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CVX Code

998
99
999
143
54
55
82
24
19
27
26
29
56
12
28
20
106
107
146
110
50
120
130
132
01
22
102
57
30
52
83
84
31
85
104
08
42
43
44
45
58
59
60
47

Short Description
no vaccine administered
RESERVED - do not use
unknown
Adenovirus types 4 and 7
adenovirus, type 4
adenovirus, type 7
adenovirus, unspecified formulation
anthrax
BCG
botulinum antitoxin
cholera
CMVIG
dengue fever
diphtheria antitoxin
DT (pediatric)
DTaP
DTaP, 5 pertussis antigens
DTaP, unspecified formulation
DTaP,IPV,Hib,HepB
DTaP-Hep B-IPV
DTaP-Hib
DTaP-Hib-IPV
DTaP-IPV
DTaP-IPV-HIB-HEP B, historical
DTP
DTP-Hib
DTP-Hib-Hep B
hantavirus
HBIG
Hep A, adult
Hep A, ped/adol, 2 dose
Hep A, ped/adol, 3 dose
Hep A, pediatric, unspecified formulation
Hep A, unspecified formulation
Hep A-Hep B
Hep B, adolescent or pediatric
Hep B, adolescent/high risk infant
Hep B, adult
Hep B, dialysis
Hep B, unspecified formulation
Hep C
Hep E
herpes simplex 2
Hib (HbOC)

46
49
48
17
51
61
118
62
137
86
14
87
123
135
111
141
140
144
15
88
16
10
134
39
129
63
64
65
66
04
67
05
68
103
147
136
114
32
108
03
94
07
127
128
125

Hib (PRP-D)
Hib (PRP-OMP)
Hib (PRP-T)
Hib, unspecified formulation
Hib-Hep B
HIV
HPV, bivalent
HPV, quadrivalent
HPV, unspecified formulation
IG
IG, unspecified formulation
IGIV
influenza, H5N1-1203
Influenza, high dose seasonal
influenza, live, intranasal
Influenza, seasonal, injectable
Influenza, seasonal, injectable, preservative free
influenza, seasonal, intradermal, preservative free
influenza, split (incl. purified surface antigen)
influenza, unspecified formulation
influenza, whole
IPV
Japanese Encephalitis IM
Japanese encephalitis SC
Japanese Encephalitis, unspecified formulation
Junin virus
leishmaniasis
leprosy
Lyme disease
M/R
malaria
measles
melanoma
meningococcal C conjugate
meningococcal MCV4, unspecified formulation
Meningococcal MCV4O
meningococcal MCV4P
meningococcal MPSV4
meningococcal, unspecified formulation
MMR
MMRV
mumps
Novel influenza-H1N1-09
Novel Influenza-H1N1-09, all formulations
Novel Influenza-H1N1-09, nasal

126
02
69
11
23
133
100
33
109
89
70
40
18
90
72
73
34
119
116
74
122
71
93
145
06
38
76
138
113
09
139
115
35
142
112
77
13
98
95
96
97
78
25
41
53

Novel influenza-H1N1-09, preservative-free


OPV
parainfluenza-3
pertussis
plague
Pneumococcal conjugate PCV 13
pneumococcal conjugate PCV 7
pneumococcal polysaccharide PPV23
pneumococcal, unspecified formulation
polio, unspecified formulation
Q fever
rabies, intradermal injection
rabies, intramuscular injection
rabies, unspecified formulation
rheumatic fever
Rift Valley fever
RIG
rotavirus, monovalent
rotavirus, pentavalent
rotavirus, tetravalent
rotavirus, unspecified formulation
RSV-IGIV
RSV-MAb
RSV-MAb (new)
rubella
rubella/mumps
Staphylococcus bacterio lysate
Td (adult)
Td (adult) preservative free
Td (adult), adsorbed
Td(adult) unspecified formulation
Tdap
tetanus toxoid, adsorbed
tetanus toxoid, not adsorbed
tetanus toxoid, unspecified formulation
tick-borne encephalitis
TIG
TST, unspecified formulation
TST-OT tine test
TST-PPD intradermal
TST-PPD tine test
tularemia vaccine
typhoid, oral
typhoid, parenteral
typhoid, parenteral, AKD (U.S. military)

