Zoster Vaccine Group

Table of Contents

Zoster Vaccine Group Evaluation and Forecasting Rules

General Rules for Zoster

General rules are not series-specific; general rules apply to the entire vaccine group.

Live Vaccine Interval Rule

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

Select Adjuvant Product Interval

  • The Select Adjuvant Product Interval rule applies to CVX 187. For rule details, see the Select Adjuvant Product Interval rule on the General ICE Rules page.

Rules for Recommending at the CVX Code vs. Vaccine Group Level

  • When recommending Zoster, always recommend at the CVX level; vaccine recommended should be CVX 187.

Recommended Interval After Adult Varicella (CVX 21) Doses

  • If patient is administered adult varicella (CVX 21) doses, the minimum interval and recommended interval between the adult varicella (CVX 21) doses to Zoster is 8 weeks. 
    • Example:
      • Varicella (CVX 21) at 50 years, 1 month.
      • Varicella (CVX 21) at 50 years, 3 months. 
      • Recommend Zoster (CVX 187) at Varicella Dose 2 + recommended interval (8 weeks)

Zoster Vaccines

CVX Code

Name

187Zoster recombinant
121Zoster vaccine, live
188Zoster vaccine, unspecified

CVX Code Specific Rules

  • If a patient is administered CVX 187 < 52 days after a previously administered CVX 121 or CVX 188, evaluate the shot as Invalid/Below Minimum Interval.
  • If a patient is administered CVX 121 or CVX 188, evaluate the shot as Accepted/ VACCINE_NOT_PART_OF_THIS_SERIES. (new reason code)
    • Absolute minimum interval between CVX 121 or CVX 188 to CVX 187 is 52 days.
    • Recommended interval between CVX 121 or CVX 188 to CVX 187 is 56 days.

Immunization Series and Selection Rules

Series Name

  • Zoster Series 

Immunization Series: Zoster Series

The Zoster series is complete after 2 doses.

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

Zoster

18 years

50 years

50 years

N/A187N/A
2Zoster50 years50 years50 yearsN/A187N/A


Vaccine Dose Parameters - Minimum and Recommended Intervals

Doses

Series Name

Absolute Minimum Interval

Minimum Interval

Minimum Recommended Interval

Latest Recommended Interval (less than)

Dose 1 to 2

Zoster

24 days

56 days

56 days

7 months + 4 weeks

Series Special Rules 

  • There are no special rules for this series. 

Notes

  •  Zoster vaccine (CVX 121) follows the Live Vaccine rule for minimum and recommended interval.
    • 28 day minimum interval
    • 28 day recommended interval