Value Set VaccineAdministered

2.16.840.1.113883.3.88.12.80.22

Effective Date

2016‑06‑23

Status

Final

Version Label

Name

VaccineAdministered

Display Name

CVX Vaccines Administered Complete Set

Source Code System

2.16.840.1.113883.12.292 - Vaccine Administered - FHIR: http://hl7.org/fhir/sid/cvx - HL7 V2: HL70292

Level/ Type	Code	Display Name	Code System
0‑L	01	diphtheria, tetanus toxoids and pertussis vaccine	Vaccine Administered
0‑L	02	poliovirus vaccine, live, oral	Vaccine Administered
0‑L	03	measles, mumps and rubella virus vaccine	Vaccine Administered
0‑L	04	measles and rubella virus vaccine	Vaccine Administered
0‑L	05	measles virus vaccine	Vaccine Administered
0‑L	06	rubella virus vaccine	Vaccine Administered
0‑L	07	mumps virus vaccine	Vaccine Administered
0‑L	08	hepatitis B vaccine, pediatric or pediatric/adolescent dosage	Vaccine Administered
0‑L	09	tetanus and diphtheria toxoids, adsorbed, for adult use	Vaccine Administered
0‑L	10	poliovirus vaccine, inactivated	Vaccine Administered
0‑L	100	pneumococcal conjugate vaccine, 7 valent	Vaccine Administered
0‑L	101	typhoid Vi capsular polysaccharide vaccine	Vaccine Administered
0‑L	102	DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine	Vaccine Administered
0‑L	103	meningococcal C conjugate vaccine	Vaccine Administered
0‑L	104	hepatitis A and hepatitis B vaccine	Vaccine Administered
0‑L	105	vaccinia (smallpox) vaccine, diluted	Vaccine Administered
0‑L	106	diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens	Vaccine Administered
0‑L	107	diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation	Vaccine Administered
0‑L	108	meningococcal ACWY vaccine, unspecified formulation	Vaccine Administered
0‑L	109	pneumococcal vaccine, unspecified formulation	Vaccine Administered
0‑L	11	pertussis vaccine	Vaccine Administered
0‑L	110	DTaP-hepatitis B and poliovirus vaccine	Vaccine Administered
0‑L	111	influenza virus vaccine, live, attenuated, for intranasal use	Vaccine Administered
0‑L	112	tetanus toxoid, unspecified formulation	Vaccine Administered
0‑L	113	tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use	Vaccine Administered
0‑L	114	meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)	Vaccine Administered
0‑L	115	tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed	Vaccine Administered
0‑L	116	rotavirus, live, pentavalent vaccine	Vaccine Administered
0‑L	117	varicella zoster immune globulin (Investigational New Drug)	Vaccine Administered
0‑L	118	human papilloma virus vaccine, bivalent	Vaccine Administered
0‑L	119	rotavirus, live, monovalent vaccine	Vaccine Administered
0‑L	12	diphtheria antitoxin	Vaccine Administered
0‑L	120	diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)	Vaccine Administered
0‑L	121	zoster vaccine, live	Vaccine Administered
0‑L	122	rotavirus vaccine, unspecified formulation	Vaccine Administered
0‑L	123	influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)	Vaccine Administered
0‑L	125	Novel Influenza-H1N1-09, live virus for nasal administration	Vaccine Administered
0‑L	126	Novel influenza-H1N1-09, preservative-free, injectable	Vaccine Administered
0‑L	127	Novel influenza-H1N1-09, injectable	Vaccine Administered
0‑L	128	Novel influenza-H1N1-09, all formulations	Vaccine Administered
0‑L	129	Japanese Encephalitis vaccine, unspecified formulation	Vaccine Administered
0‑L	13	tetanus immune globulin	Vaccine Administered
0‑L	130	Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated	Vaccine Administered
0‑L	131	Historical record of a typhus vaccination	Vaccine Administered
0‑L	132	Historical record of vaccine containing * diphtheria, tetanus toxoids and acellular pertussis, * poliovirus, inactivated, * Haemophilus influenzae type b conjugate, * Hepatitis B	Vaccine Administered
0‑L	133	pneumococcal conjugate vaccine, 13 valent	Vaccine Administered