91
101
131
75
105
79
21
81
80
92
36
117
37
121

typhoid, unspecified formulation


typhoid, ViCPs
typhus, historical
vaccinia (smallpox)
vaccinia (smallpox) diluted
vaccinia immune globulin
varicella
VEE, inactivated
VEE, live
VEE, unspecified formulation
VZIG
VZIG (IND)
yellow fever
zoster

Full Vaccine Name


no vaccine administered
RESERVED - do not use
unknown vaccine or immune globulin
Adenovirus, type 4 and type 7, live, oral
adenovirus vaccine, type 4, live, oral
adenovirus vaccine, type 7, live, oral
adenovirus vaccine, unspecified formulation
anthrax vaccine
Bacillus Calmette-Guerin vaccine
botulinum antitoxin
cholera vaccine
cytomegalovirus immune globulin, intravenous
dengue fever vaccine
diphtheria antitoxin
diphtheria and tetanus toxoids, adsorbed for pediatric use
diphtheria, tetanus toxoids and acellular pertussis vaccine
diphtheria, tetanus toxoids and acellular pertussis vaccine, 5
pertussis
antigens
diphtheria,
tetanus toxoids and acellular pertussis vaccine,
unspecified Poliovirus,
formulation
Inactivated
Haemophilus b Conjugate (Meningococcal
Outer Membrane Protein Complex), and Hepatitis B
DTaP-hepatitis B and poliovirus vaccine
DTaP-Haemophilus
type
b conjugate
vaccine
diphtheria,
tetanus influenzae
toxoids and
acellular
pertussis
vaccine,
Haemophilus influenzae type b conjugate, and poliovirus
Diphtheria,
tetanus toxoids
and acellular pertussis vaccine, and
vaccine,
inactivated
(DTaP-Hib-IPV)
*
diphtheria,
tetanus
toxoids
poliovirus vaccine, inactivated and acellular pertussis,
* poliovirus, inactivated,
* Haemophilus
influenzae
type
b conjugate,
diphtheria,
tetanus
toxoids and
pertussis
vaccine
DTP-Haemophilus influenzae type b conjugate vaccine
DTP- Haemophilus influenzae type b conjugate and hepatitis b
vaccine
hantavirus vaccine
hepatitis B immune globulin
hepatitis A vaccine, adult dosage
hepatitis A vaccine, pediatric/adolescent dosage, 2 dose
schedule
hepatitis A vaccine, pediatric/adolescent dosage, 3 dose
schedule
hepatitis A vaccine, pediatric dosage, unspecified formulation
hepatitis A vaccine, unspecified formulation
hepatitis A and hepatitis B vaccine
hepatitis B vaccine, pediatric or pediatric/adolescent dosage
hepatitis B vaccine, adolescent/high risk infant dosage
hepatitis B vaccine, adult dosage
hepatitis B vaccine, dialysis patient dosage
hepatitis B vaccine, unspecified formulation
hepatitis C vaccine
hepatitis E vaccine
herpes simplex virus, type 2 vaccine
Haemophilus influenzae type b vaccine, HbOC conjugate

Haemophilus influenzae type b vaccine, PRP-D conjugate


Haemophilus influenzae type b vaccine, PRP-OMP conjugate
Haemophilus influenzae type b vaccine, PRP-T conjugate
Haemophilus influenzae type b vaccine, conjugate unspecified
formulation
Haemophilus influenzae type b conjugate and Hepatitis B
vaccine
human immunodeficiency virus vaccine
human papilloma virus vaccine, bivalent
human papilloma virus vaccine, quadrivalent
HPV, unspecified formulation
immune globulin, intramuscular
immune globulin, unspecified formulation
immune globulin, intravenous
influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national
stockpile)
influenza, high dose seasonal, preservative-free
influenza virus vaccine, live, attenuated, for intranasal use
Influenza, seasonal, injectable
Influenza, seasonal, injectable, preservative free
seasonal influenza, intradermal, preservative free
influenza virus vaccine, split virus (incl. purified surface
antigen)-retired CODE
influenza virus vaccine, unspecified formulation
influenza virus vaccine, whole virus
poliovirus vaccine, inactivated
Japanese Encephalitis vaccine for intramuscular administration
Japanese Encephalitis Vaccine SC
Japanese Encephalitis vaccine, unspecified formulation
Junin virus vaccine
leishmaniasis vaccine
leprosy vaccine
Lyme disease vaccine
measles and rubella virus vaccine
malaria vaccine
measles virus vaccine
melanoma vaccine
meningococcal C conjugate vaccine
Meningococcal, MCV4, unspecified formulation(groups A, C, Y
and W-135)
meningococcal
oligosaccharide (groups A, C, Y and W-135)
diphtheria toxoid
conjugate vaccine
(MCV4O)
meningococcal
polysaccharide
(groups
A, C, Y and W-135)
diphtheria toxoid conjugate vaccine (MCV4P)
meningococcal polysaccharide vaccine (MPSV4)
meningococcal vaccine, unspecified formulation
measles, mumps and rubella virus vaccine
measles, mumps, rubella, and varicella virus vaccine
mumps virus vaccine
Novel influenza-H1N1-09, injectable
Novel influenza-H1N1-09, all formulations
Novel Influenza-H1N1-09, live virus for nasal administration

