CDC Test Test Case DOB · Test 01/01/2013 07/09/2013: Recomme nded based on interval Past Due Date...
Transcript of CDC Test Test Case DOB · Test 01/01/2013 07/09/2013: Recomme nded based on interval Past Due Date...
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0001Newborn Testing 02/01/2012 F Not Complete 1 03/14/2012 04/01/2012 05/28/2012 DTaP 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0002
DTaP #2 at age 10 weeks-5 days 02/26/2011 F Not Comple 04/06/2011 DTaP Unsp 107 Valid 05/02/2011 DTaP Unsp 107 Not Valid
Age: Too Young 2 05/30/2011 06/26/2011 08/22/2011 DTaP 05/02/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0003
DTaP #2 at 10 wks-4 days 02/26/2011 F Not Comple 04/09/2011 DTaP Unsp 107 Valid 05/03/2011 DTaP Unsp 107 Valid 3 06/04/2011 08/26/2011 10/23/2011 DTaP 05/03/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0004
DTaP # 2 at age 10 weeks 02/26/2011 F Not Comple 04/09/2011 DTaP Unsp 107 Valid 05/07/2011 DTaP Unsp 107 Valid 3 06/04/2011 08/26/2011 10/23/2011 DTaP 05/07/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0005
DTaP # 2 at age 4 months 08/01/2011 F Not Comple 10/01/2011 DTaP Unsp 107 Valid 12/01/2011 DTaP Unsp 107 Valid 3 12/29/2011 02/01/2012 03/28/2012 DTaP 12/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0007
# 2 (Tdap) to child age 7. DTaP # 1 given before age 12 months. Forecast # 3 (Td) in 4 weeks. 09/16/2003 F Not Comple 11/16/2003 DTaP Unsp 107 Valid 09/16/2010 BOOSTRIX 115 SKB Valid 3 10/14/2010 10/14/2010 10/14/2010 DTaP 09/16/2010
Age: At Minimum 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0008
# 2 (Tdap) to child age 7. DTaP # 1 at ≥ 12 months. Forecast dose 3 for 6 months. 09/16/2004 F Not Comple 09/16/2005 DTaP Unsp 107 Valid 09/16/2011 BOOSTRIX 115 SKB Valid 3 03/16/2012 03/16/2012 03/16/2012 DTaP 09/16/2011
Age: At Minimum 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0010
# 1 (Td) to # 2 (Tdap) interval 28-4 days in child age > 7 years. Forecast # 3 in six months. 07/07/1998 F Not Comple 10/10/2006 TD(GENER 09 MBL Valid 11/03/2006 BOOSTRIX 115 SKB Valid 3 05/03/2007 05/03/2007 05/03/2007 DTaP 11/03/2006
Interval: At Absolute Minimum 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0011
#3 at age 14 weeks-5 days 01/06/2006 F Not Comple 02/17/2006 DTaP Unsp 107 Valid 03/17/2006 DTaP Unsp 107 Valid 04/09/2006 DTaP Unsp 107 Not Valid
Age: Too Young 3 05/07/2006 07/06/2006 09/02/2006 DTaP 04/09/2006
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0012
Age 6. No vaccinations. Forecast DTaP. 12/01/2005 F Not Complete 1 01/12/2006 02/01/2006 03/28/2006 DTaP 12/01/2011
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0013
#3 at age 14 weeks-4 days 01/06/2006 F Not Comple 02/17/2006 DTaP Unsp 107 Valid 03/15/2006 DTaP Unsp 107 Valid 04/10/2006 DTaP Unsp 107 Valid 4 01/06/2007 04/06/2007 09/02/2007 DTaP 04/10/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0014#3 at age 14 weeks 01/06/2006 F Not Comple 02/17/2006 DTaP Unsp 107 Valid 03/17/2006 DTaP Unsp 107 Valid 04/14/2006 DTaP Unsp 107 Valid 4 01/06/2007 04/06/2007 09/02/2007 DTaP 04/14/2006
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0015#3 at age 6 months 02/01/2006 F Not Comple 04/01/2006 DTaP Unsp 107 Valid 05/01/2006 DTaP Unsp 107 Valid 08/01/2006 DTaP Unsp 107 Valid 4 02/01/2007 05/01/2007 09/28/2007 DTaP 08/01/2006
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0016
Doses # 2 and #3 at ≥ age 7 years; # 1 at age < 12 mo. Forecast # 4 in 6 mo. 03/16/2004 F Not Comple 11/16/2004 DTaP Unsp 107 Valid 03/16/2011 TD(GENER 09 MBL Valid 04/16/2011 BOOSTRIX 115 SKB Valid 4 10/16/2011 10/16/2011 10/16/2011 DTaP 04/16/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0017
Doses # 2 and # 3 at ≥7 years old; dose # 1 at ≥ 12 months old. 05/13/2003 F Not Comple 07/15/2004 DTaP Unsp 107 Valid 05/21/2010 TD(GENER 09 MBL Valid 03/04/2011 BOOSTRIX 115 SKB Valid 4 03/04/2016 03/04/2021 03/31/2021 DTaP 03/04/2011
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0019
1 Tdap, 2 Td with appropriate intervals to child ≥ age 7 = UTD for 10 years 05/24/2004 F Not Comple 05/25/2011 BOOSTRIX 115 SKB Valid 06/24/2011 TD(GENER 09 MBL Valid 12/24/2011 TD(GENER 09 MBL Valid 4 12/24/2016 12/24/2021 01/20/2022 DTaP 12/24/2011
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0020
1 Tdap, 2 Td to child ≥ 7 years old with 6 mo-5 day interval between doses 2 and 3. 05/05/2003 F Not Comple 05/05/2011 BOOSTRIX 115 SKB Valid 06/05/2011 TD(GENER 09 MBL Valid 11/30/2011 TD(GENER 09 MBL Not Valid
Interval: Too Short 3 05/30/2012 05/30/2012 05/30/2012 DTaP 11/30/2011
Interval: Below Absolute Minimum 01/01/2013 07/09/2013
Recommended based on minimum interval from invalid dose
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0021
1 Tdap, 2 Td to child ≥ 7 years old with 6 mo-4 day interval between doses 2 and 3. 11/11/2003 F Not Comple 11/20/2010 TD(GENER 09 MBL Valid 02/06/2011 BOOSTRIX 115 SKB Valid 08/02/2011 TD(GENER 09 MBL Valid 4 08/02/2016 08/02/2021 08/29/2021 DTaP 08/02/2011
Interval: At Absolute Minimum 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0022
Age 7. Two DTaP˂ 12 months old. Needs Tdap. 01/06/2005 F Not Comple 04/04/2005 DTaP Unsp 107 Valid 07/10/2005 DTaP Unsp 107 Valid 3 01/06/2012 01/06/2012 01/06/2012 DTaP 01/06/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0023
Age 7. No vaccinations. Forecast Tdap. 10/10/2004 F Not Complete 1 10/10/2011 10/10/2011 10/10/2011 DTaP 10/10/2011
No Doses Administered 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0024
Age 7. Two DTaP˂ 12 mos old & 1 ≥ 12 mo. Needs Tdap. 03/18/2005 F Not Comple 06/18/2005 DTaP Unsp 107 Valid 10/18/2005 DTaP Unsp 107 Valid 03/20/2007 DTaP Unsp 107 Valid 4 03/18/2012 03/18/2012 03/18/2012 DTaP 03/18/2012
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0025
#4 at age 12 mo-5 days 04/04/2010 F Not Comple 06/04/2010 DTaP Unsp 107 Valid 08/04/2010 DTaP Unsp 107 Valid 09/30/2010 DTaP Unsp 107 Valid 03/30/2011 DTaP Unsp 107 Not Valid
Age: Too Young 4 09/30/2011 09/30/2011 12/01/2011 DTaP 03/30/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0026
#4 at age 12 mo-4 days 06/01/2005 F Not Comple 08/01/2005 DTaP Unsp 107 Valid 10/01/2005 DTaP Unsp 107 Valid 11/28/2005 DTaP Unsp 107 Valid 05/28/2006 DTaP Unsp 107 Valid 5 06/01/2009 06/01/2009 05/31/2012 DTaP 05/28/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0027
#4 at age ≥ 12 months old 04/04/2006 F Not Comple 06/04/2006 DTaP Unsp 107 Valid 08/04/2006 DTaP Unsp 107 Valid 10/04/2006 DTaP Unsp 107 Valid 04/04/2007 DTaP Unsp 107 Valid 5 04/04/2010 04/04/2010 04/03/2013 DTaP 04/04/2007
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0028
#4 at age 4 is UTD until age 11. 05/06/2006 F Not Comple 08/01/2006 DTaP Unsp 107 Valid 10/01/2006 DTaP Unsp 107 Valid 12/01/2006 DTaP Unsp 107 Valid 05/06/2010 DTaP Unsp 107 Valid 5 05/06/2017 05/06/2017 05/05/2019 DTaP 05/06/2010
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0029
5 year old with no previous DTP product receives 4 vaccinations prior to age 7 years 02/25/2000 F Not Comple 02/25/2005 DTaP Unsp 107 Valid 04/25/2005 DTaP Unsp 107 Valid 10/27/2005 DTaP Unsp 107 Valid 04/30/2006 DTaP Unsp 107 Valid 5 02/25/2011 02/25/2011 02/24/2013 DTaP 04/30/2006
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0030
#5 at age 4 years-5 days 07/01/2006 F Not Comple 09/01/2006 DTaP Unsp 107 Valid 10/01/2006 DTaP Unsp 107 Valid 12/01/2006 DTaP Unsp 107 Valid 07/02/2007 DTaP Unsp 107 Valid 06/26/2010 DTaP Unsp 107 Not Valid
Age: Too Young 5 12/26/2010 12/26/2010 06/30/2013 DTaP 06/26/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0031
#5 at age 4 years-4 days 07/01/2006 F Not Comple 09/01/2006 DTaP Unsp 107 Valid 10/01/2006 DTaP Unsp 107 Valid 12/01/2006 DTaP Unsp 107 Valid 07/02/2007 DTaP Unsp 107 Valid 06/27/2010 DTaP Unsp 107 Valid 6 07/01/2017 07/01/2017 06/30/2019 DTaP 06/27/2010
Age: At Absolute Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0032# 5 at age 4 years 07/01/2006 F Not Comple 09/01/2006 DTaP Unsp 107 Valid 12/14/2006 DTaP Unsp 107 Valid 03/03/2007 DTaP Unsp 107 Valid 09/19/2008 DTaP Unsp 107 Valid 07/01/2010 DTaP Unsp 107 Valid 6 07/01/2017 07/01/2017 06/30/2019 DTaP 07/01/2010
Age: At Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0033
DTaP #1 at age 6 weeks-5 days 05/01/2011 F Not Comple 06/07/2011 DTaP Unsp 107 Not Valid
Age: Too Young 1 06/12/2011 07/01/2011 08/28/2011 DTaP 06/07/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0034
# 6 DTaP before age 4. Nothing more until Tdap at age 11 even if some are invalid. 04/02/2008 F Not Comple 06/02/2008 DTaP Unsp 107 Valid 08/02/2008 DTaP Unsp 107 Valid 10/02/2008 DTaP Unsp 107 Valid 04/02/2010 DTaP Unsp 107 Valid 07/02/2010 DTaP Unsp 107 Not Valid
Age: Too Young ####### DTaP Unsp 107 Not Valid
Age: Too Young 6 04/02/2015 04/02/2015 04/02/2015 DTaP 10/02/2011
Extra Doses 01/01/2013 02/23/2016
Recommended based on age
Updated due to new conditional skip logic which causes the next forecasted dose to be administered at age 7 rather than age 11. Updated due to Past Due Date was missing. Added past due date of 13 years - 1 day to be consistent with supporting data a logic specficiation 2.2
2013-0035
Adolescent with Td but no Tdap. 04/04/1998 F Not Comple 06/04/1998 DTaP Unsp 107 Valid 08/04/1998 DTaP Unsp 107 Valid 10/04/1998 DTaP Unsp 107 Valid 07/07/1999 DTaP Unsp 107 Valid 07/02/2003 DTaP Unsp 107 Valid ####### TD(GENER 09 MBL Valid 7 12/12/2010 12/12/2010 04/03/2011 DTaP 12/12/2010
All Valid: Forecast Test 01/01/2013 03/30/2016
Recommended based on minimum interval from previous dose (catch-up)
New logic concerning Tdap 2.2
2013-0036
Invalid age for dose # 1 in first of series 08/01/2011 F Not Comple 09/01/2011 DTaP Unsp 107 Not Valid
Age: Too Young 12/01/2011 DTaP Unsp 107 Valid 02/01/2012 DTaP Unsp 107 Valid 3 02/29/2012 02/29/2012 03/28/2012 DTaP 02/01/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0037
Invalid age for dose # 2 in midst of others 08/01/2011 F Not Comple 09/30/2011 DTaP Unsp 107 Valid 10/22/2011 DTaP Unsp 107 Not Valid
Interval: Too Short 02/01/2012 DTaP Unsp 107 Valid 3 02/29/2012 02/29/2012 03/28/2012 DTaP 02/01/2012
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0038
Invalid age for dose #3 in midst of others 06/01/2010 F Not Comple 07/13/2010 DTaP Unsp 107 Valid 08/07/2010 DTaP Unsp 107 Valid 09/01/2010 DTaP Unsp 107 Not Valid
Age: Too Young 06/02/2011 DTaP Unsp 107 Valid 4 12/02/2011 12/02/2011 01/28/2012 DTaP 06/02/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0039
InValid age for dose # 4 in midst of others 05/01/2007 F Not Comple 07/01/2007 DTaP Unsp 107 Valid 09/01/2007 DTaP Unsp 107 Valid 10/25/2007 DTaP Unsp 107 Valid 04/25/2008 DTaP Unsp 107 Not Valid
Age: Too Young 05/01/2011 DTaP Unsp 107 Valid 5 05/01/2018 05/01/2018 04/30/2020 DTaP 05/01/2011
Age: Below Absolute Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0040
Invalid age dose 5 in midst of others 06/06/2000 F Not Comple 08/07/2000 DTaP Unsp 107 Valid 10/09/2000 DTaP Unsp 107 Valid 12/20/2000 DTaP Unsp 107 Valid 09/06/2001 DTaP Unsp 107 Valid 07/02/2003 DTaP Unsp 107 Not Valid
Age: Too Young ####### BOOSTRIX 115 SKB Valid 6 06/06/2016 06/06/2021 07/03/2021 DTaP 06/06/2011
Age: Below Absolute Minimum 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0041
Dose 1 to dose 2 interval 28-5 days 03/04/2006 F Not Comple 05/04/2006 DTaP Unsp 107 Valid 05/27/2006 DTaP Unsp 107 Not Valid
Interval: Too Short 2 06/24/2006 07/04/2006 08/31/2006 DTaP 05/27/2006
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0042
Dose 1 to dose 2 interval 28-4 days 02/01/2006 F Not Comple 04/01/2006 DTaP Unsp 107 Valid 04/25/2006 DTaP Unsp 107 Valid 3 05/23/2006 08/01/2006 09/28/2006 DTaP 04/25/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0043
Dose 1 to dose 2 interval 28 days 04/07/2010 F Not Comple 07/01/2010 DTaP Unsp 107 Valid 07/29/2010 DTaP Unsp 107 Valid 3 08/26/2010 10/07/2010 12/04/2010 DTaP 07/29/2010
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0044
DTaP #1 at age 6 weeks-4 days 04/01/2006 F Not Comple 05/09/2006 DTaP Unsp 107 Valid 2 06/10/2006 08/01/2006 09/28/2006 DTaP 05/09/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0045
Dose 2 to dose 3 interval 28-5 days 04/13/2011 F Not Comple 06/13/2011 DTaP Unsp 107 Valid 08/01/2011 DTaP Unsp 107 Valid 08/24/2011 DTaP Unsp 107 Not Valid
Interval: Too Short 3 09/21/2011 10/13/2011 12/10/2011 DTaP 08/24/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0046
Dose 2 to dose 3 interval 28-4 days 12/01/2005 F Not Comple 01/10/2006 DTaP Unsp 107 Valid 02/17/2006 DTaP Unsp 107 Valid 03/13/2006 DTaP Unsp 107 Valid 4 12/01/2006 03/01/2007 07/28/2007 DTaP 03/13/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0047
Dose 2 to dose 3 interval 28 days 12/01/2005 F Not Comple 01/10/2006 DTaP Unsp 107 Valid 02/08/2006 DTaP Unsp 107 Valid 03/08/2006 DTaP Unsp 107 Valid 4 12/01/2006 03/01/2007 07/28/2007 DTaP 03/08/2006
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0049
Dose 3 to dose 4 interval 6 months-4 days 08/09/2009 F Not Comple 10/10/2009 DTaP Unsp 107 Valid 12/10/2009 DTaP Unsp 107 Valid 02/15/2010 DTaP Unsp 107 Valid 08/11/2010 DTaP Unsp 107 Valid 5 08/09/2013 08/09/2013 08/08/2016 DTaP 08/11/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0050
Dose 3 to dose 4 interval 6 months 08/09/2009 F Not Comple 10/10/2009 DTaP Unsp 107 Valid 12/10/2009 DTaP Unsp 107 Valid 02/15/2010 DTaP Unsp 107 Valid 08/15/2010 DTaP Unsp 107 Valid 5 08/09/2013 08/09/2013 08/08/2016 DTaP 08/15/2010
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0051
Dose 3 to dose 4 interval 4 months-1 day. 4 day grace does not apply to reduced intervals. 04/04/2010 F Not Comple 06/04/2010 DTaP Unsp 107 Valid 08/04/2010 DTaP Unsp 107 Valid 01/10/2011 DTaP Unsp 107 Valid 05/09/2011 DTaP Unsp 107 Not Valid
Interval: Too Short 4 11/09/2011 11/09/2011 12/01/2011 DTaP 05/09/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0052
Dose 3 to dose 4 interval 4 months 11/10/2009 F Not Comple 01/10/2010 DTaP Unsp 107 Valid 03/10/2010 DTaP Unsp 107 Valid 07/10/2010 DTaP Unsp 107 Valid 11/10/2010 DTaP Unsp 107 Valid 5 11/10/2013 11/10/2013 11/09/2016 DTaP 11/10/2010
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0053
Invalid dose 1 to dose 2 interval in midst of other vaccines 02/11/2009 F Not Comple 04/11/2009 DTaP Unsp 107 Valid 05/01/2009 DTaP Unsp 107 Not Valid
Interval: Too Short 08/11/2009 DTaP Unsp 107 Valid 02/15/2010 DTaP Unsp 107 Valid 4 08/15/2010 08/15/2010 10/08/2010 DTaP 02/15/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0054
Invalid dose 2 to dose 3 interval in midst of other vaccines. 02/02/2010 F Not Comple 04/02/2010 DTaP Unsp 107 Valid 05/30/2010 DTaP Unsp 107 Valid 06/21/2010 DTaP Unsp 107 Not Valid
Interval: Too Short 04/04/2011 DTaP Unsp 107 Valid 4 10/04/2011 10/04/2011 10/04/2011 DTaP 04/04/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0055
DTaP #1 at age 6 weeks 11/01/2011 F Not Comple 12/13/2011 DTaP Unsp 107 Valid 2 01/10/2012 03/01/2012 04/28/2012 DTaP 12/13/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0056
Invalid dose 3 to dose 4 interval in midst of other vaccinations 03/18/2010 F Not Comple 08/18/2010 DTaP Unsp 107 Valid 10/18/2010 DTaP Unsp 107 Valid 12/10/2010 DTaP Unsp 107 Valid 03/18/2011 DTaP Unsp 107 Not Valid
Interval: Too Short 4 09/18/2011 09/18/2011 11/14/2011 DTaP 03/18/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0057
Invalid dose 4 to dose 5 interval in midst of others 02/11/2000 F Not Comple 04/11/2000 DTaP Unsp 107 Valid 06/11/2000 DTaP Unsp 107 Valid 08/11/2000 DTaP Unsp 107 Valid 10/30/2003 DTaP Unsp 107 Valid 02/12/2004 DTaP Unsp 107 Not Valid
Interval: Too Short ####### BOOSTRIX 115 SKB Valid 6 02/12/2016 02/12/2021 03/11/2021 DTaP 02/12/2011
Interval: Below Absolute Minimum 01/01/2013 12/11/2013
Recommended based on interval
V1.4: Updated past due date to align with EIPB guidance clarification on past due date and other test cases. 1.4
2013-0058Tdap as dose #1 03/05/2010 F Not Comple 05/05/2010 BOOSTRIX 115 SKB Not Valid
Vaccine: Invalid Usage 07/07/2010 DTaP Unsp 107 Valid 09/09/2010 DTaP Unsp 107 Valid 04/04/2011 DTaP Unsp 107 Valid 4 10/04/2011 10/04/2011 11/01/2011 DTaP 04/04/2011
Vaccine: Invalid Usage 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0059Tdap as dose #2 03/05/2010 F Not Comple 05/05/2010 DTaP Unsp 107 Valid 07/07/2010 BOOSTRIX 115 SKB Not Valid
Vaccine: Invalid Usage 09/09/2010 DTaP Unsp 107 Valid 03/05/2011 DTaP Unsp 107 Valid 4 09/05/2011 09/05/2011 11/01/2011 DTaP 03/05/2011
Vaccine: Invalid Usage 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0060
Tdap as dose 3 to child under age 4=invalid as DTaP 3 02/01/2010 F Not Comple 05/01/2010 DTaP Unsp 107 Valid 07/01/2010 DTaP Unsp 107 Valid 11/01/2010 BOOSTRIX 115 SKB Not Valid
Vaccine: Invalid Usage 3 11/01/2010 11/01/2010 11/01/2010 DTaP 11/01/2010
Vaccine: Invalid Usage 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0061
Tdap as dose 4 to age 15 months=valid as DTaP 02/01/2010 F Not Comple 05/01/2010 DTaP Unsp 107 Valid 07/01/2010 DTaP Unsp 107 Valid 11/01/2010 DTaP Unsp 107 Valid 05/05/2011 BOOSTRIX 115 SKB Valid 5 02/01/2014 02/01/2014 01/31/2017 DTaP 05/05/2011
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0062
Tdap as dose 5 to age 4 years-5 days=invalid as dose 5 of DTaP 02/11/2007 F Not Comple 05/01/2007 DTaP Unsp 107 Valid 07/01/2007 DTaP Unsp 107 Valid 11/01/2007 DTaP Unsp 107 Valid 06/06/2008 DTaP Unsp 107 Valid 02/06/2011 BOOSTRIX 115 SKB Not Valid
Age: Too Young 5 08/06/2011 08/06/2011 02/10/2014 DTaP 02/06/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0063
Tdap as dose 5 to age 4-4 days. Counts as valid DTaP. Child will need another Tdap in adolescence. 02/11/2007 F Not Comple 05/01/2007 DTaP Unsp 107 Valid 07/01/2007 DTaP Unsp 107 Valid 11/01/2007 DTaP Unsp 107 Valid 06/06/2008 DTaP Unsp 107 Valid 02/07/2011 BOOSTRIX 115 SKB Valid 6 02/11/2018 02/11/2018 02/10/2020 DTaP 02/07/2011
Age: At Absolute Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0064
Tdap as dose 5 to age 4 years old=valid as DTaP 5. 02/11/2007 F Not Comple 05/01/2007 DTaP Unsp 107 Valid 07/01/2007 DTaP Unsp 107 Valid 11/01/2007 DTaP Unsp 107 Valid 06/06/2008 DTaP Unsp 107 Valid 02/11/2011 BOOSTRIX 115 SKB Valid 6 02/11/2018 02/11/2018 02/10/2020 DTaP 02/11/2011
Vaccine: Off Label 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing. Added past due date of 13 years - 1 day to be consistent with supporting data a logic specficiation business rule calculations. 1.1
2013-0065
Tdap as dose 1 at age 7 years old 01/01/2005 F Not Comple 01/01/2012 BOOSTRIX 115 SKB Valid 2 01/29/2012 01/29/2012 01/29/2012 DTaP 01/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0066
DTaP # 1 at age 2 months 11/01/2011 F Not Comple 01/01/2012 DTaP Unsp 107 Valid 2 01/29/2012 03/01/2012 04/28/2012 DTaP 01/01/2012
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0067
Tdap as dose 2 at age ≥7 years 09/16/2004 F Not Comple 10/16/2011 TD(GENER 09 MBL Valid 11/13/2011 BOOSTRIX 115 SKB Valid 3 05/13/2012 05/13/2012 05/13/2012 DTaP 11/13/2011
Interval: At Minimum 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0068
Tdap as dose 3 to ≥ 7 years old 09/20/2004 F Not Comple 09/30/2011 DTaP Unsp 107 Valid 10/28/2011 DTaP Unsp 107 Valid 04/28/2012 BOOSTRIX 115 SKB Valid 4 04/28/2017 04/28/2022 05/25/2022 DTaP 04/28/2012
Interval: At Minimum 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0069
Tdap at age 7 years-5 days. Current age 7 years 03/08/2003 F Not Comple 03/03/2010 BOOSTRIX 115 SKB Not Valid
Vaccine: Invalid Usage 1 03/08/2010 03/08/2010 03/08/2010 DTaP 03/08/2010
Age: Below Absolute Minimum 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0070
Tdap at age 11 to child up-to-date with DTaP 03/03/2000 F Not Comple 05/05/2000 DTaP Unsp 107 Valid 07/07/2000 DTaP Unsp 107 Valid 09/09/2000 DTaP Unsp 107 Valid 04/04/2001 DTaP Unsp 107 Valid 05/09/2004 DTaP Unsp 107 Valid ####### BOOSTRIX 115 SKB Valid 7 05/09/2016 05/09/2021 06/05/2021 DTaP 05/09/2011
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0071
Encephalopathy within 7 days of DTaP. Further pertussis is contraindicated. 02/02/2001 F
encephalopathy within 7 days of previous dose of DTP or DTaP VXC22 CDCPHINVS Not Comple 04/02/2001 DTaP Unsp 107 Valid 06/02/2001 DT(GENER 28 PMC Valid 08/02/2001 DT(GENER 28 PMC Valid 05/02/2002 DT(GENER 28 PMC Valid 05/05/2006 DT(GENER 28 PMC Valid 6 02/02/2012 02/02/2012 02/01/2014 DTaP 05/05/2006
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0072
Encephalopathy within 7 days of DTaP # 5 08/01/2000 F
encephalopathy within 7 days of previous dose of DTP or DTaP VXC22 CDCPHINVS Not Comple 10/01/2000 DTaP Unsp 107 Valid 12/01/2000 DTaP Unsp 107 Valid 02/01/2001 DTaP Unsp 107 Valid 11/01/2001 DTaP Unsp 107 Valid 08/10/2004 DTaP Unsp 107 Valid 6 08/01/2011 08/01/2011 07/31/2013 DTaP 08/10/2004
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0073
Anaphylaxis to previous dose 10/10/2010 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 12/10/2010 DTaP Unsp 107 Valid - DTaP 12/10/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0074
4 doses of Tetramune to child 05/05/1995 F Not Comple 07/05/1995 TETRAMUN22 WAL Valid 09/05/1995 TETRAMUN22 WAL Valid 11/05/1995 TETRAMUN22 WAL Valid 10/05/1996 TETRAMUN22 WAL Valid 5 05/05/2002 05/05/2002 05/05/2002 DTaP 05/05/2002
All Valid: Forecast Test 01/01/2013 02/23/2016
Recommended based on age
Updated due to new conditional skip logic which caused the next forecast dose to be administered at age 7 rather than age 8 due to need Pertussis dose. V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in 2.2
2013-0075
4 doses of Tetramune with a DTaP booster. Forecast Tdap. 12/12/1999 F Not Comple 02/15/2000 TETRAMUN22 WAL Valid 04/15/2000 TETRAMUN22 WAL Valid 06/15/2000 TETRAMUN22 WAL Valid 02/15/2001 TETRAMUN22 WAL Valid 12/01/2004 DTaP Unsp 107 Valid 6 12/12/2010 12/12/2010 12/11/2012 DTaP 12/01/2004
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0076
4 Tetramune and Tdap at age 11=UTD for 10 years 03/03/1996 F Not Comple 05/05/1996 TETRAMUN22 WAL Valid 08/08/1996 TETRAMUN22 WAL Valid 01/04/1997 TETRAMUN22 WAL Valid 04/04/1998 TETRAMUN22 WAL Valid 03/18/2007 BOOSTRIX 115 SKB Valid 6 03/18/2012 03/18/2017 04/14/2017 DTaP 03/18/2007
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on interval
Past Due Date was missing. Added past due date per NIPInfo guidance. 1.1
2013-0077
DTaP #1 at age 6.5 years. 11/01/2005 F Not Comple 05/01/2012 DTaP Unsp 107 Valid 2 05/29/2012 05/29/2012 05/29/2012 DTaP 05/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0078
TriHibit as primary dose. DTaP=valid. (Hib=invalid). 05/01/2011 F Not Comple 07/01/2011 TRIHIBIT 50 PMC Valid 2 07/29/2011 09/01/2011 10/28/2011 DTaP 07/01/2011
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0079
TriHibit as valid dose 4 of DTaP 02/02/2008 F Not Comple 04/04/2008 DTaP Unsp 107 Valid 06/06/2008 DTaP Unsp 107 Valid 08/08/2008 DTaP Unsp 107 Valid 05/19/2009 TRIHIBIT 50 PMC Valid 5 02/02/2012 02/02/2012 02/01/2015 DTaP 05/19/2009
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0080
TriHibit as valid dose 5 of DTaP 10/08/2006 F Not Comple 11/29/2006 PEDIARIX 110 SKB Valid 01/29/2007 PEDIARIX 110 SKB Valid 03/29/2007 PEDIARIX 110 SKB Valid 02/02/2008 PEDIARIX 110 SKB Valid 10/09/2010 TRIHIBIT 50 PMC Valid 6 10/08/2017 10/08/2017 10/07/2019 DTaP 10/09/2010
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to align with ACIP and other test cases to be 1 day before the 13th birthday. 1.4
2013-0081
Pentavalente (Mexico) DTP-Hib-Hep counts as valid. 10/18/2009 F Not Comple 02/18/2010 PENTAVAL 102 Valid 04/18/2010 PENTAVAL 102 Valid 06/18/2010 PENTAVAL 102 Valid 12/27/2010 PENTAVAL 102 Valid 5 10/18/2013 10/18/2013 10/17/2016 DTaP 12/27/2010