0‑L	134	Japanese Encephalitis vaccine for intramuscular administration	Vaccine Administered
0‑L	135	influenza, high dose seasonal, preservative-free	Vaccine Administered
0‑L	136	meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)	Vaccine Administered
0‑L	137	HPV, unspecified formulation	Vaccine Administered
0‑L	138	tetanus and diphtheria toxoids, not adsorbed, for adult use	Vaccine Administered
0‑L	139	Td(adult) unspecified formulation	Vaccine Administered
0‑L	14	immune globulin, unspecified formulation	Vaccine Administered
0‑L	140	Influenza, seasonal, injectable, preservative free	Vaccine Administered
0‑L	141	Influenza, seasonal, injectable	Vaccine Administered
0‑L	142	tetanus toxoid, not adsorbed	Vaccine Administered
0‑L	143	Adenovirus, type 4 and type 7, live, oral	Vaccine Administered
0‑L	144	seasonal influenza, intradermal, preservative free	Vaccine Administered
0‑L	145	respiratory syncytial virus monoclonal antibody (motavizumab), intramuscular	Vaccine Administered
0‑L	146	Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus, Haemophilus b Conjugate (Meningococcal Protein Conjugate), and Hepatitis B (Recombinant) Vaccine.	Vaccine Administered
0‑L	147	Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)	Vaccine Administered
0‑L	148	Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine	Vaccine Administered
0‑L	149	influenza, live, intranasal, quadrivalent	Vaccine Administered
0‑L	15	influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE	Vaccine Administered
0‑L	150	Influenza, injectable, quadrivalent, preservative free	Vaccine Administered
0‑L	151	influenza nasal, unspecified formulation	Vaccine Administered
0‑L	152	Pneumococcal Conjugate, unspecified formulation	Vaccine Administered
0‑L	153	Influenza, injectable, Madin Darby Canine Kidney, preservative free	Vaccine Administered
0‑L	155	Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free	Vaccine Administered
0‑L	156	Rho(D) Immune globulin- IV or IM	Vaccine Administered
0‑L	157	Rho(D) Immune globulin - IM	Vaccine Administered
0‑L	158	influenza, injectable, quadrivalent, contains preservative	Vaccine Administered
0‑L	159	Rho(D) Unspecified formulation	Vaccine Administered
0‑L	16	influenza virus vaccine, whole virus	Vaccine Administered
0‑L	160	Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013	Vaccine Administered
0‑L	161	Influenza, injectable,quadrivalent, preservative free, pediatric	Vaccine Administered
0‑L	162	meningococcal B vaccine, fully recombinant	Vaccine Administered
0‑L	163	meningococcal B vaccine, recombinant, OMV, adjuvanted	Vaccine Administered
0‑L	164	meningococcal B, unspecified formulation	Vaccine Administered
0‑L	165	Human Papillomavirus 9-valent vaccine	Vaccine Administered
0‑L	166	influenza, intradermal, quadrivalent, preservative free, injectable	Vaccine Administered
0‑L	17	Haemophilus influenzae type b vaccine, conjugate unspecified formulation	Vaccine Administered
0‑L	18	rabies vaccine, for intramuscular injection	Vaccine Administered
0‑L	19	Bacillus Calmette-Guerin vaccine	Vaccine Administered
0‑L	20	diphtheria, tetanus toxoids and acellular pertussis vaccine	Vaccine Administered
0‑L	21	varicella virus vaccine	Vaccine Administered
0‑L	22	DTP-Haemophilus influenzae type b conjugate vaccine	Vaccine Administered
0‑L	23	plague vaccine	Vaccine Administered
0‑L	24	anthrax vaccine	Vaccine Administered
0‑L	25	typhoid vaccine, live, oral	Vaccine Administered
0‑L	26	cholera vaccine	Vaccine Administered
0‑L	27	botulinum antitoxin	Vaccine Administered
0‑L	28	diphtheria and tetanus toxoids, adsorbed for pediatric use	Vaccine Administered
0‑L	29	cytomegalovirus immune globulin, intravenous	Vaccine Administered
0‑L	30	hepatitis B immune globulin	Vaccine Administered
0‑L	31	hepatitis A vaccine, pediatric dosage, unspecified formulation	Vaccine Administered
0‑L	32	meningococcal polysaccharide vaccine (MPSV4)	Vaccine Administered