Novel influenza-H1N1-09, preservative-free, injectable


poliovirus vaccine, live, oral
parainfluenza-3 virus vaccine
pertussis vaccine
plague vaccine
pneumococcal conjugate vaccine, 13 valent
pneumococcal conjugate vaccine, 7 valent
pneumococcal polysaccharide vaccine, 23 valent
pneumococcal vaccine, unspecified formulation
poliovirus vaccine, unspecified formulation
Q fever vaccine
rabies vaccine, for intradermal injection
rabies vaccine, for intramuscular injection
rabies vaccine, unspecified formulation
rheumatic fever vaccine
Rift Valley fever vaccine
rabies immune globulin
rotavirus, live, monovalent vaccine
rotavirus, live, pentavalent vaccine
rotavirus, live, tetravalent vaccine
rotavirus vaccine, unspecified formulation
respiratory syncytial virus immune globulin, intravenous
respiratory syncytial virus monoclonal antibody (palivizumab),
intramuscular
respiratory syncytial virus monoclonal antibody (motavizumab),
intramuscular
rubella virus vaccine
rubella and mumps virus vaccine
Staphylococcus bacteriophage lysate
tetanus and diphtheria toxoids, not adsorbed, for adult use
tetanus and diphtheria toxoids, adsorbed, preservative free, for
adult use
tetanus and diphtheria toxoids, adsorbed, for adult use
Td(adult) unspecified formulation
tetanus toxoid, reduced diphtheria toxoid, and acellular
pertussis vaccine, adsorbed
tetanus toxoid, adsorbed
tetanus toxoid, not adsorbed
tetanus toxoid, unspecified formulation
tick-borne encephalitis vaccine
tetanus immune globulin
tuberculin skin test; unspecified formulation
tuberculin skin test; old tuberculin, multipuncture device
tuberculin skin test; purified protein derivative solution,
intradermal
tuberculin skin test; purified protein derivative, multipuncture
device
tularemia vaccine
typhoid vaccine, live, oral
typhoid vaccine, parenteral, other than acetone-killed, dried
typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)

typhoid vaccine, unspecified formulation


typhoid Vi capsular polysaccharide vaccine
Historical record of a typhus vaccination
vaccinia (smallpox) vaccine
vaccinia (smallpox) vaccine, diluted
vaccinia immune globulin
varicella virus vaccine
Venezuelan equine encephalitis, inactivated
Venezuelan equine encephalitis, live, attenuated
Venezuelan equine encephalitis vaccine, unspecified formulation
varicella zoster immune globulin
varicella zoster immune globulin (Investigational New Drug)
yellow fever vaccine
zoster vaccine, live

Note
contain information about a
Code
99administration.
will not be usedAn
in
vaccine
this
table
to
avoid
confusion
This CVX code has little
with code
utility
and 999.
should rarely be
This
used.vaccine is administered
as 2 tablets.