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0082
Kinrix at age 2 months as Dose 1 of DTaP. Off label but valid. 11/11/2011 F Not Comple 01/11/2012 KINRIX 130 SKB Valid 2 02/08/2012 03/11/2012 05/08/2012 DTaP 01/11/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0083
Kinrix at age 4 months as dose 2 of DTaP. Off label but valid. 09/09/2011 F Not Comple 11/15/2011 DTaP Unsp 107 Valid 01/09/2012 KINRIX 130 SKB Valid 3 02/06/2012 03/09/2012 05/06/2012 DTaP 01/09/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0084
Kinrix at age 6 months as dose 3 of DTaP. Off label but valid. 07/07/2011 F Not Comple 09/09/2011 DTaP Unsp 107 Valid 11/11/2011 DTaP Unsp 107 Valid 01/07/2012 KINRIX 130 SKB Valid 4 07/07/2012 10/07/2012 03/06/2013 DTaP 01/07/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0085
Kinrix at age 12 months as dose 4 of DTaP=valid 07/07/2006 F Not Comple 09/09/2006 DTaP Unsp 107 Valid 11/11/2006 DTaP Unsp 107 Valid 12/30/2006 DTaP Unsp 107 Valid 07/07/2007 KINRIX 130 SKB Valid 5 07/07/2010 07/07/2010 07/06/2013 DTaP 07/07/2007
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0086
Kinrix at age 4 to child with appropriate DTaP=UTD until adolescence 10/04/2006 F Not Comple 12/06/2006 PEDIARIX 110 SKB Valid 02/04/2007 PEDIARIX 110 SKB Valid 04/06/2007 PEDIARIX 110 SKB Valid 10/04/2007 PEDIARIX 110 SKB Valid 10/04/2010 KINRIX 130 SKB Valid 6 10/04/2017 10/04/2017 10/03/2019 DTaP 10/04/2010
Age: At Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to align with ACIP and other test cases to be 1 day before the 13th birthday. 1.4
2013-0087
Kinrix at age 4 years-5 days 07/07/2007 F Not Comple 08/30/2007 PEDIARIX 110 SKB Valid 10/24/2007 PEDIARIX 110 SKB Valid 03/05/2008 PEDIARIX 110 SKB Valid 11/19/2008 PEDIARIX 110 SKB Valid 07/02/2011 KINRIX 130 SKB Not Valid
Age: Too Young 5 01/02/2012 01/02/2012 07/06/2014 DTaP 07/02/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0088
DTaP # 1 at age 7 years (off label but counts as valid). 02/01/2005 F Not Comple 02/01/2012 DTaP Unsp 107 Valid 2 02/29/2012 02/29/2012 02/29/2012 DTaP 02/01/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0089
Kinrix at age 4 years -4 days 10/18/2007 F Not Comple 12/07/2007 PEDIARIX 110 SKB Valid 02/04/2008 PEDIARIX 110 SKB Valid 04/04/2008 PEDIARIX 110 SKB Valid 12/27/2008 PEDIARIX 110 SKB Valid 10/14/2011 KINRIX 130 SKB Valid 6 10/18/2018 10/18/2018 10/17/2020 DTaP 10/14/2011
Age: At Absolute Minimum 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing. Added past due date of 13 years - 1 day to be consistent with supporting data a logic specficiation business rule calculations. 1.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0090
Newborn forecasting 04/01/2012 F Not Complete 1 05/13/2012 06/01/2012 07/28/2012 DTaP 04/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0091
# 2 Pediarix at 6 yrs 11.5 mo 01/01/2005 F Not Comple 12/16/2007 PEDIARIX 110 SKB Valid 12/15/2011 PEDIARIX 110 SKB Valid 3 01/12/2012 01/12/2012 01/12/2012 DTaP 12/15/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0092
# 2 Pediarix at 7 yrs; # 1 at less than 12 mo. 09/16/2003 F Not Comple 12/16/2003 PEDIARIX 110 SKB Valid 09/16/2010 PEDIARIX 110 SKB Valid 3 10/14/2010 10/14/2010 10/14/2010 DTaP 09/16/2010
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0093
# 2 Pediarix at 7 yrs; # 1 ≥ 12 mo. Need 6 mo interval from 2 to 3. 09/16/2004 F Not Comple 10/16/2005 PEDIARIX 110 SKB Valid 09/16/2011 PEDIARIX 110 SKB Valid 3 03/16/2012 03/16/2012 03/16/2012 DTaP 09/16/2011
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0094
# 1 and 2 Pediarix at ≥7 yrs with 28 day interval. Off label but does not need repeating. 07/07/2002 F Not Comple 07/07/2009 PEDIARIX 110 SKB Valid 08/04/2009 PEDIARIX 110 SKB Valid 3 02/04/2010 02/04/2010 02/04/2010 DTaP 08/04/2009
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0095
# 3 Pediarix at 14 wks-5 days 06/01/2005 F Not Comple 07/09/2005 PEDIARIX 110 SKB Valid 08/06/2005 PEDIARIX 110 SKB Valid 09/02/2005 PEDIARIX 110 SKB Not Valid
Age: Too Young 3 09/30/2005 12/01/2005 01/28/2006 DTaP 09/02/2005
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0096
# 3 Pediarix at 14 wks-4 days. 01/06/2006 F Not Comple 02/15/2006 PEDIARIX 110 SKB Valid 03/15/2006 PEDIARIX 110 SKB Valid 04/10/2006 PEDIARIX 110 SKB Valid 4 01/06/2007 04/06/2007 09/02/2007 DTaP 04/10/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0097
#3 Pediarix at age 24 weeks- 5 days 05/13/2011 F Not Comple 06/24/2011 PEDIARIX 110 SKB Valid 08/24/2011 PEDIARIX 110 SKB Valid 10/23/2011 PEDIARIX 110 SKB Valid 4 05/13/2012 08/13/2012 01/09/2013 DTaP 10/23/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0099
# 3 Pediarix at 6 yrs 11.5 mo 07/07/2004 F Not Comple 05/05/2007 PEDIARIX 110 SKB Valid 08/08/2008 PEDIARIX 110 SKB Valid 06/25/2011 PEDIARIX 110 SKB Valid 4 12/25/2011 12/25/2011 12/25/2011 DTaP 06/25/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0100
# 4 Pediarix at 1 yr -5 days. 04/04/2010 F Not Comple 06/04/2010 PEDIARIX 110 SKB Valid 08/04/2010 PEDIARIX 110 SKB Valid 10/10/2010 PEDIARIX 110 SKB Valid 03/30/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 4 09/30/2011 09/30/2011 12/01/2011 DTaP 03/30/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0101
# 1 Pediarix at 6 wks-5 days 05/06/2011 F Not Comple 06/12/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 1 06/17/2011 07/06/2011 09/02/2011 DTaP 06/12/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0102
# 4 Pediarix at 1 yr -4 days 06/01/2005 F Not Comple 08/01/2005 PEDIARIX 110 SKB Valid 11/01/2005 PEDIARIX 110 SKB Valid 01/15/2006 PEDIARIX 110 SKB Valid 05/28/2006 PEDIARIX 110 SKB Valid 5 06/01/2009 06/01/2009 05/31/2012 DTaP 05/28/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0103
# 4 Pediarix at 3 yrs 11.5 mo. 02/01/2008 F Not Comple 04/01/2008 PEDIARIX 110 SKB Valid 07/01/2008 PEDIARIX 110 SKB Valid 10/01/2008 PEDIARIX 110 SKB Valid 01/15/2012 PEDIARIX 110 SKB Valid 5 07/15/2012 07/15/2012 01/31/2015 DTaP 01/15/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0104
# 4 Pediarix at 4 yrs=complete until age 11 05/06/2006 F Not Comple 09/09/2006 PEDIARIX 110 SKB Valid 03/03/2007 PEDIARIX 110 SKB Valid 07/10/2008 PEDIARIX 110 SKB Valid 05/06/2010 PEDIARIX 110 SKB Valid 5 05/06/2017 05/06/2017 05/05/2019 DTaP 05/06/2010
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing. Added past due date of 13 years - 1 day to be consistent with supporting data a logic specficiation business rule calculations. 1.1
2013-0105
# 5 Pediarix at 4 yrs -5 days. 07/01/2006 F Not Comple 09/01/2006 PEDIARIX 110 SKB Valid 10/01/2006 PEDIARIX 110 SKB Valid 02/02/2007 PEDIARIX 110 SKB Valid 10/10/2007 PEDIARIX 110 SKB Valid 06/26/2010 PEDIARIX 110 SKB Not Valid
Age: Too Young 5 12/26/2010 12/26/2010 06/30/2013 DTaP 06/26/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0106
# 5 Pediarix at 4 yrs -4 days 07/01/2006 F Not Comple 09/01/2006 PEDIARIX 110 SKB Valid 10/01/2006 PEDIARIX 110 SKB Valid 02/02/2007 PEDIARIX 110 SKB Valid 10/10/2007 PEDIARIX 110 SKB Valid 06/27/2010 PEDIARIX 110 SKB Valid 6 07/01/2017 07/01/2017 06/30/2019 DTaP 06/27/2010
Age: At Absolute Minimum 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing. Added past due date of 13 years - 1 day to be consistent with supporting data a logic specficiation business rule calculations. 1.1
2013-0107
# 5 Pediarix at 6 yrs 11.5 mo 04/01/2005 F Not Comple 06/01/2005 PEDIARIX 110 SKB Valid 08/01/2005 PEDIARIX 110 SKB Valid 10/01/2005 PEDIARIX 110 SKB Valid 05/01/2006 PEDIARIX 110 SKB Valid 03/15/2012 PEDIARIX 110 SKB Valid 6 04/01/2016 04/01/2016 03/31/2018 DTaP 03/15/2012
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on age
Past Due Date was missing. Added past due date of 13 years - 1 day to be consistent with supporting data a logic specficiation business rule calculations. 1.1
2013-0108
# 5 Pediarix at 7 yrs. Off label but valid. 05/01/2005 F Not Comple 08/01/2005 PEDIARIX 110 SKB Valid 11/01/2005 PEDIARIX 110 SKB Valid 02/01/2006 PEDIARIX 110 SKB Valid 11/16/2006 PEDIARIX 110 SKB Valid 05/01/2012 PEDIARIX 110 SKB Valid 6 05/01/2017 05/01/2022 05/28/2022 DTaP 05/01/2012
Vaccine: Off Label 01/01/2013 12/11/2013
Recommended based on age
V1.4: Updated to reflect 10 year recurring dose since the DTaP at age 7 can count as the adolescent (11 - 12 year) Tdap dose per conversation with EIPB and guidance in MMWRs 1.4
2013-0109
Invalid age dose 1 as first of others. 08/01/2011 F Not Comple 09/07/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 11/01/2011 PEDIARIX 110 SKB Valid 2 11/29/2011 12/01/2011 01/28/2012 DTaP 11/01/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0110
Invalid age dose 2 in midst of others 10/18/2010 F Not Comple 11/25/2010 PEDIARIX 110 SKB Valid 12/21/2010 PEDIARIX 110 SKB Not Valid
Age: Too Young 04/18/2011 PEDIARIX 110 SKB Valid 3 05/16/2011 05/16/2011 06/14/2011 DTaP 04/18/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0111
invalid age dose 3 in midst of others 06/01/2010 F Not Comple 07/15/2010 PEDIARIX 110 SKB Valid 08/10/2010 PEDIARIX 110 SKB Valid 09/01/2010 PEDIARIX 110 SKB Not Valid
Interval: Too Short 06/01/2011 PEDIARIX 110 SKB Valid 4 12/01/2011 12/01/2011 01/28/2012 DTaP 06/01/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0112
# 1 Pediarix at 6 wks-4 days 04/04/2006 F Not Comple 05/12/2006 PEDIARIX 110 SKB Valid 2 06/13/2006 08/04/2006 10/01/2006 DTaP 05/12/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0113
dose 1 to 2 Pediarix, interval 28-5 days 11/01/2010 F Not Comple 01/03/2011 PEDIARIX 110 SKB Valid 01/26/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 2 02/23/2011 03/01/2011 04/28/2011 DTaP 01/26/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0114
dose 1 to 2 Pediarix, interval 28-4 days 02/01/2006 F Not Comple 04/01/2006 PEDIARIX 110 SKB Valid 04/25/2006 PEDIARIX 110 SKB Valid 3 05/23/2006 08/01/2006 09/28/2006 DTaP 04/25/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0115
dose 2 to 3 Pediarix, interval 28-5 days 04/01/2011 F Not Comple 06/01/2011 PEDIARIX 110 SKB Valid 08/01/2011 PEDIARIX 110 SKB Valid 08/24/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 3 09/21/2011 10/01/2011 11/28/2011 DTaP 08/24/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0116
dose 2 to 3 Pediarix, interval 28-4 days. 12/01/2005 F Not Comple 02/01/2006 PEDIARIX 110 SKB Valid 04/01/2006 PEDIARIX 110 SKB Valid 04/25/2006 PEDIARIX 110 SKB Valid 4 12/01/2006 03/01/2007 07/28/2007 DTaP 04/25/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0117
dose 3 to 4 Pediarix, interval 6m-5 days 08/09/2009 F Not Comple 10/09/2009 PEDIARIX 110 SKB Valid 12/09/2009 PEDIARIX 110 SKB Valid 04/09/2010 PEDIARIX 110 SKB Valid 10/04/2010 PEDIARIX 110 SKB Valid 5 08/09/2013 08/09/2013 08/08/2016 DTaP 10/04/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0118
dose 3 to 4 Pediarix, interval 6m-4 days 08/09/2009 F Not Comple 10/09/2009 PEDIARIX 110 SKB Valid 12/09/2009 PEDIARIX 110 SKB Valid 04/09/2010 PEDIARIX 110 SKB Valid 10/05/2010 PEDIARIX 110 SKB Valid 5 08/09/2013 08/09/2013 08/08/2016 DTaP 10/05/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0119
dose 3 to 4 Pediarix, interval 4 mo-1 day. 04/04/2010 F Not Comple 06/04/2010 PEDIARIX 110 SKB Valid 08/04/2010 PEDIARIX 110 SKB Valid 02/04/2011 PEDIARIX 110 SKB Valid 06/03/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 4 12/03/2011 12/03/2011 12/03/2011 DTaP 06/03/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0120
dose 3 to 4 Pediarix, interval 4 mo 04/04/2010 F Not Comple 06/04/2010 PEDIARIX 110 SKB Valid 08/04/2010 PEDIARIX 110 SKB Valid 02/04/2011 PEDIARIX 110 SKB Valid 06/04/2011 PEDIARIX 110 SKB Valid 5 04/04/2014 04/04/2014 04/03/2017 DTaP 06/04/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0121
invalid dose 1-2 interval in midst of others 02/11/2009 F Not Comple 04/11/2009 PEDIARIX 110 SKB Valid 04/30/2009 PEDIARIX 110 SKB Not Valid
Interval: Too Short 06/11/2009 PEDIARIX 110 SKB Valid 3 07/09/2009 08/11/2009 10/08/2009 DTaP 06/11/2009
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0122
invalid dose 2-3 interval in midst of others 02/02/2010 F Not Comple 04/02/2010 PEDIARIX 110 SKB Valid 06/02/2010 PEDIARIX 110 SKB Valid 06/25/2010 PEDIARIX 110 SKB Not Valid
Interval: Too Short 02/02/2011 PEDIARIX 110 SKB Valid 4 08/02/2011 08/02/2011 09/29/2011 DTaP 02/02/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0123
# 1 Pediarix at 6 wks 11/01/2011 F Not Comple 12/13/2011 PEDIARIX 110 SKB Valid 2 01/10/2012 03/01/2012 04/28/2012 DTaP 12/13/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0124
inValid dose 3-4 interval in midst of others 03/18/2008 F Not Comple 05/18/2008 PEDIARIX 110 SKB Valid 07/18/2008 PEDIARIX 110 SKB Valid 02/12/2009 PEDIARIX 110 SKB Valid 06/10/2009 PEDIARIX 110 SKB Not Valid
Interval: Too Short 03/20/2012 PEDIARIX 110 SKB Valid 5 03/18/2019 03/18/2019 03/17/2021 DTaP 03/20/2012
Interval: Below Absolute Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0125
Encephalopathy within 7 days of Pediarix. 02/02/2011 F
encephalopathy within 7 days of previous dose of DTP or DTaP VXC22 CDCPHINVS Not Comple 04/02/2011 PEDIARIX 110 SKB Valid 2 04/30/2011 06/02/2011 07/29/2011 DTaP 04/02/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0126
Anaphylaxis to previous dose of Pediarix 10/10/2010 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 12/15/2010 PEDIARIX 110 SKB Valid - DTaP 12/15/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0127
# 1 Pediarix at 6 yrs 11.5 mo 04/01/2005 F Not Comple 03/16/2012 PEDIARIX 110 SKB Valid 2 04/13/2012 04/13/2012 04/13/2012 DTaP 03/16/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0128
# 1 Pediarix at 7 yrs 02/01/2005 F Not Comple 02/01/2012 PEDIARIX 110 SKB Valid 2 02/29/2012 02/29/2012 02/29/2012 DTaP 02/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0129
# 2 Pediarix at 10 wks-5 days. 10/10/2011 F Not Comple 11/17/2011 PEDIARIX 110 SKB Valid 12/14/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 2 01/11/2012 02/10/2012 04/06/2012 DTaP 12/14/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0130
# 2 Pediarix at 10 wks-4 days 02/26/2011 F Not Comple 04/09/2011 PEDIARIX 110 SKB Valid 05/03/2011 PEDIARIX 110 SKB Valid 3 06/04/2011 08/26/2011 10/23/2011 DTaP 05/03/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0131
# 2 Pediarix at 10 wks 02/26/2011 F Not Comple 04/09/2011 PEDIARIX 110 SKB Valid 05/07/2011 PEDIARIX 110 SKB Valid 3 06/04/2011 08/26/2011 10/23/2011 DTaP 05/07/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0132 Newborn 02/01/2012 F Not Complete 1 03/14/2012 04/01/2012 05/28/2012 DTaP 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0133
# 2 Pentacel at 6 yrs 11.5 mo. Off label but counts. Current Age 7 years 01/01/2005 F Not Comple 09/22/2007 PENTACEL 120 PMC Valid 12/15/2011 PENTACEL 120 PMC Valid 3 01/01/2012 01/01/2012 01/01/2012 DTaP 01/01/2012
All Valid: Forecast Test 01/01/2013 02/23/2016
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date.Interval Priority Flag with Override allows for a vaccine to be given sooner than a previous date set by multiple vaccines. 2.2
2013-0134
# 2 Pentacel at 7 yrs; # 1 at age < 12 mo 09/16/2003 F Not Comple 02/25/2004 DTaP Unsp 107 Valid 09/20/2010 PENTACEL 120 PMC Valid 3 10/18/2010 10/18/2010 10/18/2010 DTaP 09/20/2010
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0135
# 2 Pentacel at 7 yrs; # 1 at age ≥ 12 mo. 09/16/2004 F Not Comple 11/19/2005 DTaP Unsp 107 Valid 09/20/2011 PENTACEL 120 PMC Valid 3 03/20/2012 03/20/2012 03/20/2012 DTaP 09/20/2011
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was missing and child is in catch-up. Past Due Date added to align with Recommended Date. 1.1
2013-0136
# 3 Pentacel at 14 wks-5 days 06/01/2010 F Not Comple 07/09/2010 PENTACEL 120 PMC Valid 08/06/2010 PENTACEL 120 PMC Valid 09/02/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 3 09/30/2010 12/01/2010 01/28/2011 DTaP 09/02/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0137
# 3 Pentacel at 14 wks-4 days 06/01/2010 F Not Comple 07/09/2010 PENTACEL 120 PMC Valid 08/06/2010 PENTACEL 120 PMC Valid 09/03/2010 PENTACEL 120 PMC Valid 4 06/01/2011 09/01/2011 01/28/2012 DTaP 09/03/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0138
# 3 Pentacel at 6 yrs 11.5 mo 01/15/2005 F Not Comple 03/12/2005 DTaP Unsp 107 Valid 06/15/2008 DTaP Unsp 107 Valid 12/30/2011 PENTACEL 120 PMC Valid 4 06/30/2012 06/30/2012 06/30/2012 DTaP 12/30/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0139
# 4 Pentacel at 1 yr -5 days. 04/04/2010 F Not Comple 06/04/2010 PENTACEL 120 PMC Valid 08/04/2010 PENTACEL 120 PMC Valid 10/04/2010 PENTACEL 120 PMC Valid 03/30/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 4 09/30/2011 09/30/2011 12/01/2011 DTaP 03/30/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0140
# 4 Pentacel at 1 yr -4 days 04/04/2010 F Not Comple 06/04/2010 PENTACEL 120 PMC Valid 08/04/2010 PENTACEL 120 PMC Valid 10/04/2010 PENTACEL 120 PMC Valid 03/31/2011 PENTACEL 120 PMC Valid 5 04/04/2014 04/04/2014 04/03/2017 DTaP 03/31/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0141
# 4 Pentacel at age 12 mo 04/04/2010 F Not Comple 06/04/2010 PENTACEL 120 PMC Valid 08/04/2010 PENTACEL 120 PMC Valid 10/04/2010 PENTACEL 120 PMC Valid 04/04/2011 PENTACEL 120 PMC Valid 5 04/04/2014 04/04/2014 04/03/2017 DTaP 04/04/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0142
# 4 Pentacel at 4 yrs 05/06/2006 F Not Comple 09/15/2006 PENTACEL 120 PMC Valid 04/28/2007 PENTACEL 120 PMC Valid 11/02/2009 PENTACEL 120 PMC Valid 05/06/2010 PENTACEL 120 PMC Valid 5 05/06/2017 05/06/2017 05/05/2019 DTaP 05/06/2010
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0143
# 5 Pentacel at ≥ 4 yrs 02/08/2008 F Not Comple 01/08/2009 PENTACEL 120 PMC Valid 04/08/2009 PENTACEL 120 PMC Valid 07/08/2009 PENTACEL 120 PMC Valid 12/09/2009 PENTACEL 120 PMC Valid 03/01/2012 PENTACEL 120 PMC Valid 6 02/08/2019 02/08/2019 02/07/2021 DTaP 03/01/2012
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to align with ACIP and other test cases to be 1 day before the 13th birthday. 1.4
2013-0144
# 4 Pentacel at 5 yrs=off label but counts. 02/08/2007 F Not Comple 06/08/2007 PENTACEL 120 PMC Valid 12/05/2007 PENTACEL 120 PMC Valid 02/07/2008 PENTACEL 120 PMC Valid 02/08/2012 PENTACEL 120 PMC Valid 5 02/08/2018 02/08/2018 02/07/2020 DTaP 02/08/2012
All Valid: Forecast Test 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0145
invalid age dose 2 in midst of others 10/18/2010 F Not Comple 11/25/2010 PENTACEL 120 PMC Valid 12/22/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 03/10/2011 PENTACEL 120 PMC Valid 10/20/2011 PENTACEL 120 PMC Valid 4 04/20/2012 04/20/2012 06/14/2012 DTaP 10/20/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0146
invalid age dose 3 in midst of others 06/01/2010 F Not Comple 07/09/2010 PENTACEL 120 PMC Valid 08/06/2010 PENTACEL 120 PMC Valid 09/02/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 07/07/2011 PENTACEL 120 PMC Valid 4 01/07/2012 01/07/2012 01/28/2012 DTaP 07/07/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0147
dose 1 to 2 Pentacel, interval 28-5 days 11/09/2009 F Not Comple 01/03/2010 PENTACEL 120 PMC Valid 01/26/2010 PENTACEL 120 PMC Not Valid
Interval: Too Short 2 02/23/2010 03/09/2010 05/06/2010 DTaP 01/26/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0148
dose 1 to 2 Pentacel, interval 28-4 days 11/01/2009 F Not Comple 01/03/2010 PENTACEL 120 PMC Valid 01/27/2010 PENTACEL 120 PMC Valid 3 02/24/2010 05/01/2010 06/28/2010 DTaP 01/27/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0149
dose 2 to 3 Pentacel, interval 28-5 days 04/01/2008 F Not Comple 06/01/2008 PENTACEL 120 PMC Valid 08/01/2008 PENTACEL 120 PMC Valid 08/24/2008 PENTACEL 120 PMC Not Valid
Interval: Too Short 3 09/21/2008 10/01/2008 11/28/2008 DTaP 08/24/2008
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0150
dose 2 to 3 Pentacel, interval 28-4 days 04/01/2008 F Not Comple 06/01/2008 PENTACEL 120 PMC Valid 08/01/2008 PENTACEL 120 PMC Valid 08/25/2008 PENTACEL 120 PMC Valid 4 04/01/2009 07/01/2009 11/28/2009 DTaP 08/25/2008
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0152
# 1 Pentacel at 6 wks-4 days 04/04/2008 F Not Comple 05/12/2008 PENTACEL 120 PMC Valid 2 06/13/2008 08/04/2008 10/01/2008 DTaP 05/12/2008
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0153
dose 3 to 4 Pentacel, interval 6m-4 days 08/09/2009 F Not Comple 10/09/2009 PENTACEL 120 PMC Valid 02/09/2010 PENTACEL 120 PMC Valid 04/09/2010 PENTACEL 120 PMC Valid 10/05/2010 PENTACEL 120 PMC Valid 5 08/09/2013 08/09/2013 08/08/2016 DTaP 10/05/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0154
dose 3 to 4 Pentacel, interval 4 mo-1 day. 04/04/2010 F Not Comple 06/04/2010 PENTACEL 120 PMC Valid 10/10/2010 PENTACEL 120 PMC Valid 01/15/2011 PENTACEL 120 PMC Valid 05/14/2011 PENTACEL 120 PMC Not Valid
Interval: Too Short 4 11/14/2011 11/14/2011 12/01/2011 DTaP 05/14/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0155
dose 3 to 4 Pentacel, interval 4 mo. 04/04/2010 F Not Comple 06/04/2010 PENTACEL 120 PMC Valid 10/10/2010 PENTACEL 120 PMC Valid 01/15/2011 PENTACEL 120 PMC Valid 05/15/2011 PENTACEL 120 PMC Valid 5 04/04/2014 04/04/2014 04/03/2017 DTaP 05/15/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0156
invalid dose 1-2 interval in midst of others 02/11/2009 F Not Comple 04/11/2009 PENTACEL 120 PMC Valid 05/04/2009 PENTACEL 120 PMC Not Valid
Interval: Too Short 08/01/2009 PENTACEL 120 PMC Valid 3 08/29/2009 08/29/2009 10/08/2009 DTaP 08/01/2009
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0157
invalid dose 2-3 interval in midst of others 02/02/2010 F Not Comple 04/02/2010 PENTACEL 120 PMC Valid 06/02/2010 PENTACEL 120 PMC Valid 06/23/2010 PENTACEL 120 PMC Not Valid
Interval: Too Short 02/05/2011 PENTACEL 120 PMC Valid 4 08/05/2011 08/05/2011 09/29/2011 DTaP 02/05/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0158
inValid dose 3-4 interval in midst of others 03/18/2008 F Not Comple 05/20/2008 PENTACEL 120 PMC Valid 07/25/2008 PENTACEL 120 PMC Valid 12/28/2009 PENTACEL 120 PMC Valid 03/22/2010 PENTACEL 120 PMC Not Valid
Interval: Too Short 03/22/2012 PENTACEL 120 PMC Valid 5 03/18/2019 03/18/2019 03/17/2021 DTaP 03/22/2012
Interval: Below Absolute Minimum 01/01/2013 12/06/2013
Recommended based on age
V1.4: Updated past due date to shift 1 day earlier to align with business rule calculation and other similar tests in the DTaP/Tdap/Td forecasting at 11 years. 1.4
2013-0159
Encephalopathy on 8/3/10 (within 7 days of Pentacel) 06/06/2010 F
encephalopathy within 7 days of previous dose of DTP or DTaP VXC22 CDCPHINVS Not Comple 08/01/2010 PENTACEL 120 PMC Valid 2 08/29/2010 10/06/2010 12/03/2010 DTaP 08/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0160
Anaphylaxis to previous dose of Pentacel 06/06/2010 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 08/02/2010 PENTACEL 120 PMC Valid - DTaP 08/02/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0161
# 1 Pentacel at 6 wks 04/04/2008 F Not Comple 05/16/2008 PENTACEL 120 PMC Valid 2 06/13/2008 08/04/2008 10/01/2008 DTaP 05/16/2008
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0162