0‑L	33	pneumococcal polysaccharide vaccine, 23 valent	Vaccine Administered
0‑L	34	rabies immune globulin	Vaccine Administered
0‑L	35	tetanus toxoid, adsorbed	Vaccine Administered
0‑L	36	varicella zoster immune globulin	Vaccine Administered
0‑L	37	yellow fever vaccine	Vaccine Administered
0‑L	38	rubella and mumps virus vaccine	Vaccine Administered
0‑L	39	Japanese Encephalitis Vaccine SC	Vaccine Administered
0‑L	40	rabies vaccine, for intradermal injection	Vaccine Administered
0‑L	41	typhoid vaccine, parenteral, other than acetone-killed, dried	Vaccine Administered
0‑L	42	hepatitis B vaccine, adolescent/high risk infant dosage	Vaccine Administered
0‑L	43	hepatitis B vaccine, adult dosage	Vaccine Administered
0‑L	44	hepatitis B vaccine, dialysis patient dosage	Vaccine Administered
0‑L	45	hepatitis B vaccine, unspecified formulation	Vaccine Administered
0‑L	46	Haemophilus influenzae type b vaccine, PRP-D conjugate	Vaccine Administered
0‑L	47	Haemophilus influenzae type b vaccine, HbOC conjugate	Vaccine Administered
0‑L	48	Haemophilus influenzae type b vaccine, PRP-T conjugate	Vaccine Administered
0‑L	49	Haemophilus influenzae type b vaccine, PRP-OMP conjugate	Vaccine Administered
0‑L	50	DTaP-Haemophilus influenzae type b conjugate vaccine	Vaccine Administered
0‑L	51	Haemophilus influenzae type b conjugate and Hepatitis B vaccine	Vaccine Administered
0‑L	52	hepatitis A vaccine, adult dosage	Vaccine Administered
0‑L	53	typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)	Vaccine Administered
0‑L	54	adenovirus vaccine, type 4, live, oral	Vaccine Administered
0‑L	55	adenovirus vaccine, type 7, live, oral	Vaccine Administered
0‑L	62	human papilloma virus vaccine, quadrivalent	Vaccine Administered
0‑L	66	Lyme disease vaccine	Vaccine Administered
0‑L	69	parainfluenza-3 virus vaccine	Vaccine Administered
0‑L	71	respiratory syncytial virus immune globulin, intravenous	Vaccine Administered
0‑L	74	rotavirus, live, tetravalent vaccine	Vaccine Administered
0‑L	75	vaccinia (smallpox) vaccine	Vaccine Administered
0‑L	76	Staphylococcus bacteriophage lysate	Vaccine Administered
0‑L	77	tick-borne encephalitis vaccine	Vaccine Administered
0‑L	78	tularemia vaccine	Vaccine Administered
0‑L	79	vaccinia immune globulin	Vaccine Administered
0‑L	80	Venezuelan equine encephalitis, live, attenuated	Vaccine Administered
0‑L	801	AS03 Adjuvant	Vaccine Administered
0‑L	81	Venezuelan equine encephalitis, inactivated	Vaccine Administered
0‑L	82	adenovirus vaccine, unspecified formulation	Vaccine Administered
0‑L	83	hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule	Vaccine Administered
0‑L	84	hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule	Vaccine Administered
0‑L	85	hepatitis A vaccine, unspecified formulation	Vaccine Administered
0‑L	86	immune globulin, intramuscular	Vaccine Administered
0‑L	87	immune globulin, intravenous	Vaccine Administered
0‑L	88	influenza virus vaccine, unspecified formulation	Vaccine Administered
0‑L	89	poliovirus vaccine, unspecified formulation	Vaccine Administered
0‑L	90	rabies vaccine, unspecified formulation	Vaccine Administered
0‑L	91	typhoid vaccine, unspecified formulation	Vaccine Administered
0‑L	92	Venezuelan equine encephalitis vaccine, unspecified formulation	Vaccine Administered
0‑L	93	respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular	Vaccine Administered
0‑L	94	measles, mumps, rubella, and varicella virus vaccine	Vaccine Administered
0‑L	95	tuberculin skin test; old tuberculin, multipuncture device	Vaccine Administered
0‑L	96	tuberculin skin test; purified protein derivative solution, intradermal	Vaccine Administered
0‑L	97	tuberculin skin test; purified protein derivative, multipuncture device	Vaccine Administered
0‑L	98	tuberculin skin test; unspecified formulation	Vaccine Administered
0‑L	998	no vaccine administered	Vaccine Administered

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