VaccineStatus
Inactive
Inactive
Inactive
Active
Inactive
Inactive
unknown (for example,
Inactive
when recording a
Active
Active
Active
Inactive
Active
Never Active
Active
Active
Active
Active
when formulation is
unknown (for example,
Inactive
Note
that
this
vaccine
is
when recording a DTaP
Pending
different from CVX 132.
Active
Active
Active
Active
This is not the same as CVX
Inactive
146, Hexavalent vaccine.
Inactive
Inactive
Inactive
Never Active
Active
Active
inactive and should not be Active
used, except to record
Inactive
formulation
is unknown,
use
historic
vaccinations
with
Inactive
when
formulation
is one
CVX 85.
There is only
unknown (for example,
Inactive
when recording a HepA
Active
used for the 2-dose hepatitis
dosage.
Code
should only Active
B schedule
for42
adolescents
be used Recombivax
to record historical
Inactive
Merck's
HB
records.
For current
adult
formulation.
Use code Active
43
for formulation
the 2-dose. is
This code Active
when
unknown (for example,
Inactive
when recording a HepB
Never Active
Never Active
Never Active
Inactive

internalID
137
139
138
161
1
2
3
4
5
6
7
8
9
10
11
12
13
14
164
15
16
17
19
148
21
22
23
24
31
25
26
27
28
29
30
32
33
34
35
36
37
38
39
41

nonvaccine
1

Inactive
Active
Active
Inactive
Active
Never Active
Active
Active
when formulation is
unknown (for example,
Inactive
when recording a HPV
Active
Inactive
Active
Inactive
Active
Seasonal
Influenza
Active
This is one of two codes
replacing
CVX
15, is
which
This vaccine
code
one is
of Active
being
retired.
two which replace CVX 15, Active
influenza, split virus.
Active
immunization records. It
Inactive
when
formulation
is
included
both preservative
unknown (for example,
Inactive
when recording a Influenza Inactive
Active
Active
Active
when formulation is
unknown (for example,
Inactive
when recording a JE
Never Active
Never Active
Never Active
Inactive
Inactive
Never Active
Inactive
Never Active
Inactive
formulation is unknown
Inactive
(oligosaccharide vs
Active
Active
Active
unknown (for example,
Inactive
when recording a
Active
Active
Active
Inactive
Influenza-09 immunizations
Inactive
for reporting to CRA. It
Inactive

40
43
42
44
45
46
47
49
144
51
53
52
58
146
54
159
156
162
55
57
56
60
142
63
157
64
65
66
67
69
71
72
73
75
165
145
76
74
77
68
70
79
152
149
150

Inactive
Inactive
Inactive
Inactive
Active
Active
Active
Active
unknown (for example,
Inactive
when
when formulation
recording a is
Inactive
unknown (for example,
when recording a polio
Never Active
Active
Active
when formulation is
unknown (for example,
Inactive
when recording a rabies
Never Active
Never Active
Active
Active
Active
Inactive
Inactive
Active
Active
Pending
Active
Inactive
Inactive
Note that this Td is not
Active
adsorbed.
Note that this vaccine name Active
has changed.
Seeisalso Td
Active
when
formulation
(adult). It (for
is not
adsorbed.
unknown
example,
Inactive
when recording a Td
Active
Active
Active
Inactive
Inactive
Active
TB Skin test is not vaccine. Inactive
TB Skin test is not vaccine. Inactive
TB Skin test is not vaccine. Inactive
TB Skin test is not vaccine. Inactive
Inactive
Active
Active
Active

151
61
80
81
82
141
84
83
85
62
86
88
87
89
90
91
92
93
97
99
95
101
102
163
103
104
105
154
106
107
155
108
110
160
111
112
113
117
114
115
116
118
120
121
122

when formulation is
unknown (for example,
when recording a typhoid

when formulation is
unknown (for example,
when recording a VEE

Inactive
Active
Inactive
Active
Inactive
Active
Active
Inactive
Inactive
Inactive
Active
Inactive
Active
Active

119
123
147
124
125
126
127
128
129
130
131
132
134
135

update_date
28-May-10
28-May-10
28-May-10
20-Mar-11
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
31-Aug-11
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10

28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
30-Sep-10
16-Jun-11
30-Sep-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
31-Aug-10
28-May-10
28-May-10
08-Feb-12
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-Aug-10
28-Aug-10
28-Aug-10

28-Aug-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
30-Sep-10
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
31-Aug-11
28-May-10
28-May-10
28-May-10
30-Sep-10
30-Sep-10
20-Aug-10
30-Sep-10
28-May-10
14-Feb-11
14-Feb-11
30-Sep-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10

30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
28-May-10
30-Sep-10
28-May-10
28-May-10
28-May-10
28-May-10

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