# 1 Pentacel at 6 yrs 11.5 mo 01/15/2005 F Not Comple 01/02/2012 PENTACEL 120 PMC Valid 2 01/30/2012 01/30/2012 01/30/2012 DTaP 01/02/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0163
# 1 Pentacel at 7 yrs. Off label use but counts as dose 1. 02/01/2005 F Not Comple 02/01/2012 PENTACEL 120 PMC Valid 2 02/29/2012 02/29/2012 02/29/2012 DTaP 02/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0164
# 2 Pentacel at 10 wks-5 days 10/10/2010 F Not Comple 11/17/2010 PENTACEL 120 PMC Valid 12/14/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 2 01/11/2011 02/10/2011 04/06/2011 DTaP 12/14/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0165
# 2 Pentacel at 10 wks-4 days 10/10/2010 F Not Comple 11/17/2010 PENTACEL 120 PMC Valid 12/15/2010 PENTACEL 120 PMC Valid 3 01/16/2011 04/10/2011 06/06/2011 DTaP 12/15/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0166
# 2 Pentacel at 6 yrs . Off label but counts. 01/15/2005 F Not Comple 01/15/2006 PENTACEL 120 PMC Valid 01/15/2011 PENTACEL 120 PMC Valid 3 02/12/2011 02/12/2011 02/12/2011 DTaP 01/15/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0167 Newborn 02/01/2015 F Not Complete 1 08/01/2015 08/01/2015 Flu 02/01/2015
No Doses Administered 01/01/2013 09/17/2015
Recommended based on age
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0168
# 1 to # 2 interval 28 days 05/01/2014 F Not Comple 12/01/2014 Influenza U 88 Valid 12/29/2014 Influenza U 88 Valid 3 07/01/2015 07/01/2015 Flu 12/29/2014
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on seasonal start date
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0169
Child under 9 needs two in 1 first season 09/01/2008 F Not Comple 09/01/2015 FLUMIST 111 MED Valid 2 09/29/2015 09/29/2015 Flu 09/01/2015
All Valid: Forecast Test 01/01/2013 09/17/2015
Recommended based on interval
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0170
Child under 9 received only one in first season 04/04/2009 F Not Comple 10/15/2015 Influenza U 88 Valid 2 11/12/2015 11/12/2015 Flu 10/15/2015
All Valid: Forecast Test 01/01/2013 03/22/2016
Recommended based on interval
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.2
2013-0171
Child under 9 received two in first season 05/10/2008 F Not Comple 10/15/2014 Influenza U 88 Valid 11/27/2014 Influenza U 88 Valid 3 07/01/2015 07/01/2015 Flu 11/27/2014
All Valid: Forecast Test 01/01/2013 09/17/2015
Recommended based on seasonal start date
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0172
Invalid dose 1st season 05/01/2015 F Not Comple 10/15/2015 Fluzone 141 PMC Not Valid
Age: Too Young 1 11/01/2015 11/01/2015 Flu 10/15/2015
Age: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on age
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0175
LAIV given one week after MMR is invalid. 02/10/2014 F Not Comple 02/10/2016 M-M-R II 03 MSD Valid 02/17/2016 FLUMIST 111 MED Not Valid
Live Virus Conflict 1 03/16/2016 03/16/2016 Flu 02/17/2016
Live Virus: Below Minimum 01/01/2013 03/22/2016
Recommended based on minimum interval from live virus vaccine
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.2
2013-0176
Anaphylaxis following previous dose 07/04/2013 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 10/08/2014 Influenza U 88 Valid - Flu 10/08/2014
All Valid: Forecast Test 01/01/2013 09/17/2015
Not recommended: contraindication
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0177# 1 at 6 mo-5 days 04/01/2015 F Not Comple 09/26/2015 FLUMIST 111 MED Not Valid
Age: Too Young 1 10/24/2015 10/24/2015 Flu 09/26/2015
Age: Below Absolute Minimum 01/01/2013 03/22/2016
Recommended based on minimum interval from live virus vaccine
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.2
2013-0178# 1 at 6 mo-4 days 04/01/2015 F Not Comple 09/27/2015 Influenza U 88 Valid 2 10/25/2015 10/25/2015 Flu 09/27/2015
Age: At Absolute Minimum 01/01/2013 03/22/2016
Recommended based on interval
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.2
2013-0179# 1 at 6 mo 04/01/2015 F Not Comple 10/01/2015 Influenza U 88 Valid 2 10/29/2015 10/29/2015 Flu 10/01/2015
Age: At Minimum 01/01/2013 03/22/2016
Recommended based on interval
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.2
2013-0183
# 1 to # 2 interval 23 days 05/01/2015 F Not Comple 12/01/2015 Influenza U 88 Valid 12/24/2015 Influenza U 88 Not Valid
Interval: Too Short 2 01/21/2016 01/21/2016 Flu 12/24/2015
Interval: Below Absolute Minimum 01/01/2013 03/22/2016
Recommended based on minimum interval from invalid dose
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.2
2013-0184
# 1 to # 2 interval 24 days 05/01/2014 F Not Comple 12/01/2014 Influenza U 88 Valid 12/25/2014 Influenza U 88 Valid 3 07/01/2015 07/01/2015 Flu 12/25/2014
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on seasonal start date
Rolled test cases forward from 2014-15 season to 2015-16 season. 2.1
2013-0185
Infant forecasting 07/10/2010 F Not Complete 1 07/10/2011 07/10/2011 08/06/2012 HepA 07/10/2010
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0186
Dose 1 to dose 2 interval 6 months. Series complete. 08/09/2009 F Complete 10/09/2010 Hep A Unsp 85 Valid 04/09/2011 Hep A Unsp 85 Valid - HepA 04/09/2011
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0187
Anaphylaxis to previous dose of Hep A. No forecast. 03/03/2003 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 03/04/2009 Hep A Unsp 85 Valid - HepA 03/04/2009
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0188
Adult dose mistakenly given to a child. Counts as valid. 02/02/2011 F Not Comple 02/02/2012 HAVRIX-AD 52 SKB Valid 2 08/02/2012 08/02/2012 03/01/2013 HepA 02/02/2012
Vaccine: Off Label 01/01/2013 07/16/2013
Recommended based on age
Past Due Date was previously calculated based on an interval, but should have been calculated based on age of 24 months + 4 weeks - 1 day 1.1
2013-0189
Dose # 1 at age 12 months-5 days 12/01/2005 F Not Comple 11/26/2006 Hep A Unsp 85 Not Valid
Age: Too Young 1 12/01/2006 12/01/2006 12/28/2007 HepA 11/26/2006
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0190
Dose # 1 at age 12 months-4 days 06/01/2010 F Not Comple 05/28/2011 Hep A Unsp 85 Valid 2 12/01/2011 12/01/2011 06/28/2012 HepA 05/28/2011
Age: At Absolute Minimum 01/01/2013 07/16/2013
Recommended based on age
Past Due Date was previously calculated based on an interval, but should have been calculated based on age of 24 months + 4 weeks - 1 day 1.1
2013-0191
Dose # 1 at age 12 months. 04/07/2010 F Not Comple 04/07/2011 Hep A Unsp 85 Valid 2 10/07/2011 10/07/2011 05/04/2012 HepA 04/07/2011
Age: At Minimum 01/01/2013 07/16/2013
Recommended based on age
Past Due Date was previously calculated based on an interval, but should have been calculated based on age of 24 months + 4 weeks - 1 day 1.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0192
Dose 1 to dose 2 interval 6 mo-5 days=invalid 11/10/2008 F Not Comple 11/10/2009 Hep A Unsp 85 Valid 05/05/2010 Hep A Unsp 85 Not Valid
Interval: Too Short 2 11/05/2010 11/05/2010 12/07/2010 HepA 05/05/2010
Interval: Below Absolute Minimum 01/01/2013 07/16/2013
Recommended based on minimum interval from invalid dose
Past Due Date was previously calculated based on an interval, but should have been calculated based on age of 24 months + 4 weeks - 1 day 1.1
2013-0193
Dose 1 to Dose 2 interval 6 mo-4 days. Series complete. 04/04/2001 F Complete 04/04/2009 Hep A Unsp 85 Valid 09/30/2009 Hep A Unsp 85 Valid - HepA 09/30/2009
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0194
Dose # 2 at 18 months=series complete. 08/09/2009 F Complete 08/09/2010 Hep A Unsp 85 Valid 02/09/2011 Hep A Unsp 85 Valid - HepA 02/09/2011
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0196
Dose 1 to dose 2 interval 6 mo-5 days 08/09/2009 F Not Comple 10/09/2010 Hep A Unsp 85 Valid 04/04/2011 Hep A Unsp 85 Not Valid
Interval: Too Short 2 10/04/2011 10/04/2011 10/04/2011 HepA 04/04/2011
Interval: Below Absolute Minimum 01/01/2013 07/16/2013
Recommended based on minimum interval from invalid dose
Child is lapse enough that the Past Due Date should have been aligned with the earliest and recommended. 1.1
2013-0197
Dose 1 to dose 2 interval 6 months-4 days. Series complete. 08/09/2009 F Complete 10/09/2010 Hep A Unsp 85 Valid 04/05/2011 Hep A Unsp 85 Valid - HepA 04/05/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0198
Newborn Testing. No vaccinations to date. 12/12/2011 F Not Complete 1 12/12/2011 12/12/2011 01/08/2012 HepB 12/12/2011
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0199
Dose 1 to dose 2 interval 28-5 days 04/01/2011 F Not Comple 05/01/2011 RECOMBIV 08 MSD Valid 05/24/2011 RECOMBIV 08 MSD Not Valid
Interval: Too Short 2 06/21/2011 06/21/2011 07/28/2011 HepB 05/24/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0200
Dose 1 to dose 2 interval 28-4 days 04/01/2011 F Not Comple 04/01/2011 RECOMBIV 08 MSD Valid 04/25/2011 Hep B Unsp 45 Valid 3 09/16/2011 10/01/2011 11/28/2012 HepB 04/25/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0201
Dose 1 to dose 2 interval 28 days 04/01/2011 F Not Comple 04/01/2011 RECOMBIV 08 MSD Valid 04/29/2011 RECOMBIV 08 MSD Valid 3 09/16/2011 10/01/2011 11/28/2012 HepB 04/29/2011
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0202
Dose 2 to dose 3 interval 8 wks-5 days. 4th dose needed. 06/01/2005 F Not Comple 09/01/2005 RECOMBIV 08 MSD Valid 12/01/2005 RECOMBIV 08 MSD Valid 01/21/2006 RECOMBIV 08 MSD Valid 4 03/18/2006 03/18/2006 01/28/2007 HepB 01/21/2006
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: changed dose 3 from not valid to valid due to recent clarifications. Also changed test case name to reflect a 4th dose is required. 1.6
2013-0203
Dose 2 to dose 3 interval 8 wks-4 days. Series complete 02/11/2007 F Complete 03/01/2007 Hep B Unsp 45 Valid 08/01/2007 Hep B Unsp 45 Valid 09/22/2007 Hep B Unsp 45 Valid - HepB 09/22/2007
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0204
Dose 2 to dose 3 interval is 8 weeks. Series complete. 10/11/2006 F Complete 12/11/2006 Hep B Unsp 45 Valid 04/11/2007 Hep B Unsp 45 Valid 06/06/2007 Hep B Unsp 45 Valid - HepB 06/06/2007
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0205
Dose 1 to dose 3 interval 16 weeks-5 days. 4th dose needed 07/01/2004 F Not Comple 10/01/2004 Hep B Unsp 45 Valid 11/07/2004 RECOMBIV 08 MSD Valid 01/16/2005 RECOMBIV 08 MSD Valid 4 03/13/2005 03/13/2005 02/28/2006 HepB 01/16/2005
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: changed dose 3 from not valid to valid due to recent clarifications. Also changed test case name to reflect a 4th dose is required.V1.1: Typo on Past Due Date by one day. 1.6
2013-0206
Dose 1 to dose 3 interval 16 weeks-4 days. Series complete. 07/04/2009 F Complete 10/01/2009 Hep B Unsp 45 Valid 11/24/2009 Hep B Unsp 45 Valid 01/17/2010 RECOMBIV 08 MSD Valid - HepB 01/17/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0207
Dose 1 to dose 3 interval 16 weeks. Series complete. 08/01/2011 F Complete 11/01/2011 Hep B Unsp 45 Valid 12/17/2011 Hep B Unsp 45 Valid 02/21/2012 Hep B Unsp 45 Valid - HepB 02/21/2012
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0208
Recombivax Hep B ages 11-15. Dose 2 recommended in 4-6 months. 05/05/1999 F Not Comple 11/25/2011 RECOMBIV 43 MSD Valid 2 03/25/2012 03/25/2012 07/22/2012 HepB 11/25/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0209
Dose # 1 at age 0 days. 04/01/2011 F Not Comple 04/01/2011 Hep B Unsp 45 Valid 2 04/29/2011 05/01/2011 07/28/2011 HepB 04/01/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0210
Doses 1 and 2 of Recombvx at ages 11-15 years with ≥ 4 mo interval = series complete. 04/07/1997 F Complete 10/13/2009 RECOMBIV 43 MSD Valid 02/13/2010 RECOMBIV 43 MSD Valid - HepB 02/13/2010
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0211
Dose 1 to dose 2 Recombvx interval 4 months-5 days. Two dose adolescent schedule no longer applies. 05/01/1996 F Not Comple 05/01/2007 RECOMBIV 43 MSD Valid 08/27/2007 RECOMBIV 43 MSD Valid 3 10/22/2007 10/22/2007 10/22/2007 HepB 08/27/2007
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0212
Dose 2 to dose 3 interval 8 wks-5 days in adolescent with two Recombvx not meeting rules for two dose adoles. 4th dose needed 05/01/1992 F Not Comple 09/01/2005 RECOMBIV 43 MSD Valid 12/01/2005 RECOMBIV 43 MSD Valid 01/21/2006 RECOMBIV 08 MSD Valid 4 03/18/2006 03/18/2006 03/18/2006 HepB 01/21/2006
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: changed dose 3 from not valid to valid due to recent clarifications. Also changed test case name to reflect a 4th dose is required. 1.6
2013-0213
Hep at birth. Comvax at 6 wks and 6 mo. Hep series complete. 02/04/2004 F Complete 02/04/2004 RECOMBIV 08 MSD Valid 03/13/2004 COMVAX 51 MSD Valid 08/04/2004 COMVAX 51 MSD Valid - HepB 08/04/2004
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0216
Hep B at birth. Comvax at 4 weeks and 6 months. Series complete for Hep B. 02/02/2006 F Complete 02/02/2006 Hep B Unsp 45 Valid 03/02/2006 COMVAX 51 MSD Valid 08/02/2006 COMVAX 51 MSD Valid - HepB 08/02/2006
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0219
Hep B at birth. Comvax at 5 mo and 8 wks-4 days later. Series complete for Hep B. 05/05/2006 F Complete 05/05/2006 RECOMBIV 08 MSD Valid 10/05/2006 COMVAX 51 MSD Valid 11/26/2006 COMVAX 51 MSD Valid - HepB 11/26/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0220
Dose # 1 at age 1 day 04/01/2011 F Not Comple 04/02/2011 RECOMBIV 08 MSD Valid 2 04/30/2011 05/01/2011 07/28/2011 HepB 04/02/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0221
Hep at birth. Comvax at 5 mo and 8 wks later. Series complete for Hep B. 06/06/2006 F Complete 06/06/2006 RECOMBIV 08 MSD Valid 11/06/2006 COMVAX 51 MSD Valid 01/01/2007 COMVAX 51 MSD Valid - HepB 01/01/2007
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0222
Dose 1 to dose 3 interval of Comvax 16 wks-5 days. 4th dose needed 05/15/2002 F Not Comple 08/01/2002 COMVAX 51 MSD Valid 09/20/2002 COMVAX 51 MSD Valid 11/16/2002 COMVAX 51 MSD Valid 4 01/11/2003 01/11/2003 01/11/2004 HepB 11/16/2002
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: changed dose 3 from not valid to valid due to recent clarifications. Also changed test case name to reflect a 4th dose is required. 1.6
2013-0223
Dose 1 to dose 3 interval of Comvax 16 wks-4 days=valid Hep B # 3. Hep B series complete. 07/07/2006 F Complete 10/18/2006 COMVAX 51 MSD Valid 12/09/2006 COMVAX 51 MSD Valid 02/03/2007 COMVAX 51 MSD Valid - HepB 02/03/2007
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0224
Dose 1 to dose 3 interval of Comvax is 16 weeks. Series complete for Hep B. 08/08/2006 F Complete 10/31/2006 COMVAX 51 MSD Valid 12/22/2006 COMVAX 51 MSD Valid 02/20/2007 COMVAX 51 MSD Valid - HepB 02/20/2007
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0225
Comvax given at birth. 10/10/2006 F Not Comple 10/10/2006 COMVAX 51 MSD Valid 2 11/07/2006 11/10/2006 02/06/2007 HepB 10/10/2006
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0226
Anaphylaxis to previous dose of Hep B. No further forecast. 09/09/2006 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 11/11/2006 RECOMBIV 08 MSD Valid - HepB 11/11/2006
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0227
Dose # 2 at 28-5 days 08/01/2010 F Not Comple 08/01/2010 RECOMBIV 08 MSD Valid 08/24/2010 RECOMBIV 08 MSD Not Valid
Age: Too Young 2 09/21/2010 09/21/2010 11/28/2010 HepB 08/24/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0228
Dose # 2 at 28-4 days 02/01/2011 F Not Comple 02/01/2011 Hep B Unsp 45 Valid 02/25/2011 RECOMBIV 08 MSD Valid 3 07/19/2011 08/01/2011 09/28/2012 HepB 02/25/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0229Dose # 2 at 28 days 05/01/2011 F Not Comple 05/01/2011 Hep B Unsp 45 Valid 05/29/2011 Hep B Unsp 45 Valid 3 10/16/2011 11/01/2011 12/28/2012 HepB 05/29/2011
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0230
Dose # 3 at age 24 weeks-5 days. 4th dose needed. 01/01/2011 F Not Comple 01/01/2011 Hep B Unsp 45 Valid 02/01/2011 Hep B Unsp 45 Valid 06/13/2011 Hep B Unsp 45 Valid 4 08/08/2011 08/08/2011 08/28/2012 HepB 06/13/2011
Age: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: changed dose 3 from not valid to valid due to recent clarifications. Also changed test case name to reflect a 4th dose is required. 1.6
2013-0231
Dose # 3 at age 24 weeks-4 days. Series complete. 12/01/2010 F Complete 12/01/2010 RECOMBIV 08 MSD Valid 01/01/2011 RECOMBIV 08 MSD Valid 05/14/2011 RECOMBIV 08 MSD Valid - HepB 05/14/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0232
Dose # 3 at 24 weeks. Series complete. 04/01/2011 F Complete 04/01/2011 RECOMBIV 08 MSD Valid 06/01/2011 Hep B Unsp 45 Valid 09/16/2011 Hep B Unsp 45 Valid - HepB 09/16/2011
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0233
Newborn forecasting 04/01/2012 F Not Complete 1 04/01/2012 04/01/2012 04/28/2012 HepB 04/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0234
# 2 Pediarix at 6 yrs 11.5 mo 01/01/2005 F Not Comple 12/16/2007 PEDIARIX 110 SKB Valid 12/15/2011 PEDIARIX 110 SKB Valid 3 02/09/2012 02/09/2012 02/09/2012 HepB 12/15/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0235
# 2 Pediarix at 7 yrs; # 1 at less than 12 mo. 09/16/2003 F Not Comple 12/16/2003 PEDIARIX 110 SKB Valid 09/16/2010 PEDIARIX 110 SKB Valid 3 11/11/2010 11/11/2010 11/11/2010 HepB 09/16/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0236
# 2 Pediarix at 7 yrs; # 1 ≥ 12 mo. 09/16/2004 F Not Comple 10/16/2005 PEDIARIX 110 SKB Valid 09/16/2011 PEDIARIX 110 SKB Valid 3 11/11/2011 11/11/2011 11/11/2011 HepB 09/16/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0237
# 1 and 2 Pediarix at ≥7 yrs with 28 day interval. 07/07/2002 F Not Comple 07/07/2009 PEDIARIX 110 SKB Valid 08/04/2009 PEDIARIX 110 SKB Valid 3 10/27/2009 10/27/2009 10/27/2009 HepB 08/04/2009
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0238
# 3 Pediarix at 14 wks-5 days 06/01/2005 F Not Comple 07/09/2005 PEDIARIX 110 SKB Valid 08/06/2005 PEDIARIX 110 SKB Valid 09/02/2005 PEDIARIX 110 SKB Valid 4 11/16/2005 12/01/2005 01/28/2007 HepB 09/02/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0239
# 3 Pediarix at 14 wks-4 days 01/06/2006 F Not Comple 02/15/2006 PEDIARIX 110 SKB Valid 03/15/2006 PEDIARIX 110 SKB Valid 04/10/2006 PEDIARIX 110 SKB Valid 4 06/23/2006 07/06/2006 09/02/2007 HepB 04/10/2006
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0241
# 3 Pediarix at 24 weeks-4 days. Valid for dose 3 05/13/2011 F Complete 06/24/2011 Hep B Unsp 45 Valid 08/24/2011 Hep B Unsp 45 Valid 10/24/2011 PEDIARIX 110 SKB Valid - HepB 10/24/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0243
# 4 Pediarix at 1 yr -5 days 04/04/2010 F Complete 06/04/2010 PEDIARIX 110 SKB Valid 08/04/2010 PEDIARIX 110 SKB Valid 10/10/2010 PEDIARIX 110 SKB Valid 03/30/2011 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 03/30/2011
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0244
# 1 Pediarix at 6 wks-5 days 05/06/2011 F Not Comple 06/12/2011 PEDIARIX 110 SKB Valid 2 07/10/2011 07/10/2011 09/02/2011 HepB 06/12/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0245
# 4 Pediarix at 1 yr -4 days 06/01/2005 F Complete 08/01/2005 PEDIARIX 110 SKB Valid 11/01/2005 PEDIARIX 110 SKB Valid 01/15/2006 PEDIARIX 110 SKB Valid 05/28/2006 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 05/28/2006
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0246
# 4 Pediarix at 3 yrs 11.5 mo. 02/01/2008 F Complete 04/01/2008 PEDIARIX 110 SKB Valid 07/01/2008 PEDIARIX 110 SKB Valid 10/01/2008 PEDIARIX 110 SKB Valid 01/15/2012 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 01/15/2012
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0247
# 4 Pediarix at 4 yrs 05/06/2006 F Complete 09/09/2006 PEDIARIX 110 SKB Valid 03/03/2007 PEDIARIX 110 SKB Valid 07/10/2008 PEDIARIX 110 SKB Valid 05/06/2010 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 05/06/2010
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0248
# 5 Pediarix at 4 yrs -5 days 07/01/2006 F Complete 09/01/2006 PEDIARIX 110 SKB Valid 10/01/2006 PEDIARIX 110 SKB Valid 02/02/2007 PEDIARIX 110 SKB Valid 10/10/2007 PEDIARIX 110 SKB Extraneous
Series Already Complete 06/26/2010 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 06/26/2010
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0249
# 5 Pediarix at 4 yrs -4 days 07/01/2006 F Complete 09/01/2006 PEDIARIX 110 SKB Valid 10/01/2006 PEDIARIX 110 SKB Valid 02/02/2007 PEDIARIX 110 SKB Valid 10/10/2007 PEDIARIX 110 SKB Extraneous
Series Already Complete 06/27/2010 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 06/27/2010
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0250
# 5 Pediarix at 6 yrs 11.5 mo 04/01/2005 F Complete 06/01/2005 PEDIARIX 110 SKB Valid 08/01/2005 PEDIARIX 110 SKB Valid 10/01/2005 PEDIARIX 110 SKB Valid 05/01/2006 PEDIARIX 110 SKB Extraneous
Series Already Complete 03/15/2012 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 03/15/2012
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0251
# 5 Pediarix at 7 yrs 05/01/2005 F Complete 08/01/2005 PEDIARIX 110 SKB Valid 11/01/2005 PEDIARIX 110 SKB Valid 02/01/2006 PEDIARIX 110 SKB Valid 11/16/2006 PEDIARIX 110 SKB Extraneous
Series Already Complete 05/01/2012 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 05/01/2012
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0255
# 1 Pediarix at 6 wks-4 days 04/04/2006 F Not Comple 05/12/2006 PEDIARIX 110 SKB Valid 2 06/09/2006 06/09/2006 07/31/2006 HepB 05/12/2006
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0256
dose 1 to 2 Pediarix, interval 28-5 days 11/01/2010 F Not Comple 01/03/2011 PEDIARIX 110 SKB Valid 01/26/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 2 02/23/2011 02/23/2011 02/28/2011 HepB 01/26/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0257
dose 1 to 2 Pediarix, interval 28-4 days 02/01/2006 F Not Comple 04/01/2006 PEDIARIX 110 SKB Valid 04/25/2006 PEDIARIX 110 SKB Valid 3 07/22/2006 08/01/2006 09/28/2007 HepB 04/25/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0258
dose 2 to 3 Pediarix, interval 8 weeks-5 days. 4th dose needed. 04/01/2011 F Not Comple 05/25/2011 PEDIARIX 110 SKB Valid 07/27/2011 PEDIARIX 110 SKB Valid 09/16/2011 PEDIARIX 110 SKB Valid 4 11/11/2011 11/11/2011 11/28/2012 HepB 09/16/2011
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: changed dose 3 from not valid to valid due to recent clarifications. Also changed test case name to reflect a 4th dose is required. 1.6
2013-0259
dose 2 to 3 Pediarix, interval 8 weeks-4 days 12/01/2005 F Complete 01/25/2006 PEDIARIX 110 SKB Valid 03/27/2006 PEDIARIX 110 SKB Valid 05/18/2006 PEDIARIX 110 SKB Valid - HepB 05/18/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0260
dose 3 to 4 Pediarix, interval 6m-5 days 08/09/2009 F Complete 10/09/2009 PEDIARIX 110 SKB Valid 12/09/2009 PEDIARIX 110 SKB Valid 04/09/2010 PEDIARIX 110 SKB Valid 10/04/2010 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 10/04/2010
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0261
dose 3 to 4 Pediarix, interval 6m-4 days 08/09/2009 F Complete 10/09/2009 PEDIARIX 110 SKB Valid 12/09/2009 PEDIARIX 110 SKB Valid 04/09/2010 PEDIARIX 110 SKB Valid 10/05/2010 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 10/05/2010
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0262
dose 3 to 4 Pediarix, interval 4 mo-1 day 04/04/2010 F Complete 06/04/2010 PEDIARIX 110 SKB Valid 08/04/2010 PEDIARIX 110 SKB Valid 02/04/2011 PEDIARIX 110 SKB Valid 06/03/2011 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 06/03/2011
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0263
dose 3 to 4 Pediarix, interval 4 mo 04/04/2010 F Complete 06/04/2010 PEDIARIX 110 SKB Valid 08/04/2010 PEDIARIX 110 SKB Valid 02/04/2011 PEDIARIX 110 SKB Valid 06/04/2011 PEDIARIX 110 SKB Extraneous
Series Already Complete - HepB 06/04/2011
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0264
invalid dose 1-2 interval in midst of others 02/11/2009 F Not Comple 04/11/2009 PEDIARIX 110 SKB Valid 04/30/2009 PEDIARIX 110 SKB Not Valid
Interval: Too Short 06/11/2009 PEDIARIX 110 SKB Valid 3 08/06/2009 08/11/2009 10/08/2010 HepB 06/11/2009
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0266
