If neither shot is CVX 49 (either monovalent or the Hib component), then:
- evaluate the 1st shot processed as Valid
- evaluate the 2nd shot processed as Invalid with a reason code of DUPLICATE_SAME_DAY.
- Examples:
- CVX 46 (ProHIBIT) and CVX 47 (HibTITER)
- CVX 50/TriHiBit (Hib component CVX 48) and CVX 120 (Hib component CVX 48)
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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
- If the shot was administered < 6/1/2010, then:
- If CVX 216 (PCV20) dose and any other Pneumococcal vaccine is reported as administered on the same day, then:
- evaluate CVX 216 (PCV20) as Valid
- evaluate the other Pneumococcal vaccine as Accepted/ EXTRA_DOSE
- If CVX 215 (PCV15) dose and CVX 133 (PCV13) are reported as administered on the same day, then:
- evaluate CVX 215 (PCV15) as Valid
- evaluate CVX 133 (PCV13) as Invalid with a reason code of DUPLICATE_SAME_DAY
Meningococcal B Exception Rules
- If CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) or CVX 316 (Meningococcal MenABCWY (Penbraya)) 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)) or CVX 316 (Meningococcal MenABCWY (Penbraya)) 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) or CVX 316 (Meningococcal MenABCWY (Penbraya)) administered at 16 years old. CVX 162 (Trumenba) or CVX 316 (Meningococcal MenABCWY (Penbraya)) 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.)