# 1 Pediarix at 6 wks 11/01/2011 F Not Comple 12/13/2011 PEDIARIX 110 SKB Valid 2 01/10/2012 01/10/2012 02/28/2012 HepB 12/13/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0267
# 1 Pediarix at 6 yrs 11.5 mo 04/01/2005 F Not Comple 03/16/2012 PEDIARIX 110 SKB Valid 2 04/13/2012 04/13/2012 04/13/2012 HepB 03/16/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0268
# 1 Pediarix at 7 yrs 02/01/2005 F Not Comple 02/01/2012 PEDIARIX 110 SKB Valid 2 02/29/2012 02/29/2012 02/29/2012 HepB 02/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0269
# 2 Pediarix at 10 wks-5 days 10/10/2011 F Not Comple 11/17/2011 PEDIARIX 110 SKB Valid 12/14/2011 PEDIARIX 110 SKB Valid 3 03/26/2012 04/10/2012 06/06/2013 HepB 12/14/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0270
# 2 Pediarix at 10 wks-4 days 02/26/2011 F Not Comple 03/26/2011 PEDIARIX 110 SKB Valid 05/03/2011 PEDIARIX 110 SKB Valid 3 08/13/2011 08/26/2011 10/23/2012 HepB 05/03/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0271
# 2 Pediarix at 10 wks 02/26/2011 F Not Comple 03/26/2011 PEDIARIX 110 SKB Valid 05/07/2011 PEDIARIX 110 SKB Valid 3 08/13/2011 08/26/2011 10/23/2012 HepB 05/07/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0273
Child<2 months, no shots, #1 forecasted at 2 months of age 01/01/2010 F Not Complete 1 02/12/2010 03/01/2010 04/28/2010 Hib 01/01/2010
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0274
# 1 at 6 wks-5 days 01/01/2010 F Not Comple 02/07/2010 ACTHIB 48 PMC Not Valid
Age: Too Young 1 02/12/2010 03/01/2010 04/28/2010 Hib 02/07/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0275
# 1 at 6 wks-4 days 01/01/2010 F Not Comple 02/08/2010 ACTHIB 48 PMC Valid 2 03/12/2010 05/01/2010 06/28/2010 Hib 02/08/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0276
# 1 at 6 wks -3 days 01/01/2010 F Not Comple 02/09/2010 ACTHIB 48 PMC Valid 2 03/12/2010 05/01/2010 06/28/2010 Hib 02/09/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0277# 1 at 3 months 01/01/2010 F Not Comple 04/01/2010 ACTHIB 48 PMC Valid 2 04/29/2010 05/01/2010 06/28/2010 Hib 04/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0278
#1 at 3 months and 3 days-catchup- #2 recommended at +28 days 01/01/2010 F Not Comple 04/04/2010 ACTHIB 48 PMC Valid 2 05/02/2010 05/02/2010 06/28/2010 Hib 04/04/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0279
#1 at 6 months - catchup- #2 recommended at +28 days 01/01/2010 F Not Comple 07/01/2010 ACTHIB 48 PMC Valid 2 07/29/2010 07/29/2010 07/29/2010 Hib 07/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0280
#1 at 7 and <11 months - catchup- drop to 3 dose schedule 01/01/2010 F Not Comple 08/01/2010 ACTHIB 48 PMC Valid 2 08/29/2010 08/29/2010 08/29/2010 Hib 08/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0281
#1 at 12 months, drop to 2-dose schedule 01/01/2010 F Not Comple 01/01/2011 ACTHIB 48 PMC Valid 2 02/26/2011 02/26/2011 02/26/2011 Hib 01/01/2011
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0282
#1 at 15m -drop to 1 dose schedule 01/01/2010 F Complete 04/01/2011 ACTHIB 48 PMC Valid - Hib 04/01/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0283
#1 at 3 years -drop to 1 dose schedule 01/01/2008 F Complete 01/01/2011 ACTHIB 48 PMC Valid - Hib 01/01/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0284#1 at 5 years 01/01/2006 F Aged Out 01/01/2011 ACTHIB 48 PMC Extraneous
Age: Too Old - Hib 01/01/2011
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2:Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0285#1 at 7 years 01/01/2005 F Aged Out 01/01/2012 ACTHIB 48 PMC Extraneous
Age: Too Old - Hib 01/01/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2: Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0286
# 2 at 10 wks-5 days 01/01/2010 F Not Comple 02/08/2010 ACTHIB 48 PMC Valid 03/07/2010 ACTHIB 48 PMC Not Valid
Age: Too Young 2 04/04/2010 05/01/2010 06/28/2010 Hib 03/07/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0287
# 2 at 10 wks-4 days 01/01/2010 F Not Comple 02/08/2010 ACTHIB 48 PMC Valid 03/08/2010 ACTHIB 48 PMC Valid 3 04/09/2010 07/01/2010 08/28/2010 Hib 03/08/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0288
# 2 at 10 wks -3 days 01/01/2010 F Not Comple 02/08/2010 ACTHIB 48 PMC Valid 03/09/2010 ACTHIB 48 PMC Valid 3 04/09/2010 07/01/2010 08/28/2010 Hib 03/09/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0289# 2 at 4 months 01/01/2005 F Not Comple 03/01/2005 ACTHIB 48 PMC Valid 05/01/2005 ACTHIB 48 PMC Valid 3 05/29/2005 07/01/2005 08/28/2005 Hib 05/01/2005
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0290#2 at 5 months 01/01/2005 F Not Comple 03/01/2005 ACTHIB 48 PMC Valid 06/01/2005 ACTHIB 48 PMC Valid 3 06/29/2005 07/01/2005 08/28/2005 Hib 06/01/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0291
#2 at 5 months and 3 days-catchup-#3 at +28 days 01/01/2005 F Not Comple 03/01/2005 ACTHIB 48 PMC Valid 06/04/2005 ACTHIB 48 PMC valid 3 07/02/2005 07/02/2005 08/28/2005 Hib 06/04/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0292#2 at 12 m - 5 days 01/01/2005 F Not Comple 03/01/2005 ACTHIB 48 PMC Valid 12/27/2005 ACTHIB 48 PMC Valid 3 01/24/2006 01/24/2006 01/24/2006 Hib 12/27/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0293
#2 at 12 m - 4 days drop to 3-dose schedule 01/01/2005 F Not Comple 03/01/2005 ACTHIB 48 PMC Valid 12/28/2005 ACTHIB 48 PMC Valid 3 02/22/2006 02/22/2006 05/28/2006 Hib 12/28/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0294#2 at 15 months 01/01/2010 F Complete 03/01/2010 ACTHIB 48 PMC Valid 04/01/2011 ACTHIB 48 PMC Valid - Hib 04/01/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0295#2 at 5 years 01/01/2007 F Aged Out 03/01/2007 ACTHIB 48 PMC Valid 01/01/2012 ACTHIB 48 PMC Extraneous
Age: Too Old - Hib 01/01/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2: Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0296
dose 1 to 2, interval 4 weeks -5 days 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 03/24/2010 ACTHIB 48 PMC Not Valid
Interval: Too Short 2 04/21/2010 05/01/2010 06/28/2010 Hib 03/24/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0297
dose 1 to 2, interval 4 weeks -4 days 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 03/25/2010 ACTHIB 48 PMC Valid 3 04/22/2010 07/01/2010 08/28/2010 Hib 03/25/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0298
dose 1 to 2, interval 4 weeks -3 days 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 03/26/2010 ACTHIB 48 PMC Valid 3 04/23/2010 07/01/2010 08/28/2010 Hib 03/26/2010
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0299
#3 at 14 weeks-5 days 01/01/2010 F Not Comple 02/10/2010 ACTHIB 48 PMC Valid 03/08/2010 ACTHIB 48 PMC Valid 04/04/2010 ACTHIB 48 PMC Not Valid
Age: Too Young 3 05/02/2010 07/01/2010 08/28/2010 Hib 04/04/2010
Age: Below Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Changed Doses 2 and 3 to be ACTHIB rather than PRP-OMP vaccines to avoid possible confusion with PRP-OMP product specific schedule 1.1
2013-0300#3 at 6 months 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 COMVAX 51 MSD Valid 07/01/2010 HIBTITER 47 WAL Valid 4 01/01/2011 01/01/2011 05/28/2011 Hib 07/01/2010
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0301
Dose 2 to 3, interval 4 weeks-5 days 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 COMVAX 51 MSD Valid 05/24/2010 ACTHIB 48 PMC Not Valid
Interval: Too Short 3 06/21/2010 07/01/2010 08/28/2010 Hib 05/24/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0302
Dose 2 to 3, interval 4 weeks -4 days 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 COMVAX 51 MSD Valid 05/25/2010 ACTHIB 48 PMC Valid 4 01/01/2011 01/01/2011 05/28/2011 Hib 05/25/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0303
Dose 2 to 3, interval 4 weeks 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 HIBTITER 47 WAL Valid 05/29/2010 HIBTITER 47 WAL Valid 4 01/01/2011 01/01/2011 05/28/2011 Hib 05/29/2010
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0304
#4 at 360 days of age, interval between #3-4 >8 weeks 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 07/01/2010 ACTHIB 48 PMC Valid 12/27/2010 ACTHIB 48 PMC Not Valid
Age: Too Young 4 02/21/2011 02/21/2011 05/28/2011 Hib 12/27/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0305
#4 at 361 days of age, interval between #3-4 >8 weeks 01/01/2010 F Complete 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 07/01/2010 ACTHIB 48 PMC Valid 12/28/2010 ACTHIB 48 PMC Valid - Hib 12/28/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0306
#4 at 362 days of age, interval between #3-4 >8 weeks 01/01/2010 F Complete 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 07/01/2010 ACTHIB 48 PMC Valid 12/29/2010 ACTHIB 48 PMC Valid - Hib 12/29/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0307
#4 at 15 months of age, interval between #3-4 > 8 weeks 01/01/2010 F Complete 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 07/01/2010 ACTHIB 48 PMC Valid 04/01/2011 ACTHIB 48 PMC Valid - Hib 04/01/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0308
#4 at 365 days of age, interval between #3-4 8 weeks -5 days 01/01/2010 F Not Comple 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 11/11/2010 ACTHIB 48 PMC Valid 01/01/2011 ACTHIB 48 PMC Not Valid
Interval: Too Short 4 02/26/2011 02/26/2011 05/28/2011 Hib 01/01/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0309
#4 at 365 days of age, interval between #3-4 >8 weeks -4 days 01/01/2010 F Complete 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 11/10/2010 ACTHIB 48 PMC Valid 01/01/2011 ACTHIB 48 PMC Valid - Hib 01/01/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0310
# 4 at 15 months of age 01/01/2010 F Complete 03/01/2010 ACTHIB 48 PMC Valid 05/01/2010 ACTHIB 48 PMC Valid 08/01/2010 ACTHIB 48 PMC Valid 04/01/2011 ACTHIB 48 PMC Valid - Hib 04/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0313#4 at 5 years 01/01/2007 F Aged Out 03/01/2007 ACTHIB 48 PMC Valid 05/01/2007 ACTHIB 48 PMC Valid 08/01/2007 ACTHIB 48 PMC Valid 01/01/2012 ACTHIB 48 PMC Extraneous
Age: Too Old - Hib 01/01/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2: Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0314#4 at 7 years 01/01/2005 F Aged Out 03/01/2005 ACTHIB 48 PMC Valid 05/01/2005 ACTHIB 48 PMC Valid 09/01/2005 ACTHIB 48 PMC Valid 01/01/2012 ACTHIB 48 PMC Extraneous
Age: Too Old - Hib 01/01/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2: Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0315
Child<2 months, no shots, #1 forecasted at 2 months of age 01/01/2010 F Not Complete 1 02/12/2010 03/01/2010 04/28/2010 Hib 01/01/2010
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0317
# 2 at 10 wks-4 days, PRP-OMP series 01/01/2005 F Not Comple 02/08/2005 PEDVAXHIB 49 MSD Valid 03/08/2005 PEDVAXHIB 49 MSD Valid 3 01/01/2006 01/01/2006 05/28/2006 Hib 03/08/2005
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0318
# 2 at 10 wks-3 days, PRP-OMP series 01/01/2005 F Not Comple 02/08/2005 PEDVAXHIB 49 MSD Valid 03/09/2005 PEDVAXHIB 49 MSD Valid 3 01/01/2006 01/01/2006 05/28/2006 Hib 03/09/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0319# 2 at 12 months 01/01/2005 F Not Comple 03/01/2005 ACTHIB 48 PMC Valid 01/01/2006 ACTHIB 48 PMC Valid 3 02/26/2006 02/26/2006 05/28/2006 Hib 01/01/2006
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0320
#3 at 5m (#1, #2 at 2 and 4m) 01/01/2010 F Not Comple 03/01/2010 COMVAX 51 MSD Valid 05/01/2010 PEDVAXHIB 49 MSD Valid 06/01/2010 ACTHIB 48 PMC Valid 4 01/01/2011 01/01/2011 05/28/2011 Hib 06/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0321
#3 at 10 months and 9 days (#1,2 at 2 and 4 m) 01/01/2010 F Not Comple 03/01/2010 COMVAX 51 MSD Valid 04/01/2010 COMVAX 51 MSD Valid 11/10/2010 PEDVAXHIB 49 MSD Valid 4 01/05/2011 01/05/2011 05/28/2011 Hib 11/10/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0322#3 at 11 months 01/01/2010 F Not Comple 03/01/2010 COMVAX 51 MSD Valid 05/01/2010 PEDVAXHIB 49 MSD Valid 12/01/2010 ACTHIB 48 PMC Valid 4 01/26/2011 01/26/2011 05/28/2011 Hib 12/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0323
#3 at 12 months -5 days 01/01/2010 F Not Comple 03/01/2010 COMVAX 51 MSD Valid 05/01/2010 COMVAX 51 MSD Valid 12/27/2010 HIBTITER 47 WAL Valid 4 02/21/2011 02/21/2011 05/28/2011 Hib 12/27/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0324
#3 at 12 months - 3 days 01/01/2005 F Complete 03/01/2005 ACTHIB 48 PMC Valid 05/01/2005 ACTHIB 48 PMC Valid 12/29/2005 ACTHIB 48 PMC Valid - Hib 12/29/2005
All Valid: Forecast Test 01/01/2013 06/26/2013
Not recommended: series complete
This patient should have been marked complete for Hib. No Further Doses Needed. 1.1
2013-0325#3 at 15 months 01/01/2005 F Complete 03/01/2005 ACTHIB 48 PMC Valid 05/01/2005 ACTHIB 48 PMC Valid 04/01/2006 ACTHIB 48 PMC Valid - Hib 04/01/2006
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0326#3 at 59 months 01/01/2007 F Complete 03/01/2007 COMVAX 51 MSD Valid 05/01/2007 PEDVAXHIB 49 MSD Valid 12/31/2011 Hib Unspec 17 Valid - Hib 12/31/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0327
#1 at 7 months-5 days 01/01/2010 F Not Comple 07/27/2010 ACTHIB 48 PMC Valid 2 08/24/2010 08/24/2010 08/24/2010 Hib 07/27/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0328
#1 at 7 months- 3 days 01/01/2005 F Not Comple 07/29/2005 ACTHIB 48 PMC Valid 2 08/26/2005 08/26/2005 08/26/2005 Hib 07/29/2005
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0329
Dose 2 to 3, interval 8 weeks -3 days, #3 after 12 months of age 01/01/2005 F Complete 03/01/2005 ACTHIB 48 PMC Valid 11/09/2005 ACTHIB 48 PMC Valid 01/01/2006 ACTHIB 48 PMC Valid - Hib 01/01/2006
All Valid: Forecast Test 01/01/2013 06/26/2013
Not recommended: series complete
This patient should have been marked complete for Hib. No Further Doses Needed. 1.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0330
# 1 at 7 months -4 days 01/01/2005 F Not Comple 07/28/2005 ACTHIB 48 PMC Valid 2 08/25/2005 08/25/2005 08/25/2005 Hib 07/28/2005
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0331
# 1 at 12 months minus 5 days 01/01/2010 F Not Comple 12/27/2010 ACTHIB 48 PMC Valid 2 01/24/2011 01/24/2011 01/24/2011 Hib 12/27/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0332
# 1 at 12 months -4 days 01/01/2010 F Not Comple 12/28/2010 ACTHIB 48 PMC Valid 2 02/22/2011 02/22/2011 02/22/2011 Hib 12/28/2010
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0333
# 1 at 12 months -3 days 01/01/2010 F Not Comple 12/29/2010 ACTHIB 48 PMC Valid 2 02/23/2011 02/23/2011 02/23/2011 Hib 12/29/2010
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0334
#2 at 7 m and 23 days (#1 at 7 m) 01/01/2005 F Not Comple 08/01/2005 ACTHIB 48 PMC Valid 08/24/2005 ACTHIB 48 PMC Not Valid
Interval: Too Short 2 09/21/2005 09/21/2005 09/21/2005 Hib 08/24/2005
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0335
#2 at 7 m and 24 days (#1 at 7 m) 01/01/2005 F Not Comple 08/01/2005 ACTHIB 48 PMC Valid 08/25/2005 ACTHIB 48 PMC Valid 3 01/01/2006 01/01/2006 05/28/2006 Hib 08/25/2005
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0336
#2 at 11 m (#1 at 7 m) 01/01/2005 F Not Comple 08/01/2005 ACTHIB 48 PMC Valid 12/01/2005 ACTHIB 48 PMC Valid 3 01/26/2006 01/26/2006 05/28/2006 Hib 12/01/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0337
#2 at 12 m (#1 at 7 m) 01/01/2005 F Not Comple 08/01/2005 ACTHIB 48 PMC Valid 01/01/2006 ACTHIB 48 PMC Valid 3 02/26/2006 02/26/2006 05/28/2006 Hib 01/01/2006
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0338
#3 at 365 d -5 days (#1 at 7m, #2 at 8m) 01/01/2005 F Not Comple 08/01/2005 ACTHIB 48 PMC Valid 09/01/2005 ACTHIB 48 PMC Valid 12/27/2005 ACTHIB 48 PMC Not Valid
Age: Too Young 3 02/21/2006 02/21/2006 05/28/2006 Hib 12/27/2005
Age: Below Absolute Minimum 01/01/2013 08/29/2013
Recommended based on minimum interval from invalid dose
Dose 3 was too young by 1 day according to the cath-up schedule. Evaluation of dose 3 was changed from valid to not valid with a reason of Age: Too Young which aligns with original test case evaluation test type and forecast test type 1.2
2013-0339
#3 at 365 d -4 days (#1 at 7m, #2 at 8m) 01/01/2005 F Complete 08/01/2005 ACTHIB 48 PMC Valid 09/01/2005 ACTHIB 48 PMC Valid 12/28/2005 ACTHIB 48 PMC Valid - Hib 12/28/2005
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0340
#3 at 365 days - 3 days (#1 at 7m, #2 at 8m) 01/01/2005 F Complete 08/01/2005 ACTHIB 48 PMC Valid 09/01/2005 ACTHIB 48 PMC Valid 12/29/2005 ACTHIB 48 PMC Valid - Hib 12/29/2005
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0341
#3 at 59 months (#1 at 7m, #2 at 8m) 01/01/2005 F Complete 08/01/2005 ACTHIB 48 PMC Valid 09/01/2005 ACTHIB 48 PMC Valid 12/01/2009 ACTHIB 48 PMC Valid - Hib 12/01/2009
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0342
#3 at 5 years (#1 at 7m, #2 at 8m) 01/01/2005 F Aged Out 08/01/2005 ACTHIB 48 PMC Valid 09/01/2005 ACTHIB 48 PMC Valid 01/01/2010 ACTHIB 48 PMC Extraneous
Age: Too Old - Hib 01/01/2010
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2: Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0343
Dose 2 to 3, interval 8 weeks-5 days, #3 after 12 months of age 01/01/2010 F Not Comple 03/01/2010 COMVAX 51 MSD Valid 12/15/2010 PEDVAXHIB 49 MSD Valid 02/04/2011 PEDVAXHIB 49 MSD Not Valid
Interval: Too Short 3 04/01/2011 04/01/2011 05/28/2011 Hib 02/04/2011
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Dose 3 should be invalid due to an interval violation 1.1
2013-0344
Dose 2 to 3, interval 8 weeks -4 days, #3 after 12 months of age 01/01/2010 F Complete 03/01/2010 COMVAX 51 MSD Valid 12/15/2010 PEDVAXHIB 49 MSD Valid 02/05/2011 PEDVAXHIB 49 MSD Valid - Hib 02/05/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0345
Dose 2 to 3, interval 8 weeks -3 days, #3 after 12 months of age 01/01/2010 F Complete 03/01/2010 COMVAX 51 MSD Valid 12/15/2010 PEDVAXHIB 49 MSD Valid 02/06/2011 PEDVAXHIB 49 MSD Valid - Hib 02/06/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0346
#1 at 15 months -5 days 01/01/2010 F Not Comple 03/27/2011 ACTHIB 48 PMC Valid 2 05/22/2011 05/22/2011 05/22/2011 Hib 03/27/2011
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0347
#1 at 15 months -4 days 01/01/2010 F Complete 03/28/2011 ACTHIB 48 PMC Valid - Hib 03/28/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0348
Dose 1 to 2 at 8 weeks -5 days (#1 at 1 year) 01/01/2010 F Not Comple 01/01/2011 ACTHIB 48 PMC Valid 02/21/2011 PEDVAXHIB 49 MSD Not Valid
Interval: Too Short 2 04/18/2011 04/18/2011 04/18/2011 Hib 02/21/2011
Interval: Below Absolute Minimum 01/01/2013 08/08/2013
Recommended based on minimum interval from invalid dose
Condensed the past due date to align with the earliest and recommended date since this child is in catch-up 1.2
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0349
Dose 1 to 2 at 8 weeks -4 days (#1 at >=1 year) 01/01/2010 F Complete 01/01/2011 COMVAX 51 MSD Valid 02/22/2011 HIBTITER 47 WAL Valid - Hib 02/22/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0350
Dose 1 to 2 at 8 weeks - 3 days (#1 at >=1 year) 01/01/2010 F Complete 01/01/2011 ACTHIB 48 PMC Valid 02/23/2011 COMVAX 51 MSD Valid - Hib 02/23/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0351
# 3 (#1 at one year, #2 at 15 months) 01/01/2005 F Complete 01/01/2006 ACTHIB 48 PMC Valid 04/01/2006 ACTHIB 48 PMC Valid 05/27/2006 ACTHIB 48 PMC Extraneous
Series Already Complete - Hib 05/27/2006
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0352# 1 at 15 m - 3 days 01/01/2010 F Complete 03/29/2011 ACTHIB 48 PMC Valid - Hib 03/29/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0353
# 1 at 5 years - 1 day 01/01/2006 F Complete 12/31/2010 ACTHIB 48 PMC Valid - Hib 12/31/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0354
#2 at 2 years, #1 at 15 m 01/01/2005 F Complete 04/01/2006 ACTHIB 48 PMC Valid 01/01/2007 ACTHIB 48 PMC Extraneous
Series Already Complete - Hib 01/01/2007
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0355#2 at 5 months 01/01/2012 F Not Comple 03/01/2012 ACTHIB 48 PMC Valid 06/01/2012 ACTHIB 48 PMC Valid 3 06/29/2012 07/01/2012 08/28/2012 Hib 06/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0356
# 2 Pentacel at 6 yrs 11.5 mo. 01/01/2005 F Complete 09/22/2007 PENTACEL 120 PMC Valid 12/15/2011 PENTACEL 120 PMC Extraneous
Series Already Complete - Hib 12/15/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0357
# 3 Pentacel at 14 wks-5 days 06/01/2010 F Not Comple 07/09/2010 PENTACEL 120 PMC Valid 08/06/2010 PENTACEL 120 PMC Valid 09/02/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 3 09/30/2010 12/01/2010 01/28/2011 Hib 09/02/2010
Age: Below Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Past Due Date was incorrectly calculated as it was missing the 4 week buffer for overdue. 1.1
2013-0358
invalid age dose 1 as first of others 08/01/2011 F Not Comple 09/05/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 12/01/2011 PENTACEL 120 PMC Valid 02/01/2012 PENTACEL 120 PMC Valid 3 02/29/2012 02/29/2012 03/28/2012 Hib 02/01/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0359
dose 1 to 2 Pentacel, interval 28-4 days 11/01/2009 F Not Comple 01/03/2010 PENTACEL 120 PMC Valid 01/27/2010 PENTACEL 120 PMC Valid 3 02/24/2010 05/01/2010 06/28/2010 Hib 01/27/2010
Interval: At Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Past Due Date was incorrectly calculated as it was missing the 4 week buffer for overdue. 1.1
2013-0360
dose 2 to 3 Pentacel, interval 28-5 days 04/01/2008 F Not Comple 06/01/2008 PENTACEL 120 PMC Valid 08/01/2008 PENTACEL 120 PMC Valid 08/24/2008 PENTACEL 120 PMC Not Valid
Interval: Too Short 3 09/21/2008 10/01/2008 11/28/2008 Hib 08/24/2008
Interval: Below Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Past Due Date was incorrectly calculated as it was missing the 4 week buffer for overdue. 1.1
2013-0365
# 1 Pentacel at 6 wks 04/04/2008 F Not Comple 05/16/2008 PENTACEL 120 PMC Valid 2 06/13/2008 08/04/2008 10/01/2008 Hib 05/16/2008
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0366
# 1 Pentacel at 6 wks-4 days 04/04/2008 F Not Comple 05/12/2008 PENTACEL 120 PMC Valid 2 06/13/2008 08/04/2008 10/01/2008 Hib 05/12/2008
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0367
# 1 Pentacel at 6 wks-5 days. 05/06/2010 F Not Comple 06/12/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 1 06/17/2010 07/06/2010 09/02/2010 Hib 06/12/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0368
# 2 Pentacel at 10 wks-4 days 10/10/2010 F Not Comple 11/17/2010 PENTACEL 120 PMC Valid 12/15/2010 PENTACEL 120 PMC Valid 3 01/16/2011 04/10/2011 06/06/2011 Hib 12/15/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0369
# 2 Pentacel at 10 wks-5 days 10/10/2010 F Not Comple 11/17/2010 PENTACEL 120 PMC Valid 12/14/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 2 01/11/2011 02/10/2011 04/06/2011 Hib 12/14/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0370
# 3 Pentacel at 14 wks-4 days 06/01/2010 F Not Comple 07/09/2010 PENTACEL 120 PMC Valid 08/06/2010 PENTACEL 120 PMC Valid 09/03/2010 PENTACEL 120 PMC Valid 4 06/01/2011 06/01/2011 10/28/2011 Hib 09/03/2010
Age: At Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Past Due Date was incorrect based on recommendations. 1.1
2013-0371
# 4 Pentacel ≥ age 12 mo 04/04/2010 F Complete 06/04/2010 PENTACEL 120 PMC Valid 08/04/2010 PENTACEL 120 PMC Valid 10/04/2010 PENTACEL 120 PMC Valid 04/04/2011 PENTACEL 120 PMC Valid - Hib 04/04/2011
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0372
# 4 Pentacel at 1 yr -4 days 04/04/2010 F Complete 06/04/2010 PENTACEL 120 PMC Valid 08/04/2010 PENTACEL 120 PMC Valid 10/04/2010 PENTACEL 120 PMC Valid 03/31/2011 PENTACEL 120 PMC Valid - Hib 03/31/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0373
# 4 Pentacel at 1 yr -5 days. 04/04/2010 F Not Comple 06/04/2010 PENTACEL 120 PMC Valid 08/04/2010 PENTACEL 120 PMC Valid 09/15/2010 PENTACEL 120 PMC Valid 03/30/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 4 05/25/2011 05/25/2011 08/31/2011 Hib 03/30/2011
Age: Below Absolute Minimum 01/01/2013 06/26/2013
Recommended based on minimum interval from invalid dose
Past Due Date was incorrect based on recommendations. 1.1
2013-0374
# 4 Pentacel at 4 yrs 05/06/2006 F Complete 09/15/2006 PENTACEL 120 PMC Valid 04/28/2007 PENTACEL 120 PMC Valid 12/12/2009 PENTACEL 120 PMC Valid 05/10/2010 PENTACEL 120 PMC Extraneous
Series Already Complete - Hib 05/10/2010
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0375
# 4 Pentacel at 5 yrs=off label but counts. 02/08/2007 F Aged Out 06/08/2007 PENTACEL 120 PMC Valid 12/05/2007 PENTACEL 120 PMC Valid 02/03/2008 PENTACEL 120 PMC Valid 02/08/2012 PENTACEL 120 PMC Extraneous
Age: Too Old - Hib 02/08/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.1: Changed Dose 3 vaccination date from 2/7/08 to 2/3/08 to avoid completion of series on dose 3 to properly test off-label usage on 1.6
2013-0376
# 5 Pentacel at ≥ 4 yrs is off label but counts 02/08/2008 F Complete 01/08/2009 PENTACEL 120 PMC Valid 04/08/2009 PENTACEL 120 PMC Valid 07/08/2009 PENTACEL 120 PMC Valid 12/09/2009 PENTACEL 120 PMC Extraneous
Series Already Complete 03/01/2012 PENTACEL 120 PMC Extraneous
Series Already Complete - Hib 03/01/2012
Extra Doses 01/01/2013 01/01/2013
Not recommended: series complete
2013-0377
Anaphylaxis to previous dose of Pentacel 06/06/2010 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 08/02/2010 PENTACEL 120 PMC Valid - Hib 08/02/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0378
dose 1 to 2 Pentacel, interval 28-5 days 11/09/2009 F Not Comple 01/03/2010 PENTACEL 120 PMC Valid 01/26/2010 PENTACEL 120 PMC Not Valid
Interval: Too Short 2 02/23/2010 03/09/2010 05/06/2010 Hib 01/26/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0379
dose 2 to 3 Pentacel, interval 28-4 days 04/01/2008 F Not Comple 06/01/2008 PENTACEL 120 PMC Valid 08/01/2008 PENTACEL 120 PMC Valid 08/25/2008 PENTACEL 120 PMC Valid 4 04/01/2009 04/01/2009 08/28/2009 Hib 08/25/2008
Interval: At Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Past Due Date was incorrect based on recommendations. 1.1
2013-0380
invalid age dose 2 in midst of others 10/18/2010 F Complete 11/25/2010 PENTACEL 120 PMC Valid 12/22/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 03/10/2011 PENTACEL 120 PMC Valid 10/20/2011 PENTACEL 120 PMC Valid - Hib 10/20/2011
Age: Below Absolute Minimum 01/01/2013 06/26/2013
Not recommended: series complete
This patient should have been marked complete for Hib. No Further Doses Needed. 1.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0381
invalid age dose 3 in midst of others 06/01/2010 F Complete 07/09/2010 PENTACEL 120 PMC Valid 08/06/2010 PENTACEL 120 PMC Valid 09/02/2010 PENTACEL 120 PMC Not Valid
Age: Too Young 07/07/2011 PENTACEL 120 PMC Valid - Hib 07/07/2011
Age: Below Absolute Minimum 01/01/2013 06/26/2013
Not recommended: series complete
This patient should have been marked complete for Hib. No Further Doses Needed. 1.1
2013-0382
invalid dose 1-2 interval in midst of others 02/11/2009 F Not Comple 04/11/2009 PENTACEL 120 PMC Valid 05/04/2009 PENTACEL 120 PMC Not Valid
Interval: Too Short 08/01/2009 PENTACEL 120 PMC Valid 3 08/29/2009 08/29/2009 10/08/2009 Hib 08/01/2009
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0383 Newborn 02/01/2012 F Not Complete 1 03/14/2012 04/01/2012 05/28/2012 Hib 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0384
Pentacel at 7 yrs; # 1 at age < 12 mo for DTaP and Hib 1. 09/16/2003 F Aged Out 02/25/2004 PENTACEL 120 PMC Valid 09/16/2010 PENTACEL 120 PMC Extraneous
Age: Too Old - Hib 09/16/2010
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.2: Within the scope of the CDSi effort, Hib on or after 5 years is not recommended. The last administered dose was changed to Extraneou 1.6
2013-0392
#1 @ 9 yrs - 4 days, female, gardisil 05/01/2002 F Not Comple 04/27/2011 GARDASIL 62 MSD Valid 2 05/25/2011 06/22/2011 08/16/2011 HPV 04/27/2011
Age: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0394
#1 @ 9 yrs - 0 days, female, gardisil 05/01/2002 F Not Comple 05/01/2011 GARDASIL 62 MSD Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0395
#1 @ 11 yrs - 0 days, female, gardisil 05/01/2000 F Not Comple 05/01/2011 GARDASIL 62 MSD Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: At Recommended 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0396
#1 @ 9 yrs - 4 days, male, gardisil 05/01/2002 M Not Comple 04/27/2011 GARDASIL 62 MSD Valid 2 05/25/2011 06/22/2011 08/16/2011 HPV 04/27/2011
Age: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0398
#1 @ 9 yrs - 0 days, male, gardisil 05/01/2002 M Not Comple 05/01/2011 GARDASIL 62 MSD Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0399
#1 @ 11 yrs - 0 days, male, gardisil 05/01/2000 M Not Comple 05/01/2011 GARDASIL 62 MSD Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: At Recommended 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0400
#2 @ 9 yrs, 4 wks - 4 days, female, gardisil 05/01/2002 F Not Comple 04/27/2011 GARDASIL 62 MSD Valid 05/25/2011 GARDASIL 62 MSD valid 3 10/12/2011 10/12/2011 11/21/2011 HPV 05/25/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0401
#2 @ 9 yrs, 4 wks - 5 days, female gardisil 05/01/2002 F Not Comple 04/27/2011 GARDASIL 62 MSD Valid 05/24/2011 GARDASIL 62 MSD Valid 3 10/12/2011 10/12/2011 11/20/2011 HPV 05/24/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0402
#2 @ 9 yrs, 4 wks - 0 days, female gardisil 05/01/2002 F Not Comple 05/01/2011 GARDASIL 62 MSD Valid 05/29/2011 GARDASIL 62 MSD valid 3 10/16/2011 10/16/2011 11/25/2011 HPV 05/29/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0403
#2 @ 11 yrs + 2 mo, female, gardisil 05/01/2000 F Not Comple 05/01/2011 GARDASIL 62 MSD Valid 07/01/2011 GARDASIL 62 MSD valid 3 10/16/2011 10/16/2011 12/28/2011 HPV 07/01/2011
Interval: At Recommended 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0404
#2 @ 9 yrs, 4 wks - 4 days, male, gardisil 05/01/2002 M Not Comple 04/28/2011 GARDASIL 62 MSD Valid 05/25/2011 GARDASIL 62 MSD valid 3 10/13/2011 10/13/2011 11/21/2011 HPV 05/25/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0405
#2 @ 9 yrs, 4 wks - 5 days, male gardisil 05/01/2002 M Not Comple 04/27/2011 GARDASIL 62 MSD Valid 05/24/2011 GARDASIL 62 MSD Valid 3 10/12/2011 10/12/2011 11/20/2011 HPV 05/24/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0406
#2 @ 9 yrs, 4 wks - 0 days, male gardisil 05/01/2002 M Not Comple 05/01/2011 GARDASIL 62 MSD Valid 05/29/2011 GARDASIL 62 MSD valid 3 10/16/2011 10/16/2011 11/25/2011 HPV 05/29/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0407
#2 @ 11 yrs + 2 mo, male, gardisil 05/01/2000 M Not Comple 05/01/2011 GARDASIL 62 MSD Valid 07/01/2011 GARDASIL 62 MSD valid 3 10/16/2011 10/16/2011 12/28/2011 HPV 07/01/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0409
#3 @ 9 yrs, 16 weeks - 1 days, female, gardisil 05/01/2002 F Complete 04/30/2011 GARDASIL 62 MSD Valid 05/28/2011 GARDASIL 62 MSD Valid 08/20/2011 GARDASIL 62 MSD Valid - HPV 08/20/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Not recommended: series complete
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0410
#3 @ 9 yrs, 24 weeks, 0 days, female, gardisil 05/01/2002 F Complete 05/01/2011 GARDASIL 62 MSD Valid 05/29/2011 GARDASIL 62 MSD Valid 10/16/2011 GARDASIL 62 MSD Valid - HPV 10/16/2011
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0411
#3 @ 11 yrs + 6 mo, female, gardisil 05/01/2000 F Complete 05/01/2011 GARDASIL 62 MSD Valid 07/01/2011 GARDASIL 62 MSD Valid 11/01/2011 GARDASIL 62 MSD Valid - HPV 11/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0413
#3 @ 9 yrs, 16 weeks - 1 days, male, gardisil 05/01/2002 M Complete 04/30/2011 GARDASIL 62 MSD Valid 05/28/2011 GARDASIL 62 MSD Valid 08/20/2011 GARDASIL 62 MSD Valid - HPV 08/20/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Not recommended: series complete
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0414
#3 @ 9 yrs, 24 weeks, 0 days, male, gardisil 05/01/2002 M Complete 05/01/2011 GARDASIL 62 MSD Valid 05/29/2011 GARDASIL 62 MSD Valid 10/16/2011 GARDASIL 62 MSD Valid - HPV 10/16/2011
Age: At Minimum 01/01/2013 06/26/2013
Not recommended: series complete
Dose 1 must be Gardisil for it to be valid and match test case purpose. 1.1
2013-0415
#3 @ 11 yrs + 6 mo, male, gardisil 05/01/2000 M Complete 05/01/2011 GARDASIL 62 MSD Valid 07/01/2011 GARDASIL 62 MSD Valid 11/01/2011 GARDASIL 62 MSD Valid - HPV 11/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0416
Any dose ≥ 27 yrs, female, gardisil 05/01/1985 F Aged Out 05/02/2012 GARDASIL 62 MSD Extraneous
Age: Too Old - HPV 05/02/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.1: Changed test case name to better reflect the test case and align with other test case names. 1.6
2013-0417
Any dose ≥ 27 yrs, male, gardisil 05/01/1985 M Aged Out 05/02/2012 GARDASIL 62 MSD Extraneous
Age: Too Old - HPV 05/02/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.1: Changed test case name to better reflect the test case and align with other test case names. 1.6
2013-0418
#1 @ 9 yrs - 4 days, female, Cervarix 05/01/2002 F Not Comple 04/27/2011 CERVARIX 118 SKB Valid 2 05/25/2011 06/22/2011 08/16/2011 HPV 04/27/2011
Age: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0421
#1 @ 9 yrs - 0 days, female, Cervarix 05/01/2002 F Not Comple 05/01/2011 CERVARIX 118 SKB Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0422
#1 @ 11 yrs - 0 days, female, Cervarix 05/01/2000 F Not Comple 05/01/2011 CERVARIX 118 SKB Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: At Recommended 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0423
#1 @ 9 yrs - 4 days, male, Cervarix 05/01/2002 M Not Comple 04/28/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2011 05/01/2013 05/28/2015 HPV 04/28/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0424
#1 @ 9 yrs - 5 days, male, Cervarix 05/01/2002 M Not Comple 04/27/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2011 05/01/2013 05/28/2015 HPV 04/27/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0425
#1 @ 9 yrs - 0 days, male, Cervarix 05/01/2002 M Not Comple 05/01/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2011 05/01/2013 05/28/2015 HPV 05/01/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0426
#1 @ 11 yrs - 0 days, male, Cervarix 05/01/2000 M Not Comple 05/01/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2009 05/01/2011 05/28/2013 HPV 05/01/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0427
#2 @ 9 yrs, 4 wks - 4 days, female, Cervarix 05/01/2002 F Not Comple 04/28/2011 CERVARIX 118 SKB Valid 05/25/2011 CERVARIX 118 SKB Valid 3 10/13/2011 10/13/2011 11/21/2011 HPV 05/25/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0428
#2 @ 9 yrs, 4 wks - 0 days, female Cervarix 05/01/2002 F Not Comple 05/01/2011 CERVARIX 118 SKB Valid 05/29/2011 CERVARIX 118 SKB Valid 3 10/16/2011 10/16/2011 11/25/2011 HPV 05/29/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0429
#2 @ 11 yrs + 2 mo, female, Cervarix 05/01/2000 F Not Comple 05/01/2011 CERVARIX 118 SKB Valid 07/01/2011 CERVARIX 118 SKB Valid 3 10/16/2011 10/16/2011 12/28/2011 HPV 07/01/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0430
#2 @ 9 yrs, 4 wks - 4 days, male, Cervarix 05/01/2002 M Not Comple 04/28/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 05/22/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2011 05/01/2013 05/28/2015 HPV 05/22/2011
Gender: Invalid Administration 01/01/2013 06/26/2013
Recommended based on age
Past Due Date was wrong by 2 years. 1.1
2013-0433
#3 @ 9 yrs, 24 weeks, 0 days, female, Cervarix 05/01/2002 F Complete 05/01/2011 CERVARIX 118 SKB Valid 05/29/2011 CERVARIX 118 SKB Valid 10/16/2011 CERVARIX 118 SKB Valid - HPV 10/16/2011
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0434
#3 @ 11 yrs + 6 mo, female, Cervarix 05/01/2000 F Complete 05/01/2011 CERVARIX 118 SKB Valid 07/01/2011 CERVARIX 118 SKB Valid 11/01/2011 CERVARIX 118 SKB valid - HPV 11/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0437
#3 @ 9 yrs, 24 weeks, 0 days, male, Cervarix 05/01/2002 M Not Comple 05/01/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 05/29/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 10/19/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2011 05/01/2013 05/28/2015 HPV 10/19/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0438
#3 @ 11 yrs + 6 mo, male, Cervarix 05/01/2000 M Not Comple 05/01/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 07/01/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 11/01/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 05/01/2009 05/01/2011 05/28/2013 HPV 11/01/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0439
Any dose ≥ 27 yrs, female, Cervarix 05/01/1985 F Aged Out 05/02/2012 CERVARIX 118 SKB Extraneous
Age: Too Old - HPV 05/02/2012
Age: Too Old 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.1: Changed test case name to better reflect the test case and align with other test case names. 1.6
2013-0440
#2 with interval of 4 weeks from #1 05/01/2000 F Not Comple 05/01/2011 HPV Unspe 137 Valid 05/29/2011 HPV Unspe 137 Valid 3 10/16/2011 10/16/2011 11/25/2011 HPV 05/29/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0441
#2 with interval of 4 weeks - 4 days from #1 05/01/2000 F Not Comple 05/01/2011 HPV Unspe 137 Valid 05/25/2011 HPV Unspe 137 Valid 3 10/16/2011 10/16/2011 11/21/2011 HPV 05/25/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0442
#2 with interval of 4 weeks - 5 days from #1 05/01/2000 F Not Comple 05/01/2011 HPV Unspe 137 Valid 05/24/2011 HPV Unspe 137 Not Valid
Interval: Too Short 2 06/21/2011 07/19/2011 09/12/2011 HPV 05/24/2011
Interval: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0443
#2 with interval of 2 mo from #1 05/01/2000 F Not Comple 05/01/2011 HPV Unspe 137 Valid 07/01/2011 HPV Unspe 137 Valid 3 10/16/2011 10/16/2011 12/28/2011 HPV 07/01/2011
Interval: At Recommended 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0444
#3 with interval of 12 weeks from #2 05/01/2002 F Complete 05/01/2011 HPV Unspe 137 Valid 05/29/2011 HPV Unspe 137 Valid 08/21/2011 HPV Unspe 137 Valid - HPV 08/21/2011
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0445
#3 with interval of 12 weeks - 4 days from #2 05/01/2000 F Complete 05/01/2011 HPV Unspe 137 Valid 06/06/2011 HPV Unspe 137 Valid 08/25/2011 HPV Unspe 137 Valid - HPV 08/25/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0446
#3 with interval of 12 weeks - 5 days from #2 05/01/2000 F Not Comple 05/01/2011 HPV Unspe 137 Valid 06/06/2011 HPV Unspe 137 Valid 08/24/2011 HPV Unspe 137 Not Valid
Interval: Too Short 3 11/16/2011 11/16/2011 02/20/2012 HPV 08/24/2011
Interval: At Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on minimum interval from invalid dose
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0447
#3 with interval of 4 mo from #2 05/01/2000 F Complete 05/01/2011 HPV Unspe 137 Valid 07/01/2011 HPV Unspe 137 Valid 11/01/2011 HPV Unspe 137 Valid - HPV 11/01/2011
Interval: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0448
#3 with interval of 24 weeks from #1 05/01/2000 F Complete 05/01/2010 HPV Unspe 137 Valid 05/29/2010 HPV Unspe 137 Valid 10/16/2010 HPV Unspe 137 Valid - HPV 10/16/2010
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0450
#3 with interval of 16 weeks from #1 05/01/2000 F Complete 05/01/2010 HPV Unspe 137 Valid 05/29/2010 HPV Unspe 137 Valid 08/21/2010 HPV Unspe 137 Valid - HPV 08/21/2010
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0451
#1 @ 8 yrs - 5 days, #2 @ 9 yrs - 5 days 05/01/2002 F Not Comple 04/26/2010 HPV Unspe 137 Not Valid
Age: Too Young 04/26/2011 HPV Unspe 137 Not Valid
Age: Too Young 1 05/01/2011 05/01/2013 05/28/2015 HPV 04/26/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0452
#1 @ 9 yrs - 5 days, #2 @ 9 yrs - 4 days 05/01/2002 F Not Comple 04/26/2011 HPV Unspe 137 Not Valid
Age: Too Young 04/27/2011 HPV Unspe 137 Valid 2 05/25/2011 06/22/2011 08/16/2011 HPV 04/27/2011
Age: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0453
#1 @ 9 yrs, #2 @ 9 yrs + 2 weeks 05/01/2002 F Not Comple 05/01/2011 HPV Unspe 137 Valid 05/15/2011 HPV Unspe 137 Not Valid
Interval: Too Short 2 06/12/2011 07/10/2011 09/03/2011 HPV 05/15/2011
Interval: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0454
#1 @ 9 yrs, #2 @ 12 yrs, 2 mo, 3 days 05/01/1998 F Not Comple 05/01/2007 HPV Unspe 137 Valid 07/04/2010 HPV Unspe 137 Valid 3 09/26/2010 09/26/2010 12/31/2010 HPV 07/04/2010
All Valid: Forecast Test 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0455
#1 @ 9 yrs, #2 @ 11 yr, 6 mo 05/01/1998 F Not Comple 05/01/2007 HPV Unspe 137 Valid 11/01/2009 HPV Unspe 137 Valid 3 01/24/2010 01/24/2010 04/28/2010 HPV 11/01/2009
All Valid: Forecast Test 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0456
#1 @ 8 yrs - 5 days, #2 @ 9 yrs - 6 days, #3 @ 9 yrs - 5 days 05/01/2002 F Not Comple 04/26/2010 HPV Unspe 137 Not Valid
Age: Too Young 04/25/2011 HPV Unspe 137 Not Valid
Age: Too Young 04/26/2011 HPV Unspe 137 Not Valid
Age: Too Young 1 05/01/2011 05/01/2013 05/28/2015 HPV 04/26/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0457
#1 @ 8 yrs - 5 days, #2 @ 9 yrs - 6 days, #3 @ 9 yrs - 0 days 05/01/2002 F Not Comple 04/26/2010 HPV Unspe 137 Not Valid
Age: Too Young 04/25/2011 HPV Unspe 137 Not Valid
Age: Too Young 05/01/2011 HPV Unspe 137 Valid 2 05/29/2011 06/26/2011 08/20/2011 HPV 05/01/2011
Age: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0458
#1 @ 9 yrs - 5 days, #2 @ 9 yrs + 4 weeks, #3 @ 9 yrs, 8 weeks 05/01/2002 F Not Comple 04/26/2011 HPV Unspe 137 Not Valid
Age: Too Young 05/29/2011 HPV Unspe 137 Valid 06/26/2011 HPV Unspe 137 Valid 3 11/13/2011 11/13/2011 12/23/2011 HPV 06/26/2011
Age: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0459
#1 @ 9 yrs - 5 days, #2 @ 9 yrs + 4 weeks, #3 @ 9 yrs, 8 weeks, #4 @ 9 yrs, 24 weeks 05/01/2002 F Complete 04/26/2011 HPV Unspe 137 Not Valid
Age: Too Young 05/29/2011 HPV Unspe 137 Valid 06/26/2011 HPV Unspe 137 Valid 10/19/2011 HPV Unspe 137 Valid - HPV 10/19/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0460
Adolescent male, no HPV yet given. 04/04/1999 M Not Complete 1 04/04/2008 04/04/2010 05/01/2012 HPV 03/01/2008
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0461
# 2 at age 9 years 4 weeks-5 days 12/01/2001 F Not Comple 11/30/2010 HPV Unspe 137 Valid 12/24/2010 HPV Unspe 137 Valid 3 05/17/2011 05/17/2011 06/20/2011 HPV 12/24/2010
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0462
# 2 at age 9 years 4 weeks-4 days 12/01/2001 F Not Comple 11/30/2010 HPV Unspe 137 Valid 12/25/2010 HPV Unspe 137 Valid 3 05/17/2011 05/17/2011 06/21/2011 HPV 12/25/2010
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0463
# 2 at age 9 years 4 weeks 12/01/2001 F Not Comple 12/01/2010 HPV Unspe 137 Valid 12/25/2010 HPV Unspe 137 Valid 3 05/18/2011 05/18/2011 06/21/2011 HPV 12/25/2010
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0465
# 3 at age 9 years 16 weeks-1 days. 12/01/2001 F Complete 11/30/2010 HPV Unspe 137 Valid 12/28/2010 HPV Unspe 137 Valid 03/22/2011 HPV Unspe 137 Valid - HPV 03/22/2011
Interval: At Absolute Minimum 01/01/2013 09/17/2015
Not recommended: series complete
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0466
# 3 at age 9 years 16 weeks 12/01/2002 F Complete 12/01/2011 HPV Unspe 137 Valid 12/29/2011 HPV Unspe 137 Valid 03/22/2012 HPV Unspe 137 Valid - HPV 03/22/2012
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0467
# 2 at age 26 yrs 11 months 15 days; forecast # 3; female 04/04/1985 F Not Comple 04/04/2010 HPV Unspe 137 Valid 03/19/2012 HPV Unspe 137 Valid 3 06/11/2012 06/11/2012 09/15/2012 HPV 03/19/2012
All Valid: Forecast Test 01/01/2013 09/17/2015
Recommended based on minimum interval from previous dose (catch-up)
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0468
Dose 1 to dose 2 interval 28-5 days 04/04/1999 F Not Comple 07/01/2011 HPV Unspe 137 Valid 07/24/2011 HPV Unspe 137 Not Valid
Interval: Too Short 2 08/21/2011 09/18/2011 11/12/2011 HPV 07/24/2011
Interval: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on minimum interval from previous dose (catch-up)
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0469
Dose 1 to dose 2 interval 28 days 04/04/1999 F Not Comple 07/01/2011 HPV Unspe 137 Valid 07/29/2011 HPV Unspe 137 Valid 3 12/16/2011 12/16/2011 01/25/2012 HPV 07/29/2011
Interval: At Minimum 01/01/2013 09/17/2015
Recommended based on minimum interval from previous dose (catch-up)
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0470
Adolescent female, no HPV yet given. 12/25/1999 F Not Complete 1 12/25/2008 12/25/2010 01/21/2013 HPV 06/01/2008
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0471
Dose 2 to dose 3 interval 12 weeks-5 days 09/16/2000 F Not Comple 09/20/2010 HPV Unspe 137 Valid 11/20/2010 HPV Unspe 137 Valid 02/07/2011 HPV Unspe 137 Not Valid
Interval: Too Short 3 05/02/2011 05/02/2011 08/03/2011 HPV 02/07/2011
Interval: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0472
Dose 2 to dose 3 interval 12 weeks-4 days 09/16/2000 F Complete 09/20/2010 HPV Unspe 137 Valid 11/20/2010 HPV Unspe 137 Valid 02/08/2011 HPV Unspe 137 Valid - HPV 02/08/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0473
Dose 2 to dose 3 interval 12 weeks 09/16/2000 F Complete 09/20/2010 HPV Unspe 137 Valid 11/20/2010 HPV Unspe 137 Valid 02/12/2011 HPV Unspe 137 Valid - HPV 02/12/2011
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0474
Dose 1 to dose 3 interval 16 weeks -1 days 03/21/1996 F Not Comple 04/18/2008 HPV Unspe 137 Valid 05/16/2008 HPV Unspe 137 Valid 08/07/2008 HPV Unspe 137 Not Valid
Interval: Too Short 3 10/30/2008 10/30/2008 02/03/2009 HPV 08/07/2008
Interval: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on minimum interval from invalid dose
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0475
Dose 1 to dose 3 interval 16 weeks=valid 03/21/1996 F Complete 04/18/2008 HPV Unspe 137 Valid 05/16/2008 HPV Unspe 137 Valid 08/08/2008 HPV Unspe 137 Valid - HPV 08/08/2008
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0476
# 2 to # 3 interval 12 wks-4 days 01/01/1997 F Complete 07/01/2010 HPV Unspe 137 Valid 09/23/2010 HPV Unspe 137 Valid 12/12/2010 HPV Unspe 137 Valid - HPV 12/12/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0477
Invalid dose 1 of three doses given 07/21/2001 F Not Comple 07/01/2010 HPV Unspe 137 Not Valid
Age: Too Young 10/21/2010 HPV Unspe 137 Valid 05/05/2011 HPV Unspe 137 Valid 3 07/28/2011 07/28/2011 11/01/2011 HPV 05/05/2011
Age: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0478
Invalid dose 2 in midst of others 12/25/1998 F Not Comple 02/25/2010 HPV Unspe 137 Valid 03/18/2010 HPV Unspe 137 Not Valid
Interval: Too Short 08/25/2010 HPV Unspe 137 Valid 3 11/17/2010 11/17/2010 02/21/2011 HPV 08/25/2010
Interval: Below Absolute Minimum 01/01/2013 09/17/2015
Recommended based on minimum interval from previous dose (catch-up)
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0479
Anaphylaxis to previous dose 05/19/2000 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 06/19/2011 HPV Unspe 137 Valid - HPV 06/19/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0480
Adult female age 27 years, No Doses 03/30/1985 F Aged Out - HPV 03/30/2012
No Doses Administered 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses. 1.6
2013-0481
Male age 27. HPV not recommended. 04/01/1985 M Aged Out - HPV 04/01/2012
No Doses Administered 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses.
v1.1: Gender should be M rather than F based on test case name; Also changed birth date to make patient 27 years old based on MMWR language 1.6
2013-0482
Female, age 14. HPV recommended 04/01/1998 F Not Complete 1 04/01/2007 04/01/2009 04/28/2011 HPV 04/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0483
HPV bivalent to male adolescent. Not valid. Forecast quadrivalent 06/18/2000 M Not Comple 06/20/2011 CERVARIX 118 SKB Not Valid
Gender: Invalid Administration 1 06/18/2009 06/18/2011 07/15/2013 HPV 06/20/2011
Gender: Invalid Administration 01/01/2013 01/01/2013
Recommended based on age
2013-0484
# 1 at age 9 years-5 days 12/08/2001 F Not Comple 12/03/2010 HPV Unspe 137 Not Valid
Age: Too Young 1 12/08/2010 12/08/2012 01/04/2015 HPV 12/03/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0485
# 1 at age 9 years-4 days 12/08/2001 F Not Comple 12/04/2010 HPV Unspe 137 Valid 2 01/01/2011 01/29/2011 03/25/2011 HPV 12/04/2010
Age: At Absolute Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0486# 1 at age 9 years 12/08/2001 F Not Comple 12/08/2010 HPV Unspe 137 Valid 2 01/05/2011 02/02/2011 03/29/2011 HPV 12/08/2010
Age: At Minimum 01/01/2013 09/17/2015
Recommended based on interval
Removal of Age requirements to allow for a more aligned dosing schedule based on intervals rather than age. 2.1
2013-0487
#1 @ 11 yrs, 0 days, MCV4 05/01/2000 F Not Comple 05/01/2011 MENACTRA 114 PMC Valid 2 05/01/2016 05/01/2016 05/28/2017 MCV 05/01/2011
Age: At Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid. 1.6
2013-0488
#2 @ 16 yr - 4 days, MCV4 05/01/1995 F Complete 05/01/2006 MENACTRA 114 PMC Valid 04/27/2011 MENACTRA 114 PMC valid - MCV 04/27/2011
Age: At Absolute Minimum 01/01/2013 11/07/2014
Not recommended: series complete
v1.6: Updated Test case to reflect new absolute minimum age on dose 2 based on EIPB clarification 1.6
2013-0489
#2 @ 10 16 yr - 5 days, MCV4 05/01/1995 F Not Comple 05/01/2006 MENACTRA 114 PMC Valid 04/26/2011 MENACTRA 114 PMC Not Valid
Age: Too Young 2 06/21/2011 06/21/2011 05/28/2012 MCV 04/26/2011
Age: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: Updated Test case to reflect new absolute minimum age on dose 2 based on EIPB clarification 1.6
2013-0491
#2 @ 16 years, MCV4 05/01/1990 F Complete 05/01/2001 MENACTRA 114 PMC Valid 05/01/2006 MENACTRA 114 PMC Valid - MCV 05/01/2006
Age: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0495
#2 with interval of 5 years of #1 05/01/1990 F Complete 05/01/2003 MENACTRA 114 PMC Valid 05/01/2008 MENACTRA 114 PMC Valid - MCV 05/01/2008
Interval: At Recommended 01/01/2013 07/29/2013
Not recommended: series complete
Test case was set to have the first dose at age 16 and second dose at 21 years. Test case was adjusted to be at 13 years and 18 years to avoid the 16 year age skip dose which is tested in another test 1.2
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0497
#1 @ 10 yrs - 1 day, #2 @ 10 yrs + 8 weeks - 5 days 05/01/2000 F Not Comple 04/30/2010 MENACTRA 114 PMC Not Valid
Age: Too Young 06/21/2010 MENACTRA 114 PMC Valid 2 05/01/2016 05/01/2016 05/28/2017 MCV 06/21/2010
Age: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid.v1.2: Same test case as previous version rolled younger to allow for the 10 1.6
2013-0498
#1 @ 10 yrs - 1 day, #2 @ 10 yrs + 8 weeks 05/01/2000 F Not Comple 04/30/2010 MENACTRA 114 PMC Not Valid
Age: Too Young 06/26/2010 MENACTRA 114 PMC Valid 2 05/01/2016 05/01/2016 05/28/2017 MCV 06/26/2010
Age: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on minimum interval from invalid dose
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid.v1.2: Same test case as previous version rolled younger to allow for the 10 1.6
2013-0499#1 @ 10 yrs, MCV4 05/01/2000 F Not Comple 05/01/2010 MENACTRA 114 PMC Valid 2 05/01/2016 05/01/2016 05/28/2017 MCV 05/01/2010
Age: At Absolute Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid.v1.2: Same test case as previous version rolled younger to allow for the 10 1.6
2013-0500
#1 @ 10 yrs - 1 day, MCV4 05/01/2000 F Not Comple 04/30/2010 MENACTRA 114 PMC Not Valid
Age: Too Young 1 05/01/2011 05/01/2011 05/28/2013 MCV 04/30/2010
Age: Below Absolute Minimum 01/01/2013 07/29/2013
Recommended based on age
Same test case as previous version rolled younger to allow for the 10 year clarification by NIPInfo 1.2
2013-0501
#1 @ 10 yrs - 1 day, #2 @ 10 yrs, 8 weeks - 4 days 05/01/2000 F Not Comple 04/30/2010 MENACTRA 114 PMC Not Valid
Age: Too Young 06/22/2010 MENACTRA 114 PMC Valid 2 05/01/2016 05/01/2016 05/28/2017 MCV 06/22/2010
Age: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid.v1.2: Same test case as previous version rolled younger to allow for the 10 1.6
2013-0502 Newborn 02/01/2012 F Not Complete 1 02/01/2023 02/01/2023 02/28/2025 MCV 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0503
Dose 1 to dose 2 interval 8 wks-5 days 01/06/1995 F Not Comple 03/27/2006 Meningoco 147 Valid 05/17/2006 Meningoco 147 Not Valid
Interval: Too Short 2 01/06/2011 01/06/2011 02/02/2012 MCV 05/17/2006
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid. 1.6
2013-0504
Dose 1 to dose 2 interval 8 wks-4 days 04/01/1995 F Complete 03/18/2011 Meningoco 147 Valid 05/09/2011 Meningoco 147 Valid - MCV 05/09/2011
Interval: At Absolute Minimum 01/01/2013 11/07/2014
Not recommended: series complete
v1.6: updated to reflect interval without also testing age attributes. Simply made the patient older 1.6
2013-0505
Dose 1 to dose 2 interval 8 weeks 06/01/1995 F Complete 05/20/2011 Meningoco 147 Valid 07/15/2011 Meningoco 147 Valid - MCV 07/15/2011
Interval: At Minimum 01/01/2013 11/07/2014
Not recommended: series complete
v1.6: updated to reflect interval without also testing age attributes. Simply made the patient older 1.6
2013-0506
Anaphylaxis to previous dose of MCV 02/26/2000 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 03/15/2011 Meningoco 147 Valid - MCV 03/15/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0507# 1 at age 11 years 09/06/1996 F Not Comple 09/06/2007 Meningoco 147 Valid 2 09/06/2012 09/06/2012 10/03/2013 MCV 09/06/2007
Age: At Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid. 1.6
2013-0508
age 22. No doses; No forecast 01/07/1990 F Aged Out - MCV 01/07/2012
No Doses Administered 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses. 1.6
2013-0509# 1 at age 15 years 04/21/1995 F Not Comple 04/29/2010 Meningoco 147 Valid 2 04/21/2011 04/21/2011 05/18/2012 MCV 04/29/2010
All Valid: Forecast Test 01/01/2013 11/07/2014
Recommended based on age
v1.6: An EIPB clarification has resulted in a change to when dose 2 of MCV should be forecasted and validated. The second dose must come on or after 16 years (- 4 days) of age to be considered valid. 1.6
2013-0510
# 1 at age 16 years -5 days 08/22/1994 F Not Comple 08/17/2010 Meningoco 147 Valid 2 10/12/2010 10/12/2010 09/18/2011 MCV 08/17/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0511
# 1 at age 16 years -4 days 08/22/1994 F Complete 08/18/2010 Meningoco 147 Valid - MCV 08/18/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0512# 1 at age 16 years 08/22/1994 F Complete 08/22/2010 Meningoco 147 Valid - MCV 08/22/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0523#1 at 15 months 03/14/2000 F Not Comple 06/14/2001 M-M-R II 03 MSD Valid 2 07/12/2001 03/14/2004 04/10/2007 MMR 06/14/2001
All Valid: Forecast Test 01/01/2013 07/08/2013
Recommended based on age
Renamed to better reflect test case. 1.1
2013-0524#2 at 4 years 03/14/2000 F Complete 06/14/2001 M-M-R II 03 MSD Valid 03/14/2004 M-M-R II 03 MSD Valid - MMR 03/14/2004
Age: At Recommended 01/01/2013 07/08/2013
Not recommended: series complete
Renamed to better reflect test case. 1.1
2013-0525#1 at 7 years 03/14/2000 F Not Comple 03/14/2007 M-M-R II 03 MSD Valid 2 04/11/2007 04/11/2007 04/11/2007 MMR 03/14/2007
All Valid: Forecast Test 01/01/2013 07/08/2013
Recommended based on minimum interval from previous dose (catch-up)
Renamed to better reflect test case. 1.1
2013-0528
5 single antigen doses: 1 Measles; 2 Mumps; 2 Rubella 03/05/1999 F Not Comple 03/05/2000 MUMPSVAX07 MSD Valid 04/02/2000 MERUVAX 06 MSD Valid 04/30/2000 ATTENUVA 05 MSD Valid 04/02/2004 MERUVAX 06 MSD Valid 05/02/2004 MUMPSVAX07 MSD Valid 2 05/30/2004 05/30/2004 04/01/2006 MMR 05/02/2004
Single Antigen Administration 01/01/2013 07/08/2013
Recommended based on minimum interval from live virus vaccine
Renamed to better reflect test case. 1.1
2013-0530
4 single antigen doses: 1 Measles; 2 Mumps; 1 Rubella 03/05/1999 F Not Comple 03/05/2000 MUMPSVAX07 MSD Valid 04/02/2000 MERUVAX 06 MSD Valid 04/30/2000 ATTENUVA 05 MSD Valid 03/05/2004 MUMPSVAX07 MSD Valid 2 04/02/2004 04/02/2004 04/01/2006 MMR 03/05/2004
Single Antigen Administration 01/01/2013 07/08/2013
Recommended based on minimum interval from live virus vaccine
Renamed to better reflect test case. 1.1
2013-0531
1 single antigen dose at 12M: 1 Measles 03/05/2000 F Not Comple 03/05/2001 ATTENUVA 05 MSD Valid 1 04/05/2001 04/05/2001 08/01/2001 MMR 03/05/2001
Single Antigen Administration 01/01/2013 12/04/2013
Recommended based on minimum interval from previous dose (catch-up)
Renamed to better reflect test case. V1.4: Updated Earliest and Recommended date to adjust dates out 3 days. Previous recommendation was 4 weeks from single dose administration, but this would result in the dose being forecasted too early for the second Measles at 13 1.4
2013-0534
2 single antigen doses: 1 Measles; 1 Mumps 03/05/2000 F Not Comple 03/05/2001 ATTENUVA 05 MSD Valid 04/13/2001 MUMPSVAX07 MSD Valid 1 05/11/2001 05/11/2001 08/01/2001 MMR 04/13/2001
Single Antigen Administration 01/01/2013 07/08/2013
Recommended based on minimum interval from live virus vaccine
Renamed to better reflect test case. 1.1
2013-0535
7 single antigen doses: 2 Measles; 3 Mumps; 2 Rubella 03/05/1999 F Complete 03/05/2000 MUMPSVAX07 MSD Valid 04/02/2000 MERUVAX 06 MSD Valid 04/30/2000 ATTENUVA 05 MSD Valid 03/05/2004 MUMPSVAX07 MSD Valid 04/02/2004 MERUVAX 06 MSD Valid ####### MUMPSVAX07 MSD Extraneous
Series Already Complete ####### ATTENUVA 05 MSD Valid - MMR 06/04/2004
Single Antigen Administration 01/01/2013 07/08/2013
Not recommended: series complete
Renamed to better reflect test case. 1.1
2013-0536
3 single antigen doses: 1 Measles; 1 Mumps; 1 Rubella 03/05/2000 F Not Comple 03/05/2001 MUMPSVAX07 MSD Valid 04/05/2001 MERUVAX 06 MSD Valid 06/28/2001 ATTENUVA 05 MSD Valid 2 07/26/2001 03/05/2004 04/01/2007 MMR 06/28/2001
Single Antigen Administration 01/01/2013 07/08/2013
Recommended based on age
Renamed to better reflect test case. 1.1
2013-0537
3 single antigen doses on same day: 1 Measles; 1 Mumps; 1 Rubella 03/05/1999 F Not Comple 03/05/2000 MUMPSVAX07 MSD Valid 03/05/2000 MERUVAX 06 MSD Valid 03/05/2000 ATTENUVA 05 MSD Valid 2 04/05/2000 03/05/2003 04/01/2006 MMR 03/05/2000
Single Antigen Administration 01/01/2013 12/06/2013
Recommended based on age
V1.1: Renamed to better reflect test case. V1.4: Updated Earliest date to reflect the earliest date of 13 months and not 12 months + 4 weeks to align with ACIP. 1.4
2013-0538
6 single antigen doses: 2 Measles; 2 Mumps; 2 Rubella 03/05/1999 F Complete 03/05/2000 MUMPSVAX07 MSD Valid 04/02/2000 MERUVAX 06 MSD Valid 04/30/2000 ATTENUVA 05 MSD Valid 03/05/2004 MUMPSVAX07 MSD Valid 04/02/2004 MERUVAX 06 MSD Valid ####### ATTENUVA 05 MSD Valid - MMR 04/30/2004
Single Antigen Administration 01/01/2013 07/08/2013
Not recommended: series complete
Renamed to better reflect test case. 1.1
2013-0539
3 single antigen doses: 2 Measles; 1 Rubella 03/05/2000 F Not Comple 04/13/2001 ATTENUVA 05 MSD Valid 09/30/2001 MERUVAX 06 MSD Valid 02/17/2002 ATTENUVA 05 MSD Valid 1 03/17/2002 03/17/2002 03/17/2002 MMR 02/17/2002
Single Antigen Administration 01/01/2013 07/08/2013
Recommended based on minimum interval from live virus vaccine
Renamed to better reflect test case. 1.1
2013-0540
MMR # 1 at 12 months-5 days 03/14/2000 F Not Comple 03/09/2001 M-M-R II 03 MSD Not Valid
Age: Too Young 1 04/06/2001 04/06/2001 08/10/2001 MMR 03/09/2001
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0541
MMR # 1 at 12 months-4 days 03/14/2000 F Not Comple 03/10/2001 M-M-R II 03 MSD Valid 2 04/14/2001 03/14/2004 04/10/2007 MMR 03/10/2001
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0542
MMR # 1 at 12 months 03/14/2000 F Not Comple 03/14/2001 M-M-R II 03 MSD Valid 2 04/14/2001 03/14/2004 04/10/2007 MMR 03/14/2001
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0543
Newborn forecasting 02/01/2012 F Not Complete 1 02/01/2013 02/01/2013 06/28/2013 MMR 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0544
Dose 1 to dose 2 interval 28 days 05/01/2004 F Complete 05/01/2006 M-M-R II 03 MSD Valid 05/29/2006 M-M-R II 03 MSD Valid - MMR 05/29/2006
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0545
MMR and VZ given at age 12 months 08/08/2004 F Not Comple 08/08/2005 M-M-R II 03 MSD Valid 08/08/2005 VARIVAX 21 MSD Valid 2 09/08/2005 08/08/2008 09/04/2011 MMR 08/08/2005
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0546
Doses 1 and 2 of MMR and VZ at ages 12 and 13 months 06/14/2010 F Complete 06/14/2011 M-M-R II 03 MSD Valid 06/14/2011 VARIVAX 21 MSD Valid 07/14/2011 M-M-R II 03 MSD Valid 07/14/2011 VARIVAX 21 MSD Valid - MMR 07/14/2011
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0547
VZ to MMR interval 28-1 day = invalid MMR 12/01/2010 F Not Comple 12/03/2011 VARIVAX 21 MSD Valid 12/30/2011 M-M-R II 03 MSD Not Valid
Live Virus Conflict 1 01/27/2012 01/27/2012 04/28/2012 MMR 12/30/2011
Live Virus: Below Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0548
VZ given at age 12 mo; MMR at age 12 mo+28 days 10/13/2009 F Not Comple 10/13/2010 VARIVAX 21 MSD Valid 11/10/2010 M-M-R II 03 MSD Valid 2 12/08/2010 10/13/2013 11/09/2016 MMR 11/10/2010
Live Virus: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0549
Dose 1 MMRV at 12 m-5 days 11/10/2009 F Not Comple 11/05/2010 PROQUAD 94 MSD Not Valid
Age: Too Young 1 12/03/2010 12/03/2010 04/06/2011 MMR 11/05/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0550
Dose 1 MMRV at 12 m-4 days 07/01/2005 F Not Comple 06/27/2006 PROQUAD 94 MSD Valid 2 08/01/2006 07/01/2009 07/28/2012 MMR 06/27/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0551
Dose 1 to dose 2 MMRV interval 28 days age < 15 months old= valid MMR 05/01/2004 F Complete 05/01/2005 PROQUAD 94 MSD Valid 05/29/2005 PROQUAD 94 MSD Valid - MMR 05/29/2005
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0552
Dose 1 to 2 MMRV interval 28 days in child ≥ 15 months old=valid MMR 05/01/2004 F Complete 05/01/2007 PROQUAD 94 MSD Valid 05/29/2007 PROQUAD 94 MSD Valid - MMR 05/29/2007
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0554
Dose 1 to 2 MMRV interval 28-4 days=neither MMR nor VZ valid as second dose 09/06/2004 F Not Comple 10/06/2005 PROQUAD 94 MSD Valid 10/30/2005 PROQUAD 94 MSD Not Valid
Live Virus Conflict 2 11/27/2005 09/06/2008 10/03/2011 MMR 10/30/2005
Live Virus: Below Minimum 01/01/2013 07/08/2013
Recommended based on age
Shifted dates of administration and forecast to strictly test the Live Virus conflict only. Previously it was testing a couple conditions 1.1
2013-0555
MMR to MMRV interval 28 days=valid MMR # 2 02/02/2005 F Complete 02/02/2006 M-M-R II 03 MSD Valid 03/02/2006 PROQUAD 94 MSD Valid - MMR 03/02/2006
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0556
MMR to MMRV interval 24 days=not valid MMR # 2 01/02/2005 F Not Comple 02/02/2006 M-M-R II 03 MSD Valid 02/26/2006 PROQUAD 94 MSD Not Valid
Live Virus Conflict 2 03/26/2006 01/02/2009 01/29/2012 MMR 02/26/2006
Live Virus: Below Minimum 01/01/2013 12/04/2013
Recommended based on age
V1.4: Final Guidance for MMRV live virus spacing is 28 days. Grace period can't be applied. 1.4
2013-0557
MMRV to MMR interval 28 days=valid MMR dose 2 02/02/2005 F Complete 03/02/2006 PROQUAD 94 MSD Valid 03/30/2006 M-M-R II 03 MSD Valid - MMR 03/30/2006
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0558
Dose 1 to dose 2 interval 4 wks between VZ and MMRV in any age child=valid MMR 05/22/2005 F Not Comple 06/01/2006 VARIVAX 21 MSD Valid 06/29/2006 PROQUAD 94 MSD Valid 2 07/27/2006 05/22/2009 06/18/2012 MMR 06/29/2006
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0559
28 day interval between invalid VZ and subsequent MMRV=valid MMR and VZ 05/22/2005 F Not Comple 05/17/2006 VARIVAX 21 MSD Not Valid
Age: Too Young 06/14/2006 PROQUAD 94 MSD Valid 2 07/12/2006 05/22/2009 06/18/2012 MMR 06/14/2006
Live Virus: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0562
Interval of < 24 days between an invalid MMR and a subsequent MMRV=no valid MMR's 07/16/2005 F Not Comple 07/11/2006 M-M-R II 03 MSD Not Valid
Age: Too Young 08/03/2006 PROQUAD 94 MSD Not Valid
Live Virus Conflict 1 08/31/2006 08/31/2006 12/13/2006 MMR 08/03/2006
Live Virus: Below Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0563
Interval of < 24 days between an invalid VZ and a subsequent MMRV=no valid MMR or VZ 07/16/2005 F Not Comple 07/11/2006 VARIVAX 21 MSD Not Valid
Age: Too Young 08/03/2006 PROQUAD 94 MSD Not Valid
Live Virus Conflict 1 08/31/2006 08/31/2006 12/13/2006 MMR 08/03/2006
Live Virus: Below Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0565
Correctly administered single antigen M, M and R followed by MMR=series complete 09/09/2004 F Complete 11/15/2005 MUMPSVAX07 MSD Valid 01/15/2006 MERUVAX 06 MSD Valid 09/15/2006 ATTENUVA 05 MSD Valid 09/15/2007 M-M-R II 03 MSD Valid - MMR 09/15/2007
Single Antigen Administration 01/01/2013 01/01/2013
Not recommended: series complete
2013-0566
Hx of measles. Child still needs MMR 04/07/2010 F
History of measles infection 371111005 SCT Not Complete 1 04/07/2011 04/07/2011 09/03/2011 MMR 01/01/2011
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0567
Anaphylactic reaction to dose 1 of MMR. No forecast for additional dose. 08/13/2010 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 09/02/2011 M-M-R II 03 MSD Valid - MMR 09/02/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0568
Diagnosis of severe immunodeficiency. No forecast for MMR. 09/10/2011 F
immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids) VXC27 CDCPHINVS Contraindicated - MMR 09/10/2011
No Doses Administered 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0570
Dose 2 at age 13 mo -5 days 08/01/2007 F Not Comple 07/29/2008 M-M-R II 03 MSD Valid 08/27/2008 M-M-R II 03 MSD Not Valid
Age: Too Young 2 09/24/2008 08/01/2011 08/28/2014 MMR 08/27/2008
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0571
Dose 2 at age 13 mo - 4 days 08/01/2007 F Complete 08/01/2008 M-M-R II 03 MSD Valid 08/28/2008 M-M-R II 03 MSD Valid - MMR 08/28/2008
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0572Dose 2 at age 13 mo 08/01/2007 F Complete 08/01/2008 M-M-R II 03 MSD Valid 09/01/2008 M-M-R II 03 MSD Valid - MMR 09/01/2008
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0573
Dose 1 to dose 2 interval 28 days-5 days 04/13/2004 F Not Comple 07/05/2006 M-M-R II 03 MSD Valid 07/28/2006 M-M-R II 03 MSD Not Valid
Interval: Too Short 2 08/25/2006 04/13/2008 05/10/2011 MMR 07/28/2006
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0574
Dose 1 to dose 2 interval 28-4 days 04/01/2004 F Complete 05/01/2005 M-M-R II 03 MSD Valid 05/25/2005 M-M-R II 03 MSD Valid - MMR 05/25/2005
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0575Newborn Testing 02/01/2012 F Not Complete 1 03/14/2012 04/01/2012 05/28/2012 PCV 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0576
Dose # 1 PCV 13 at age 18 months 10/10/2009 F Not Comple 04/10/2011 PREVNAR 1 133 PFR Valid 2 06/05/2011 06/05/2011 06/05/2011 PCV 04/10/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0577
Dose # 1 of PCV 7 at age 24 months. Need one dose PCV 13. 03/01/2008 F Not Comple 03/01/2010 PREVNAR 7 100 WAL Valid 2 04/26/2010 04/26/2010 04/26/2010 PCV 03/01/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
V1.3: The first dose was PCV7 and was marked as not valid. This dose is valid, but the patient still needs a valid PCV13. 1.3
2013-0578
Dose # 1 of PCV 13 at age 24 months. Series complete. 07/10/2009 F Complete 07/10/2011 PREVNAR 1 133 PFR Valid - PCV 07/10/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0579
Dose # 2 PCV 13 at age 10 weeks-5 days 09/10/2010 F Not Comple 10/18/2010 PREVNAR 1 133 PFR Valid 11/14/2010 PREVNAR 1 133 PFR Not Valid
Age: Too Young 2 12/12/2010 01/10/2011 03/09/2011 PCV 11/14/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0580
Dose # 2 PCV 13 at age 10 weeks-4 days 02/26/2011 F Not Comple 04/06/2011 PREVNAR 1 133 PFR Valid 05/03/2011 PREVNAR 1 133 PFR Valid 3 06/04/2011 08/26/2011 10/23/2011 PCV 05/03/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0581
Dose PCV 13 # 2 at age 10 weeks 02/26/2011 F Not Comple 04/09/2011 PREVNAR 1 133 PFR Valid 05/07/2011 PREVNAR 1 133 PFR Valid 3 06/04/2011 08/26/2011 10/23/2011 PCV 05/07/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0582
Dose # 2 PCV 13 at age 4 months 08/01/2011 F Not Comple 10/01/2011 PREVNAR 1 133 PFR Valid 12/01/2011 PREVNAR 1 133 PFR Valid 3 12/29/2011 02/01/2012 03/28/2012 PCV 12/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0583
Dose # 1 PCV 13 at age7 months, dose # 2 at age 8 mos and current age ≥ 12 mos. 02/01/2011 F Not Comple 09/01/2011 PREVNAR 1 133 PFR Valid 10/01/2011 PREVNAR 1 133 PFR Valid 3 02/01/2012 02/01/2012 06/28/2012 PCV 02/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0584
Dose # 1 PCV 13 at 12 mo; dose # 2 at 1 yr 8 wks-5 days 02/01/2010 F Not Comple 02/01/2011 PREVNAR 1 133 PFR Valid 03/24/2011 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 2 05/19/2011 05/19/2011 05/19/2011 PCV 03/24/2011
Interval: Below Absolute Minimum 01/01/2013 07/30/2013
Recommended based on minimum interval from invalid dose
Condensed the past due date to align with the earliest and recommended date since this child is in catch-up 1.2
2013-0585
Dose # 1 PCV 13 at age 12 mos; # 2 at 1 yr 8 wks-4 days 02/01/2010 F Complete 02/01/2011 PREVNAR 1 133 PFR Valid 03/25/2011 PREVNAR 1 133 PFR Valid - PCV 03/25/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0586
Healthy child, age ≥ 5 years. No forecast 05/05/2006 F Not Complete 1 05/05/2071 05/05/2071 PCV 05/05/2011
No Doses Administered 01/01/2013 02/23/2016
Recommended based on age
The series is not complete since one final dose of the vaccine is recommended at age 65+ 2.2
2013-0587
Dose # 1 PCV 13 at age 12 months; # 2 at age 14 mos. Series complete. 01/01/2010 F Complete 01/01/2011 PREVNAR 1 133 PFR Valid 03/01/2011 PREVNAR 1 133 PFR Valid - PCV 03/01/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0588
Dose # 1 PCV 13 at 24 mo-5 days. Valid but child needs another. 03/18/2010 F Not Comple 03/13/2012 PREVNAR 1 133 PFR Valid 2 05/08/2012 05/08/2012 05/08/2012 PCV 03/13/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0589
Dose 1 PCV 13 at 24 m-4 days. Series complete. 03/18/2010 F Complete 03/14/2012 PREVNAR 1 133 PFR Valid - PCV 03/14/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0590
Dose # 3 PCV 13 at age 14 weeks-5 days. 07/06/2011 F Not Comple 08/14/2011 PREVNAR 1 133 PFR Valid 09/11/2011 PREVNAR 1 133 PFR Valid 10/07/2011 PREVNAR 1 133 PFR Not Valid
Age: Too Young 3 11/04/2011 01/06/2012 03/04/2012 PCV 10/07/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0591
Dose # 3 PCV 13 at age 14 weeks-4 days. 07/06/2011 F Not Comple 08/14/2011 PREVNAR 1 133 PFR Valid 09/11/2011 PREVNAR 1 133 PFR Valid 10/08/2011 PREVNAR 1 133 PFR Valid 4 07/06/2012 07/06/2012 12/03/2012 PCV 10/08/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0592
Dose # 3 PCV 13 at age 14 weeks 07/06/2011 F Not Comple 08/17/2011 PREVNAR 1 133 PFR Valid 09/14/2011 PREVNAR 1 133 PFR Valid 10/12/2011 PREVNAR 1 133 PFR Valid 4 07/06/2012 07/06/2012 12/03/2012 PCV 10/12/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0593
Dose # 3 PCV 13 at 6 mo. 02/01/2011 F Not Comple 04/01/2011 PREVNAR 1 133 PFR Valid 06/01/2011 PREVNAR 1 133 PFR Valid 08/01/2011 PREVNAR 1 133 PFR Valid 4 02/01/2012 02/01/2012 06/28/2012 PCV 08/01/2011
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0594
Mixed vaccines: dose # 1 PCV 7 at 6 mo; # 2 PCV 13 at 8 mo; # 3 PCV 13 at 12 months. Series complete. 03/04/2010 F Complete 09/04/2010 PREVNAR 7 100 WAL Valid 11/04/2010 PREVNAR 1 133 PFR Valid 03/04/2011 PREVNAR 1 133 PFR Valid - PCV 03/04/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: series complete
2013-0595
Mixed vaccines: dose # 1 PCV 7 at 7 mo; # 2 PCV 7 at 8 mo; #3 PCV 13 at 12 months. Series complete. 06/01/2009 F Complete 01/01/2010 PREVNAR 7 100 WAL Valid 02/01/2010 PREVNAR 7 100 WAL Valid 06/01/2010 PREVNAR 1 133 PFR Valid - PCV 06/01/2010
All Valid: Forecast Test 01/01/2013 07/11/2013
Not recommended: series complete
Minor typo in test case name corrected. 1.1
2013-0596
Dose # 1 PCV 13 at age 6 weeks-5 days 11/10/2010 F Not Comple 12/17/2010 PREVNAR 1 133 PFR Not Valid
Age: Too Young 1 12/22/2010 01/10/2011 03/09/2011 PCV 12/17/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0597
Dose # 1 PCV 13 at 6 mo; # 2 at 11 mo, # 3 at 12 mo 08/01/2010 F Not Comple 02/01/2011 PREVNAR 1 133 PFR Valid 07/01/2011 PREVNAR 1 133 PFR Valid 08/01/2011 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 3 09/26/2011 09/26/2011 12/28/2011 PCV 08/01/2011
All Valid: Forecast Test 01/01/2013 08/23/2013
Recommended based on minimum interval from invalid dose
At 12 Months of age and after the spacing must be 8 weeks or more. Dose 3 was given on 12 Months, but wasn't spaced 8 weeks. The forecast in this case remains unchanged. 1.2
2013-0598
Dose # 4 PCV 13 at age 12 mo-5 days 06/01/2010 F Not Comple 08/01/2010 PREVNAR 1 133 PFR Valid 10/01/2010 PREVNAR 1 133 PFR Valid 12/01/2010 PREVNAR 1 133 PFR Valid 05/27/2011 PREVNAR 1 133 PFR Not Valid
Age: Too Young 4 07/22/2011 07/22/2011 10/28/2011 PCV 05/27/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0599
Dose # 4 PCV 13 at age 1 year-4 days. Series complete. 06/01/2010 F Complete 08/01/2010 PREVNAR 1 133 PFR Valid 10/01/2010 PREVNAR 1 133 PFR Valid 12/01/2010 PREVNAR 1 133 PFR Valid 05/28/2011 PREVNAR 1 133 PFR Valid - PCV 05/28/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0600
Dose # 4 PCV 13 at 1 year. Series complete. 06/01/2009 F Complete 08/01/2009 PREVNAR 1 133 PFR Valid 10/01/2009 PREVNAR 1 133 PFR Valid 12/01/2009 PREVNAR 1 133 PFR Valid 06/01/2010 PREVNAR 1 133 PFR Valid - PCV 06/01/2010
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0601
4 doses of PCV 7, no PCV 13. Needs one PCV 13. 06/01/2009 F Not Comple 08/01/2009 PREVNAR 7 100 WAL Valid 10/01/2009 PREVNAR 7 100 WAL Valid 12/01/2009 PREVNAR 7 100 WAL Valid 07/01/2010 PREVNAR 7 100 WAL Valid 5 08/26/2010 08/26/2010 08/26/2010 PCV 07/01/2010
All Valid: Forecast Test 01/01/2013 08/23/2013
Recommended based on minimum interval from previous dose (catch-up)
The fourth dose of PCV7 was marked as Not Valid. In fact this was a valid administration with a need for a subsequent PCV13 in 8 weeks time. V1.3: Updated Eval and Forecast Test Type and adjusted the past due date to align with the earliest and recommended date per the 1.3
2013-0602
Dose 1 invalid (age) as first of others 08/01/2011 F Not Comple 09/01/2011 PREVNAR 1 133 PFR Not Valid
Age: Too Young 11/15/2011 PREVNAR 1 133 PFR Valid 02/01/2012 PREVNAR 1 133 PFR Valid 3 02/29/2012 02/29/2012 03/28/2012 PCV 02/01/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0603
Dose 2 invalid (age) in midst of others. 09/01/2011 F Not Comple 10/11/2011 PREVNAR 1 133 PFR Valid 11/05/2011 PREVNAR 1 133 PFR Not Valid
Age: Too Young 02/01/2012 PREVNAR 1 133 PFR Valid 3 02/29/2012 03/01/2012 04/28/2012 PCV 02/01/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0604
Dose # 3 invalid (age) in midst of others. Four valid doses not required in this scenario. 12/12/2009 F Complete 01/22/2010 PREVNAR 1 133 PFR Valid 02/18/2010 PREVNAR 1 133 PFR Valid 03/01/2010 PREVNAR 1 133 PFR Not Valid
Age: Too Young 12/24/2010 PREVNAR 1 133 PFR Valid - PCV 12/24/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0605
Dose 1 to dose 2 interval 28-5 days. 08/01/2011 F Not Comple 10/01/2011 PREVNAR 1 133 PFR Valid 10/24/2011 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 2 11/21/2011 12/01/2011 01/28/2012 PCV 10/24/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0606
Dose 1 to dose 2 interval 28-4 days 08/01/2011 F Not Comple 10/01/2011 PREVNAR 1 133 PFR Valid 10/25/2011 PREVNAR 1 133 PFR Valid 3 11/22/2011 02/01/2012 03/28/2012 PCV 10/25/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0607
Dose # 1 PCV 13 at age 6 weeks-4 days 04/01/2011 F Not Comple 05/09/2011 PREVNAR 1 133 PFR Valid 2 06/10/2011 08/01/2011 09/28/2011 PCV 05/09/2011
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0608
Dose 1 PCV 13 to dose 2 interval 28 days 08/01/2011 F Not Comple 10/01/2011 PREVNAR 1 133 PFR Valid 10/29/2011 PREVNAR 1 133 PFR Valid 3 11/26/2011 02/01/2012 03/28/2012 PCV 10/29/2011
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0609
Dose 2 to dose 3 interval 28-5 days 04/13/2011 F Not Comple 06/13/2011 PREVNAR 1 133 PFR Valid 08/13/2011 PREVNAR 1 133 PFR Valid 09/05/2011 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 3 10/03/2011 10/13/2011 12/10/2011 PCV 09/05/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0610
Dose 2 to dose 3 PCV 13 interval 28-4 days 12/01/2010 F Not Comple 02/01/2011 PREVNAR 1 133 PFR Valid 04/17/2011 PREVNAR 1 133 PFR Valid 05/11/2011 PREVNAR 1 133 PFR Valid 4 12/01/2011 12/01/2011 04/28/2012 PCV 05/11/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0611
Dose 2 to dose 3 PCV 13 interval 28 days 12/01/2010 F Not Comple 02/01/2011 PREVNAR 1 133 PFR Valid 04/17/2011 PREVNAR 1 133 PFR Valid 05/15/2011 PREVNAR 1 133 PFR Valid 4 12/01/2011 12/01/2011 04/28/2012 PCV 05/15/2011
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0612
Dose 3 PCV 13 to dose 4 interval 8 weeks-5 days 04/01/2010 F Not Comple 10/01/2010 PREVNAR 1 133 PFR Valid 02/01/2011 PREVNAR 1 133 PFR Valid 03/01/2011 PREVNAR 1 133 PFR Valid 04/21/2011 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 4 06/16/2011 06/16/2011 08/28/2011 PCV 04/21/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from inValid dose
2013-0613
Dose 3 PCV 13 to dose 4 interval 8 wks-4 days. Series complete. 04/01/2010 F Complete 10/01/2010 PREVNAR 1 133 PFR Valid 02/01/2011 PREVNAR 1 133 PFR Valid 03/01/2011 PREVNAR 1 133 PFR Valid 04/22/2011 PREVNAR 1 133 PFR Valid - PCV 04/22/2011
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0614
Dose 3 PCV 13 to dose 4 interval 8 weeks. Series complete. 04/01/2010 F Complete 10/01/2010 PREVNAR 1 133 PFR Valid 02/01/2011 PREVNAR 1 133 PFR Valid 03/01/2011 PREVNAR 1 133 PFR Valid 04/26/2011 PREVNAR 1 133 PFR Valid - PCV 04/26/2011
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0615
Invalid dose 2 (interval) in midst of others 02/11/2009 F Complete 03/31/2009 PREVNAR 1 133 PFR Valid 04/23/2009 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 08/11/2009 PREVNAR 1 133 PFR Valid 02/11/2010 PREVNAR 1 133 PFR Valid - PCV 02/11/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0616
Invalid dose 3 (interval) in midst of others 02/02/2010 F Complete 06/02/2010 PREVNAR 1 133 PFR Valid 09/10/2010 PREVNAR 1 133 PFR Valid 10/02/2010 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 03/02/2011 PREVNAR 1 133 PFR Valid - PCV 03/02/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0617
InValid dose 4 (interval) in midst of others 03/18/2010 F Complete 05/18/2010 PREVNAR 1 133 PFR Valid 09/18/2010 PREVNAR 1 133 PFR Valid 03/10/2011 PREVNAR 1 133 PFR Valid 04/10/2011 PREVNAR 1 133 PFR Not Valid
Interval: Too Short 06/05/2011 PREVNAR 1 133 PFR Valid - PCV 06/05/2011
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0618
Dose # 1 PCV 13 at age 6 weeks 11/01/2011 F Not Comple 12/13/2011 PREVNAR 1 133 PFR Valid 2 01/10/2012 03/01/2012 04/28/2012 PCV 12/13/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0619
4 doses of PCV 7 and 1 dose of PCV 13=series complete 06/06/2008 F Complete 08/06/2008 PREVNAR 7 100 WAL Valid 10/06/2008 PREVNAR 7 100 WAL Valid 12/06/2008 PREVNAR 7 100 WAL Valid 12/06/2009 PREVNAR 7 100 WAL Valid 03/05/2012 PREVNAR 1 133 PFR Valid - PCV 03/05/2012
All Valid: Forecast Test 01/01/2013 08/23/2013
Not recommended: series complete
The fourth dose of PCV7 was marked as Not Valid. In fact this was a valid administration. The PCV13 which followed completed the series. V1.3 updated Evaluation Test Type 1.3
2013-0620
Four doses PCV 7, no PCV 13 child ≥ 5 years old. No forecast. 06/06/2006 F Not Comple 08/08/2006 PREVNAR 7 100 WAL Valid 10/10/2006 PREVNAR 7 100 WAL Valid 12/12/2006 PREVNAR 7 100 WAL Valid 09/06/2007 PREVNAR 7 100 WAL Valid 5 06/06/2071 06/06/2071 06/06/2071 PCV 06/06/2011
All Valid: Forecast Test 01/01/2013 02/23/2016
Recommended based on age
v2.2 updated based on ACIP recommendations for individuals 65+v2.0 Updated series status from Age Out to Not Complete since an vaccine dose is recommended at age 65+ v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated 2.2
2013-0621
Anaphylaxis to previous dose of PCV. No forecast. 07/11/2007 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 09/11/2007 PREVNAR 7 100 WAL Valid - PCV 09/11/2007
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0622
Dose # 1 PCV 13 at age 2 months 11/01/2011 F Not Comple 01/01/2012 PREVNAR 1 133 PFR Valid 2 01/29/2012 03/01/2012 04/28/2012 PCV 01/01/2012
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0624
Dose # 1 PCV 13 at age 11 months 02/03/2011 F Not Comple 01/03/2012 PREVNAR 1 133 PFR Valid 2 01/31/2012 01/31/2012 01/31/2012 PCV 01/03/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0625
Dose # 1 PCV 13 at age 12 months 12/12/2010 F Not Comple 12/12/2011 PREVNAR 1 133 PFR Valid 2 02/06/2012 02/06/2012 02/06/2012 PCV 12/12/2011
All Valid: Forecast Test 01/01/2013 07/09/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2013-0626Newborn Testing 02/01/2012 F Not Complete 1 03/14/2012 04/01/2012 05/28/2012 POL 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0627
Dose # 2 at age 10 weeks 02/26/2011 F Not Comple 04/09/2011 IPOL 10 PMC Valid 05/07/2011 IPOL 10 PMC Valid 3 06/04/2011 08/26/2011 10/23/2012 POL 05/07/2011
Age: At Minimum 01/01/2013 06/26/2013
Recommended based on age
Typo on Past Due Date by one year. 1.1
2013-0628
Dose # 2 at age 4 months 08/01/2011 F Not Comple 10/01/2011 IPOL 10 PMC Valid 12/01/2011 IPOL 10 PMC Valid 3 12/29/2011 02/01/2012 03/28/2013 POL 12/01/2011
Age: At Recommended 01/01/2013 06/26/2013
Recommended based on age
Typo on Past Due Date by one year. 1.1
2013-0629
Dose # 2 at age 3 years 9 months 07/08/2011 F Not Comple 09/08/2011 IPOL 10 PMC Valid 04/08/2015 IPOL 10 PMC Valid 3 05/06/2015 05/06/2015 05/06/2015 POL 04/08/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled all birth dates forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0630
Dose # 2 at age 4 years 0 months 12/12/2011 F Not Comple 12/12/2013 IPOL 10 PMC Valid 12/12/2015 IPOL 10 PMC Valid 3 01/09/2016 01/09/2016 01/09/2016 POL 12/12/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. V2.2
Polio should continue to be recommended in 4 weeks. The dose 1.5
2013-0631
Dose # 3 at age 14 weeks-5 days 06/01/2011 F Not Comple 07/09/2011 IPOL 10 PMC Valid 08/06/2011 IPOL 10 PMC Valid 09/02/2011 IPOL 10 PMC Not Valid
Age: Too Young 3 09/30/2011 12/01/2011 01/28/2013 POL 09/02/2011
Age: Below Absolute Minimum 01/01/2013 11/19/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0632
Dose # 3 at age 14 weeks -4 days 01/06/2011 F Not Comple 02/17/2011 IPOL 10 PMC Valid 03/17/2011 IPOL 10 PMC Valid 04/10/2011 IPOL 10 PMC Valid 4 01/06/2015 01/06/2015 02/02/2018 POL 04/10/2011
Age: At Absolute Minimum 01/01/2013 11/19/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0633
Dose # 3 at age 14 weeks 01/06/2011 F Not Comple 02/17/2011 IPOL 10 PMC Valid 03/17/2011 IPOL 10 PMC Valid 04/14/2011 IPOL 10 PMC Valid 4 01/06/2015 01/06/2015 02/02/2018 POL 04/14/2011
Age: At Minimum 01/01/2013 11/19/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0634
Dose # 3 at age 6 months 02/01/2011 F Not Comple 04/01/2011 IPOL 10 PMC Valid 06/01/2011 IPOL 10 PMC Valid 08/01/2011 IPOL 10 PMC Valid 4 02/01/2015 02/01/2015 02/28/2018 POL 08/01/2011
Age: At Recommended 01/01/2013 11/19/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0635
Dose # 3 at age 3 yrs 11.5 years old. 06/23/2011 F Not Comple 08/23/2011 IPOL 10 PMC Valid 10/23/2011 IPOL 10 PMC Valid 06/07/2015 IPOL 10 PMC Valid 4 12/07/2015 12/07/2015 07/20/2018 POL 06/07/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0636
Dose # 3 at age 4 years-5 days. Is valid as a dose but child will need another. 08/22/2011 F Not Comple 10/22/2011 IPOL 10 PMC Valid 12/22/2011 IPOL 10 PMC Valid 08/17/2015 IPOL 10 PMC Valid 4 02/17/2016 02/17/2016 09/18/2018 POL 08/17/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0637
# 1 and # 2 at ≥ 4 years. 02/11/2011 F Not Comple 02/11/2015 IPOL 10 PMC Valid 03/11/2015 IPOL 10 PMC Valid 3 04/08/2015 04/08/2015 04/08/2015 POL 03/11/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0638
Dose # 3 at 4 years-4 days but not six months after dose 2. Child will need another. 08/22/2011 F Not Comple 08/22/2012 IPOL 10 PMC Valid 03/22/2015 IPOL 10 PMC Valid 08/18/2015 IPOL 10 PMC Valid 4 02/18/2016 02/18/2016 09/18/2018 POL 08/18/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0639
Dose # 3 at 4 years-4 days and ≥ 6 months since dose 2. Series complete. 08/22/2011 F Complete 08/22/2012 IPOL 10 PMC Valid 01/22/2015 IPOL 10 PMC Valid 08/18/2015 IPOL 10 PMC Valid - POL 08/18/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0640
Dose # 3 at age 4 years but < 6 months after dose 2. Valid but child will need a dose # 4. 02/11/2011 F Not Comple 02/11/2012 IPOL 10 PMC Valid 10/11/2014 IPOL 10 PMC Valid 02/11/2015 IPOL 10 PMC Valid 4 08/11/2015 08/11/2015 03/10/2018 POL 02/11/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0641
Dose # 3 at 4 years 0 months and ≥ 6 mo since dose 2. Series complete. 03/18/2011 F Complete 05/18/2011 IPOL 10 PMC Valid 07/18/2011 IPOL 10 PMC Valid 03/18/2015 IPOL 10 PMC Valid - POL 03/18/2015
All Valid: Forecast Test 01/01/2013 11/19/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0642
Dose # 4 at age 18 months. InValid as dose 4. 06/01/2011 F Not Comple 08/01/2011 IPOL 10 PMC Valid 10/01/2011 IPOL 10 PMC Valid 12/01/2011 IPOL 10 PMC Valid 12/01/2012 IPOL 10 PMC Not Valid
Age: Too Young 4 06/01/2015 06/01/2015 06/28/2018 POL 12/01/2012
Age: Below Absolute Minimum 01/01/2013 11/19/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0643
Dose # 4 at age 4 yrs-5 days 12/25/2011 F Not Comple 03/25/2012 IPOL 10 PMC Valid 07/25/2012 IPOL 10 PMC Valid 12/26/2014 IPOL 10 PMC Valid 12/20/2015 IPOL 10 PMC Not Valid
Age: Too Young 4 06/20/2016 06/20/2016 01/21/2019 POL 12/20/2015
Age: Below Absolute Minimum 01/01/2013 11/20/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0644
Dose # 4 at age 4 years-4 days. Series complete. 12/25/2011 F Complete 03/25/2012 IPOL 10 PMC Valid 07/25/2012 IPOL 10 PMC Valid 12/26/2014 IPOL 10 PMC Valid 12/21/2015 IPOL 10 PMC Valid - POL 12/21/2015
Age: At Absolute Minimum 01/01/2013 11/20/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0645
Dose # 4 at age 4 years 0 days. Series complete. 06/01/2011 F Complete 08/01/2011 IPOL 10 PMC Valid 10/01/2011 IPOL 10 PMC Valid 02/02/2012 IPOL 10 PMC Valid 06/01/2015 IPOL 10 PMC Valid - POL 06/01/2015
Age: At Minimum 01/01/2013 11/20/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0646
Invalid dose 1 (age) as first of others 08/01/2011 F Not Comple 09/01/2011 IPOL 10 PMC Not Valid
Age: Too Young 12/01/2011 IPOL 10 PMC Valid 02/01/2012 IPOL 10 PMC Valid 3 02/29/2012 02/29/2012 03/28/2013 POL 02/01/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0647
Invalid dose # 2 (age) in midst of others 08/01/2011 F Not Comple 09/08/2011 IPOL 10 PMC Valid 10/05/2011 IPOL 10 PMC Not Valid
Age: Too Young 02/01/2012 IPOL 10 PMC Valid 3 02/29/2012 02/29/2012 03/28/2013 POL 02/01/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0648
Invalid dose 3 (age) in midst of others. No additional dose required. The next dose was at age 4 and ≥ 6 months since previous dose. Series complete. 06/01/2011 F Complete 07/13/2011 IPOL 10 PMC Valid 08/07/2011 IPOL 10 PMC Valid 09/02/2011 IPOL 10 PMC Not Valid
Age: Too Young 06/01/2015 IPOL 10 PMC Valid - POL 06/01/2015
Age: Below Absolute Minimum 01/01/2013 11/20/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0649
Dose 1 to dose 2 interval 28-5 days 06/01/2011 F Not Comple 08/01/2011 IPOL 10 PMC Valid 08/24/2011 IPOL 10 PMC Not Valid
Interval: Too Short 2 09/21/2011 10/01/2011 11/28/2011 POL 08/24/2011
Interval: Below Absolute Minimum 01/01/2013 11/20/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0650
Dose 1 to dose2 interval 28-4 days 02/01/2011 F Not Comple 04/01/2011 IPOL 10 PMC Valid 04/25/2011 IPOL 10 PMC Valid 3 05/23/2011 08/01/2011 09/28/2012 POL 04/25/2011
Interval: At Absolute Minimum 01/01/2013 11/20/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0651
Dose 1 to dose 2 interval 28 days 02/01/2011 F Not Comple 04/01/2011 IPOL 10 PMC Valid 04/29/2011 IPOL 10 PMC Valid 3 05/27/2011 08/01/2011 09/28/2012 POL 04/29/2011
Interval: At Minimum 01/01/2013 11/22/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0652
Dose 2 to dose 3 interval 28-5 days 04/01/2011 F Not Comple 06/01/2011 IPOL 10 PMC Valid 08/01/2011 IPOL 10 PMC Valid 08/24/2011 IPOL 10 PMC Not Valid
Interval: Too Short 3 09/21/2011 10/01/2011 11/28/2012 POL 08/24/2011
Interval: Below Absolute Minimum 01/01/2013 11/22/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0653
Dose 2 to dose 3 interval 28-4 days 12/01/2011 F Not Comple 01/10/2012 IPOL 10 PMC Valid 02/13/2012 IPOL 10 PMC Valid 03/09/2012 IPOL 10 PMC Valid 4 12/01/2015 12/01/2015 12/28/2018 POL 03/09/2012
Interval: At Absolute Minimum 01/01/2013 11/22/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0654
Dose 2 to dose 3 interval 28 days 12/01/2011 F Not Comple 02/01/2012 IPOL 10 PMC Valid 04/01/2012 IPOL 10 PMC Valid 04/29/2012 IPOL 10 PMC Valid 4 12/01/2015 12/01/2015 12/28/2018 POL 04/29/2012
Interval: At Minimum 01/01/2013 11/22/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0655
Dose 3 to dose 4 interval 6 m-5 days 11/15/2011 F Not Comple 11/15/2012 IPOL 10 PMC Valid 11/15/2013 IPOL 10 PMC Valid 05/20/2015 IPOL 10 PMC Valid 11/15/2015 IPOL 10 PMC Not Valid
Interval: Too Short 4 05/15/2016 05/15/2016 12/12/2018 POL 11/15/2015
Interval: Below Absolute Minimum 01/01/2013 11/22/2015
Recommended based on minimum interval from inValid dose
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0656
Dose 3 to dose 4 interval 6 months-4 days. Series complete. 11/15/2011 F Complete 11/15/2012 IPOL 10 PMC Valid 11/15/2013 IPOL 10 PMC Valid 05/19/2015 IPOL 10 PMC Valid 11/15/2015 IPOL 10 PMC Valid - POL 11/15/2015
Interval: At Absolute Minimum 01/01/2013 11/22/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0657
Dose 3 to dose 4 interval 6 months. Series complete. 11/15/2011 F Complete 11/15/2012 IPOL 10 PMC Valid 11/15/2013 IPOL 10 PMC Valid 05/19/2015 IPOL 10 PMC Valid 11/19/2015 IPOL 10 PMC Valid - POL 11/19/2015
Interval: At Minimum 01/01/2013 11/22/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0658
Dose # 1 at age 6 weeks-5 days 11/10/2011 F Not Comple 12/17/2011 IPOL 10 PMC Not Valid
Age: Too Young 1 12/22/2011 01/10/2012 03/08/2012 POL 12/17/2011
Age: Below Absolute Minimum 01/01/2013 11/22/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0659
Invalid dose 1 to dose 2 interval in midst of others. 02/11/2011 F Not Comple 04/11/2011 IPOL 10 PMC Valid 05/03/2011 IPOL 10 PMC Not Valid
Interval: Too Short 08/11/2011 IPOL 10 PMC Valid 3 09/08/2011 09/08/2011 10/08/2012 POL 08/11/2011
Interval: Below Absolute Minimum 01/01/2013 11/22/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0660
Invalid dose 3 (interval) in midst of others makes no difference in forecasting if # 4 is ≥ 4 years old and ≥ 6 months after previous dose. Series complete. 02/02/2011 F Complete 04/02/2011 IPOL 10 PMC Valid 06/02/2011 IPOL 10 PMC Valid 06/25/2011 IPOL 10 PMC Not Valid
Interval: Too Short 02/04/2015 IPOL 10 PMC Valid - POL 02/04/2015
Interval: Below Absolute Minimum 01/01/2013 11/22/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0661
Mixed OPV/IPV require 4 doses even if # 3 is after age 4 and ≥ 6 months after previous dose. 10/16/2011 F Not Comple 12/16/2011 ORIMUNE 02 WAL Valid 02/16/2012 ORIMUNE 02 WAL Valid 10/16/2016 IPOL 10 PMC Valid 4 04/16/2017 04/16/2017 11/12/2018 POL 10/16/2016
All Valid: Forecast Test 01/01/2013 11/23/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0662
4 doses of mixed OPV/IPV with one after age 4=polio series complete 04/13/2011 F Complete 06/13/2011 ORIMUNE 02 WAL Valid 08/13/2011 ORIMUNE 02 WAL Valid 04/13/2014 IPOL 10 PMC Valid 04/17/2016 IPOL 10 PMC Valid - POL 04/17/2016
All Valid: Forecast Test 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0663
Anaphylaxis to previous dose. No forecast. 07/24/2011 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 09/24/2011 IPOL 10 PMC Valid - POL 09/24/2011
All Valid: Forecast Test 01/01/2013 11/23/2015
Not recommended: contraindication
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0664
Dose 1 given as Kinrix at age 2 mos. Off-label but valid as IPV # 1. 11/11/2011 F Not Comple 01/11/2012 KINRIX 130 SKB Valid 2 02/08/2012 03/11/2012 05/08/2012 POL 01/11/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0665
Dose 2 given as Kinrix at age 4 mo. Off label but valid as IPV 2. 09/09/2011 F Not Comple 11/15/2011 IPOL 10 PMC Valid 01/09/2012 KINRIX 130 SKB Valid 3 02/06/2012 03/09/2012 05/06/2013 POL 01/09/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0666
Dose 3 given as Kinrix at age 6 mos. Off label but valid. 07/07/2011 F Not Comple 09/09/2011 IPOL 10 PMC Valid 11/11/2011 IPOL 10 PMC Valid 01/07/2012 KINRIX 130 SKB Valid 4 07/07/2015 07/07/2015 08/03/2018 POL 01/07/2012
Vaccine: Off Label 01/01/2013 01/01/2013
Recommended based on age
2013-0667
Kinrix at 12 months old. Not Valid as dose 4 of IPV 07/07/2011 F Not Comple 09/09/2011 IPOL 10 PMC Valid 11/11/2011 IPOL 10 PMC Valid 12/30/2011 IPOL 10 PMC Valid 08/01/2012 KINRIX 130 SKB Not Valid
Age: Too Young 4 07/07/2015 07/07/2015 08/03/2018 POL 08/01/2012
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0668
Kinrix at age 4 years as dose 4=polio series complete 10/04/2011 F Complete 12/06/2011 PEDIARIX 110 SKB Valid 02/04/2012 PEDIARIX 110 SKB Valid 04/06/2012 PEDIARIX 110 SKB Valid 10/04/2015 KINRIX 130 SKB Valid - POL 10/04/2015
Age: At Minimum 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0669
Dose # 1 at age 6 weeks-4 days 04/01/2011 F Not Comple 05/09/2011 IPOL 10 PMC Valid 2 06/10/2011 08/01/2011 09/28/2011 POL 05/09/2011
Age: At Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0670
Kinrix as dose 4 at age 4 years-5 days 07/07/2011 F Not Comple 08/30/2011 PEDIARIX 110 SKB Valid 10/24/2011 PEDIARIX 110 SKB Valid 03/05/2012 PEDIARIX 110 SKB Valid 07/02/2015 KINRIX 130 SKB Not Valid
Age: Too Young 4 01/02/2016 01/02/2016 08/03/2018 POL 07/02/2015
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on minimum interval from inValid dose
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0671
Kinrix as dose 4 at age 4 years-4 days= polio series complete 10/18/2011 F Complete 12/07/2011 PEDIARIX 110 SKB Valid 02/04/2012 PEDIARIX 110 SKB Valid 04/04/2012 PEDIARIX 110 SKB Valid 10/14/2015 KINRIX 130 SKB Valid - POL 10/14/2015
Age: At Absolute Minimum 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0672
Dose # 1 at age 6 weeks 11/01/2011 F Not Comple 12/13/2011 IPOL 10 PMC Valid 2 01/10/2012 03/01/2012 04/28/2012 POL 12/13/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0673
Dose # 1 at age 2 months 11/01/2011 F Not Comple 01/01/2012 IPOL 10 PMC Valid 2 01/29/2012 03/01/2012 04/28/2012 POL 01/01/2012
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0674
Dose # 2 at age 10 weeks-5 days 09/10/2011 F Not Comple 10/18/2011 IPOL 10 PMC Valid 11/14/2011 IPOL 10 PMC Not Valid
Age: Too Young 2 12/12/2011 01/10/2012 03/08/2012 POL 11/14/2011
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0675
Dose # 2 at age 10 weeks-4 days 02/26/2011 F Not Comple 04/09/2011 IPOL 10 PMC Valid 05/03/2011 IPOL 10 PMC Valid 3 06/04/2011 08/26/2011 10/23/2012 POL 05/03/2011
Age: At Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Typo on Past Due Date by one year. 1.1
2013-0676
Newborn forecasting 04/01/2012 F Not Complete 1 05/13/2012 06/01/2012 07/28/2012 POL 04/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0677
# 2 Pediarix at 6 yrs 11.5 mo 01/01/2011 F Not Comple 12/16/2013 PEDIARIX 110 SKB Valid 12/15/2017 PEDIARIX 110 SKB Valid 3 01/12/2018 01/12/2018 01/12/2018 POL 12/15/2017
All Valid: Forecast Test 01/01/2013 11/23/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Polio should continue to be recommended in 4 weeks. The dose should not be 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0678
# 2 Pediarix at 7 yrs; # 1 at less than 12 mo. 09/16/2011 F Not Comple 12/16/2011 PEDIARIX 110 SKB Valid 09/16/2018 PEDIARIX 110 SKB Valid 3 10/14/2018 10/14/2018 10/14/2018 POL 09/16/2018
Vaccine: Off Label 01/01/2013 11/23/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Polio should continue to be recommended in 4 weeks. The dose should not be 1.5
2013-0679
# 2 Pediarix at 7 yrs; # 1 ≥ 12 mo. 09/16/2011 F Not Comple 10/16/2012 PEDIARIX 110 SKB Valid 09/16/2018 PEDIARIX 110 SKB Valid 3 10/14/2018 10/14/2018 10/14/2018 POL 09/16/2018
Vaccine: Off Label 01/01/2013 11/23/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Polio should continue to be recommended in 4 weeks. The dose should not be 1.5
2013-0680
# 1 and 2 Pediarix at ≥7 yrs with 28 day interval. Off label 07/07/2011 F Not Comple 07/07/2018 PEDIARIX 110 SKB Valid 08/04/2018 PEDIARIX 110 SKB Valid 3 09/01/2018 09/01/2018 09/01/2018 POL 08/04/2018
Vaccine: Off Label 01/01/2013 11/23/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Original forecast were suggesting skipping dose 3 to the final dose at 6 months. EIPB 1.5
2013-0681
# 3 Pediarix at 14 wks-5 days 06/01/2011 F Not Comple 07/09/2011 PEDIARIX 110 SKB Valid 08/06/2011 PEDIARIX 110 SKB Valid 09/02/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 3 09/30/2011 12/01/2011 01/28/2013 POL 09/02/2011
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Typo on Past Due Date by one year. V2.1 1.5
2013-0682
# 3 Pediarix at 14 wks-4 days. 01/06/2011 F Not Comple 02/15/2011 PEDIARIX 110 SKB Valid 03/15/2011 PEDIARIX 110 SKB Valid 04/10/2011 PEDIARIX 110 SKB Valid 4 01/06/2015 01/06/2015 02/02/2018 POL 04/10/2011
Age: At Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0683
# 3 Pediarix at 24 weeks-5 days. 05/13/2011 F Not Comple 06/24/2011 PEDIARIX 110 SKB Valid 08/24/2011 PEDIARIX 110 SKB Valid 10/23/2011 PEDIARIX 110 SKB Valid 4 05/13/2015 05/13/2015 06/09/2018 POL 10/23/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0684
# 3 Pediarix at 24 weeks-4 days. 05/13/2011 F Not Comple 06/24/2011 PEDIARIX 110 SKB Valid 08/24/2011 PEDIARIX 110 SKB Valid 10/24/2011 PEDIARIX 110 SKB Valid 4 05/13/2015 05/13/2015 06/09/2018 POL 10/24/2011
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on age
2013-0685
# 3 Pediarix at 6 yrs 11.5 mo 07/07/2011 F Complete 05/05/2014 PEDIARIX 110 SKB Valid 08/08/2015 PEDIARIX 110 SKB Valid 06/25/2018 PEDIARIX 110 SKB Valid - POL 06/25/2018
All Valid: Forecast Test 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0686
# 4 Pediarix at 1 yr -5 days. 04/04/2011 F Not Comple 06/04/2011 PEDIARIX 110 SKB Valid 08/04/2011 PEDIARIX 110 SKB Valid 10/10/2011 PEDIARIX 110 SKB Valid 03/30/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 4 04/04/2015 04/04/2015 05/01/2018 POL 03/30/2012
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0687
# 1 Pediarix at 6 wks-5 days 05/06/2011 F Not Comple 06/12/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 1 06/17/2011 07/06/2011 09/02/2011 POL 06/12/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0688
# 4 Pediarix at 1 yr -4 days 06/01/2011 F Not Comple 08/01/2011 PEDIARIX 110 SKB Valid 11/01/2011 PEDIARIX 110 SKB Valid 01/15/2012 PEDIARIX 110 SKB Valid 05/28/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 4 06/01/2015 06/01/2015 06/28/2018 POL 05/28/2012
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0689
# 4 Pediarix at 3 yrs 11.5 mo. 02/01/2011 F Not Comple 04/01/2011 PEDIARIX 110 SKB Valid 07/01/2011 PEDIARIX 110 SKB Valid 10/01/2011 PEDIARIX 110 SKB Valid 01/15/2015 PEDIARIX 110 SKB Not Valid
Age: Too Young 4 07/15/2015 07/15/2015 02/28/2018 POL 01/15/2015
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on minimum interval from invalid dose
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0690
# 4 Pediarix at 4 yrs 05/06/2011 F Complete 09/09/2011 PEDIARIX 110 SKB Valid 03/03/2012 PEDIARIX 110 SKB Valid 07/10/2013 PEDIARIX 110 SKB Valid 05/06/2015 PEDIARIX 110 SKB Valid - POL 05/06/2015
Age: At Minimum 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0691
# 5 Pediarix at 4 yrs -5 days. 07/01/2011 F Not Comple 09/01/2011 PEDIARIX 110 SKB Valid 10/01/2011 PEDIARIX 110 SKB Valid 02/02/2012 PEDIARIX 110 SKB Valid 10/10/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 06/26/2015 PEDIARIX 110 SKB Not Valid
Age: Too Young 4 12/26/2015 12/26/2015 07/28/2018 POL 06/26/2015
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Recommended based on minimum interval from inValid dose
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0692
# 5 Pediarix at 4 yrs -4 days 07/01/2011 F Complete 09/01/2011 PEDIARIX 110 SKB Valid 10/01/2011 PEDIARIX 110 SKB Valid 02/02/2012 PEDIARIX 110 SKB Valid 10/10/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 06/27/2015 PEDIARIX 110 SKB Valid - POL 06/27/2015
Age: At Absolute Minimum 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0693
# 5 Pediarix at 6 yrs 11.5 mo 04/01/2011 F Complete 06/01/2011 PEDIARIX 110 SKB Valid 08/01/2011 PEDIARIX 110 SKB Valid 10/01/2011 PEDIARIX 110 SKB Valid 05/01/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 03/15/2018 PEDIARIX 110 SKB Valid - POL 03/15/2018
Age: Below Absolute Minimum 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0694
# 5 Pediarix at 7 yrs. Off label 05/01/2011 F Complete 08/01/2011 PEDIARIX 110 SKB Valid 11/01/2011 PEDIARIX 110 SKB Valid 02/01/2012 PEDIARIX 110 SKB Valid 11/16/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 05/01/2018 PEDIARIX 110 SKB Valid - POL 05/01/2018
Vaccine: Off Label 01/01/2013 11/23/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0695
Invalid age dose 1 as first of others. 08/01/2011 F Not Comple 09/06/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 11/01/2011 PEDIARIX 110 SKB Valid 2 11/29/2011 12/01/2011 01/28/2012 POL 11/01/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0696
Invalid age dose 2 in midst of others 10/18/2011 F Not Comple 11/25/2011 PEDIARIX 110 SKB Valid 12/21/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 04/18/2012 PEDIARIX 110 SKB Valid 3 05/16/2012 05/16/2012 06/14/2013 POL 04/18/2012
Age: Below Absolute Minimum 01/01/2013 11/24/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Typo on Past Due Date by one year. V2.1 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0697
invalid age dose 3 in midst of others 06/01/2011 F Not Comple 07/15/2011 PEDIARIX 110 SKB Valid 08/10/2011 PEDIARIX 110 SKB Valid 09/01/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 06/01/2012 PEDIARIX 110 SKB Valid 4 06/01/2015 06/01/2015 06/28/2018 POL 06/01/2012
Age: Below Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0698
# 1 Pediarix at 6 wks-4 days 04/04/2011 F Not Comple 05/12/2011 PEDIARIX 110 SKB Valid 2 06/13/2011 08/04/2011 10/01/2011 POL 05/12/2011
Age: At Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0699
dose 1 to 2 Pediarix, interval 28-5 days 11/01/2011 F Not Comple 01/03/2012 PEDIARIX 110 SKB Valid 01/26/2012 PEDIARIX 110 SKB Not Valid
Interval: Too Short 2 02/23/2012 03/01/2012 04/28/2012 POL 01/26/2012
Interval: Below Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0700
dose 1 to 2 Pediarix, interval 28-4 days 02/01/2011 F Not Comple 04/01/2011 PEDIARIX 110 SKB Valid 04/25/2011 PEDIARIX 110 SKB Valid 3 05/23/2011 08/01/2011 09/28/2012 POL 04/25/2011
Interval: At Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Typo on Past Due Date by one year. V2.1 2.1
2013-0701
dose 2 to 3 Pediarix, interval 28-5 days 04/01/2011 F Not Comple 06/01/2011 PEDIARIX 110 SKB Valid 08/01/2011 PEDIARIX 110 SKB Valid 08/24/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 3 09/21/2011 10/01/2011 11/28/2012 POL 08/24/2011
Interval: Below Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Typo on Past Due Date by one year. 1.1
2013-0702
dose 2 to 3 Pediarix, interval 28-4 days 12/01/2011 F Not Comple 02/01/2012 PEDIARIX 110 SKB Valid 04/01/2012 PEDIARIX 110 SKB Valid 04/25/2012 PEDIARIX 110 SKB Valid 4 12/01/2015 12/01/2015 12/28/2018 POL 04/25/2012
Interval: At Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0704
dose 3 to 4 Pediarix, interval 6m-4 days 08/09/2011 F Not Comple 10/09/2011 PEDIARIX 110 SKB Valid 12/09/2011 PEDIARIX 110 SKB Valid 04/09/2012 PEDIARIX 110 SKB Valid 10/05/2012 PEDIARIX 110 SKB Not Valid
Age: Too Young 4 08/09/2015 08/09/2015 09/05/2018 POL 10/05/2012
Age: Below Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0707
invalid dose 1-2 interval in midst of others 02/11/2011 F Not Comple 04/11/2011 PEDIARIX 110 SKB Valid 04/30/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 06/11/2011 PEDIARIX 110 SKB Valid 3 07/09/2011 08/11/2011 10/08/2012 POL 06/11/2011
Interval: Below Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Typo on Past Due Date by one year. V2.1 1.5
2013-0708
invalid dose 2-3 interval in midst of others 02/02/2011 F Not Comple 04/02/2011 PEDIARIX 110 SKB Valid 06/02/2011 PEDIARIX 110 SKB Valid 06/25/2011 PEDIARIX 110 SKB Not Valid
Interval: Too Short 02/02/2012 PEDIARIX 110 SKB Valid 4 02/02/2015 02/02/2015 03/01/2018 POL 02/02/2012
Interval: Below Absolute Minimum 01/01/2013 11/24/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0709
# 1 Pediarix at 6 wks 11/01/2011 F Not Comple 12/13/2011 PEDIARIX 110 SKB Valid 2 01/10/2012 03/01/2012 04/28/2012 POL 12/13/2011
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0712
# 1 Pediarix at 6 yrs 11.5 mo 04/01/2011 F Not Comple 03/16/2018 PEDIARIX 110 SKB Valid 2 04/13/2018 04/13/2018 04/13/2018 POL 03/16/2018
All Valid: Forecast Test 01/01/2013 11/24/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0713
# 1 Pediarix at 7 yrs 02/01/2011 F Not Comple 02/01/2018 PEDIARIX 110 SKB Valid 2 03/01/2018 03/01/2018 03/01/2018 POL 02/01/2018
Vaccine: Off Label 01/01/2013 11/24/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0714
# 2 Pediarix at 10 wks-5 days 10/10/2011 F Not Comple 11/17/2011 PEDIARIX 110 SKB Valid 12/14/2011 PEDIARIX 110 SKB Not Valid
Age: Too Young 2 01/11/2012 02/10/2012 04/06/2012 POL 12/14/2011
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0715
# 2 Pediarix at 10 wks-4 days 02/26/2011 F Not Comple 04/07/2011 PEDIARIX 110 SKB Valid 05/03/2011 PEDIARIX 110 SKB Valid 3 06/04/2011 08/26/2011 10/23/2012 POL 05/03/2011
Age: At Absolute Minimum 01/01/2013 06/26/2013
Recommended based on age
Typo on Past Due Date by one year. 1.1
2013-0716
# 2 Pediarix at 10 wks 02/26/2011 F Not Comple 04/07/2011 PEDIARIX 110 SKB Valid 05/07/2011 PEDIARIX 110 SKB Valid 3 06/04/2011 08/26/2011 10/23/2012 POL 05/07/2011
Age: At Minimum 01/01/2013 06/26/2013
Recommended based on age
Typo on Past Due Date by one year. 1.1
2013-0717 Newborn 02/01/2012 F Not Complete 1 03/14/2012 04/01/2012 05/28/2012 POL 02/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0718
# 2 Pentacel at 6 yrs 11.5 mo. Off label but counts. 01/01/2011 F Not Comple 09/22/2013 PENTACEL 120 PMC Valid 12/15/2017 PENTACEL 120 PMC Valid 3 01/12/2018 01/12/2018 01/12/2018 POL 12/15/2017
Vaccine: Off Label 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Polio should continue to be recommended in 4 weeks. The dose should not be 1.5
2013-0719
Pentacel at 7 yrs; # 1 at age < 12 mo. Off label use. 09/16/2011 F Not Comple 02/25/2012 IPOL 10 PMC Valid 09/16/2018 PENTACEL 120 PMC Valid 3 10/14/2018 10/14/2018 10/14/2018 POL 09/16/2018
Vaccine: Off Label 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Polio should continue to be recommended in 4 weeks. The dose should not be 1.5
2013-0720
# 2 Pentacel at 7 yrs; # 1 at age ≥ 12 mo. 09/16/2011 F Not Comple 11/19/2012 IPOL 10 PMC Valid 09/16/2018 PENTACEL 120 PMC Valid 3 10/14/2018 10/14/2018 10/14/2018 POL 09/16/2018
Vaccine: Off Label 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Original forecast were suggesting skipping dose 3 to the final dose at 6 months. EIPB 1.5
2013-0721
# 3 Pentacel at 14 wks-5 days 06/01/2011 F Not Comple 07/09/2011 PENTACEL 120 PMC Valid 08/06/2011 PENTACEL 120 PMC Valid 09/02/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 3 09/30/2011 12/01/2011 01/28/2013 POL 09/02/2011
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. Typo on Past Due Date by one year. V2.1 1.5
2013-0722
# 3 Pentacel at 14 wks-4 days 06/01/2011 F Not Comple 07/09/2011 PENTACEL 120 PMC Valid 08/06/2011 PENTACEL 120 PMC Valid 09/03/2011 PENTACEL 120 PMC Valid 4 06/01/2015 06/01/2015 06/28/2018 POL 09/03/2011
Age: At Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0723
# 3 Pentacel at 6 yrs 11.5 mo 01/15/2011 F Complete 03/15/2011 IPOL 10 PMC Valid 05/15/2011 IPOL 10 PMC Valid 12/30/2017 PENTACEL 120 PMC Valid - POL 12/30/2017
Vaccine: Off Label 01/01/2013 11/25/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0724
# 4 Pentacel at 1 yr -5 days. 04/04/2011 F Not Comple 06/04/2011 PENTACEL 120 PMC Valid 08/04/2011 PENTACEL 120 PMC Valid 10/04/2011 PENTACEL 120 PMC Valid 03/30/2012 PENTACEL 120 PMC Not Valid
Age: Too Young 4 04/04/2015 04/04/2015 05/01/2018 POL 03/30/2012
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0725
# 4 Pentacel at 1 yr -4 days 04/04/2011 F Not Comple 06/04/2011 PENTACEL 120 PMC Valid 08/04/2011 PENTACEL 120 PMC Valid 10/04/2011 PENTACEL 120 PMC Valid 03/31/2012 PENTACEL 120 PMC Not Valid
Age: Too Young 4 04/04/2015 04/04/2015 05/01/2018 POL 03/31/2012
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0726
# 4 Pentacel ≥ age 12 mo 04/04/2011 F Not Comple 06/04/2011 PENTACEL 120 PMC Valid 08/04/2011 PENTACEL 120 PMC Valid 10/04/2011 PENTACEL 120 PMC Valid 04/04/2012 PENTACEL 120 PMC Not Valid
Age: Too Young 4 04/04/2015 04/04/2015 05/01/2018 POL 04/04/2012
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0727
# 4 Pentacel at 4 yrs 05/06/2011 F Complete 09/15/2011 PENTACEL 120 PMC Valid 04/28/2012 PENTACEL 120 PMC Valid 11/06/2014 PENTACEL 120 PMC Valid 05/06/2015 PENTACEL 120 PMC Valid - POL 05/06/2015
Age: At Minimum 01/01/2013 11/25/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0728
# 1 Pentacel at 6 wks-5 days 05/06/2011 F Not Comple 06/12/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 1 06/17/2011 07/06/2011 09/02/2011 POL 06/12/2011
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0729
# 5 Pentacel at ≥ 4 yrs 02/08/2011 F Complete 01/08/2012 PENTACEL 120 PMC Valid 04/08/2012 PENTACEL 120 PMC Valid 07/08/2012 PENTACEL 120 PMC Valid 12/09/2012 PENTACEL 120 PMC Not Valid
Age: Too Young 03/01/2015 PENTACEL 120 PMC Valid - POL 03/01/2015
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0730
# 4 Pentacel at 5 yrs=off label 02/08/2011 F Complete 06/08/2011 PENTACEL 120 PMC Valid 12/05/2011 PENTACEL 120 PMC Valid 02/07/2012 PENTACEL 120 PMC Valid 02/10/2016 PENTACEL 120 PMC Valid - POL 02/10/2016
Vaccine: Off Label 01/01/2013 11/25/2015
Not recommended: series complete
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0731
invalid age dose 1 as first of others 08/01/2011 F Not Comple 09/05/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 12/01/2011 PENTACEL 120 PMC Valid 02/01/2012 PENTACEL 120 PMC Valid 3 02/29/2012 02/29/2012 03/28/2013 POL 02/01/2012
Age: Below Absolute Minimum 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Typo on Past Due Date by one year. 1.1
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0732
invalid age dose 2 in midst of others 10/18/2011 F Not Comple 11/25/2011 PENTACEL 120 PMC Valid 12/22/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 03/10/2012 PENTACEL 120 PMC Valid 10/20/2012 PENTACEL 120 PMC Valid 4 10/18/2015 10/18/2015 11/14/2018 POL 10/20/2012
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0733
invalid age dose 3 in midst of others 06/01/2011 F Not Comple 07/09/2011 PENTACEL 120 PMC Valid 08/06/2011 PENTACEL 120 PMC Valid 09/02/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 07/07/2012 PENTACEL 120 PMC Valid 4 06/01/2015 06/01/2015 06/28/2018 POL 07/07/2012
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0734
dose 1 to 2 Pentacel, interval 28-5 days 11/09/2011 F Not Comple 01/03/2012 PENTACEL 120 PMC Valid 01/26/2012 PENTACEL 120 PMC Not Valid
Interval: Too Short 2 02/23/2012 03/09/2012 05/06/2012 POL 01/26/2012
Interval: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0735
dose 1 to 2 Pentacel, interval 28-4 days 11/01/2011 F Not Comple 01/03/2012 PENTACEL 120 PMC Valid 01/27/2012 PENTACEL 120 PMC Valid 3 02/24/2012 05/01/2012 06/28/2013 POL 01/27/2012
Interval: At Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0736
dose 2 to 3 Pentacel, interval 28-5 days 04/01/2011 F Not Comple 06/01/2011 PENTACEL 120 PMC Valid 08/01/2011 PENTACEL 120 PMC Valid 08/24/2011 PENTACEL 120 PMC Not Valid
Interval: Too Short 3 09/21/2011 10/01/2011 11/28/2012 POL 08/24/2011
Interval: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0737
dose 2 to 3 Pentacel, interval 28-4 days 04/01/2011 F Not Comple 06/01/2011 PENTACEL 120 PMC Valid 08/01/2011 PENTACEL 120 PMC Valid 08/25/2011 PENTACEL 120 PMC Valid 4 04/01/2015 04/01/2015 04/28/2018 POL 08/25/2011
Interval: At Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0739
# 1 Pentacel at 6 wks-4 days 04/04/2011 F Not Comple 05/12/2011 PENTACEL 120 PMC Valid 2 06/13/2011 08/04/2011 10/01/2011 POL 05/12/2011
Age: At Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0740
dose 3 to 4 Pentacel, interval 6m-4 days 08/09/2011 F Not Comple 10/09/2011 PENTACEL 120 PMC Valid 02/09/2012 PENTACEL 120 PMC Valid 04/09/2012 PENTACEL 120 PMC Valid 10/05/2012 PENTACEL 120 PMC Not Valid
Age: Too Young 4 08/09/2015 08/09/2015 09/05/2018 POL 10/05/2012
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0743
invalid dose 1-2 interval in midst of others 02/11/2011 F Not Comple 04/11/2011 PENTACEL 120 PMC Valid 05/04/2011 PENTACEL 120 PMC Not Valid
Interval: Too Short 08/01/2011 PENTACEL 120 PMC Valid 3 08/29/2011 08/29/2011 10/08/2012 POL 08/01/2011
Interval: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0744
invalid dose 2-3 interval in midst of others 02/02/2011 F Not Comple 04/02/2011 PENTACEL 120 PMC Valid 06/02/2011 PENTACEL 120 PMC Valid 06/23/2011 PENTACEL 120 PMC Not Valid
Interval: Too Short 02/05/2012 PENTACEL 120 PMC Valid 4 02/02/2015 02/02/2015 03/01/2018 POL 02/05/2012
Interval: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0747
# 1 Pentacel at 6 wks 04/04/2011 F Not Comple 05/16/2011 PENTACEL 120 PMC Valid 2 06/13/2011 08/04/2011 10/01/2011 POL 05/16/2011
Age: At Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0748
# 1 Pentacel at 6 yrs 11.5 mo 01/15/2011 F Not Comple 01/02/2018 PENTACEL 120 PMC Valid 2 01/30/2018 01/30/2018 01/30/2018 POL 01/02/2018
Vaccine: Off Label 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0749
# 1 Pentacel at 7 yrs. Off label 02/01/2011 F Not Comple 02/01/2018 PENTACEL 120 PMC Valid 2 03/01/2018 03/01/2018 03/01/2018 POL 02/01/2018
Vaccine: Off Label 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0750
# 2 Pentacel at 10 wks-5 days 10/10/2011 F Not Comple 11/17/2011 PENTACEL 120 PMC Valid 12/14/2011 PENTACEL 120 PMC Not Valid
Age: Too Young 2 01/11/2012 02/10/2012 04/06/2012 POL 12/14/2011
Age: Below Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0751
# 2 Pentacel at 10 wks-4 days 10/10/2011 F Not Comple 11/17/2011 PENTACEL 120 PMC Valid 12/15/2011 PENTACEL 120 PMC Valid 3 01/16/2012 04/10/2012 06/06/2013 POL 12/15/2011
Age: At Absolute Minimum 01/01/2013 11/25/2015
Recommended based on age
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0752
# 2 Pentacel at 6 yrs . Off label 01/15/2011 F Not Comple 01/15/2012 PENTACEL 120 PMC Valid 01/15/2017 PENTACEL 120 PMC Valid 3 02/12/2017 02/12/2017 02/12/2017 POL 01/15/2017
Vaccine: Off Label 01/01/2013 11/25/2015
Recommended based on minimum interval from previous dose (catch-up)
Rolled birth date forward to 2011 to ensure test was relevant to when ACIP recommendations were made. Previous dates were before the ACIP recommendations were published. 1.5
2013-0753Newborn forecast 04/01/2012 F Not Complete 1 05/13/2012 06/01/2012 Rota 04/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0754
Dose # 3 Rotateq at age 14 weeks 11/01/2011 F Complete 12/13/2011 ROTATEQ 116 MSD Valid 01/10/2012 ROTATEQ 116 MSD Valid 02/07/2012 ROTATEQ 116 MSD Valid - Rota 02/07/2012
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0755
Dose # 3 Rotateq at age 6 months 11/01/2011 F Complete 01/01/2012 ROTATEQ 116 MSD Valid 03/01/2012 ROTATEQ 116 MSD Valid 05/01/2012 ROTATEQ 116 MSD Valid - Rota 05/01/2012
Age: At Recommended 01/01/2013 01/01/2013
Not recommended: series complete
2013-0756
Dose 1 to dose 2 Rotateq interval 28-5 days 02/05/2012 F Not Comple 03/25/2012 ROTATEQ 116 MSD Valid 04/17/2012 ROTATEQ 116 MSD Not Valid
Interval: Too Short 2 05/15/2012 06/05/2012 08/01/2012 Rota 04/17/2012
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0757
Dose 1 to dose 2 Rotateq interval 28-4 days 02/05/2012 F Not Comple 03/25/2012 ROTATEQ 116 MSD Valid 04/18/2012 ROTATEQ 116 MSD Valid 3 05/16/2012 08/05/2012 10/02/2012 Rota 04/18/2012
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0758
Dose 1 to dose 2 Rotateq interval 28 days 02/05/2012 F Not Comple 03/25/2012 ROTATEQ 116 MSD Valid 04/22/2012 ROTATEQ 116 MSD Valid 3 05/20/2012 08/05/2012 10/02/2012 Rota 04/22/2012
Interval: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0759
Dose 2 to dose 3 Rotateq interval 28-5 days 11/01/2011 F Not Comple 12/28/2011 ROTATEQ 116 MSD Valid 02/02/2012 ROTATEQ 116 MSD Valid 02/25/2012 ROTATEQ 116 MSD Not Valid
Interval: Too Short 3 03/24/2012 05/01/2012 06/28/2012 Rota 02/25/2012
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0760
Dose 2 to dose 3 Rotateq interval 28-4 days 11/01/2011 F Complete 12/28/2011 ROTATEQ 116 MSD Valid 02/02/2012 ROTATEQ 116 MSD Valid 02/26/2012 ROTATEQ 116 MSD Valid - Rota 02/26/2012
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0761
Dose 2 to dose 3 Rotateq interval 28 days 11/01/2011 F Complete 12/28/2011 ROTATEQ 116 MSD Valid 02/02/2012 ROTATEQ 116 MSD Valid 03/01/2012 ROTATEQ 116 MSD Valid - Rota 03/01/2012
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0762
Dose # 1 Rotarix at age 6 weeks-5 days 01/02/2012 F Not Comple 02/08/2012 ROTARIX 119 SKB Not Valid
Age: Too Young 1 02/13/2012 03/02/2012 Rota 02/08/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0763
Dose # 1 Rotarix at age 6 weeks-4 days 01/02/2012 F Not Comple 02/09/2012 ROTARIX 119 SKB Valid 2 03/12/2012 05/02/2012 06/29/2012 Rota 02/09/2012
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0764
Dose # 1 Rotateq at age 6 weeks-5 days 01/01/2012 F Not Comple 02/07/2012 ROTATEQ 116 MSD Not Valid
Age: Too Young 1 02/12/2012 03/01/2012 Rota 02/07/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0765
Dose # 1 Rotarix at age 6 weeks 01/02/2012 F Not Comple 02/13/2012 ROTARIX 119 SKB Valid 2 03/12/2012 05/02/2012 06/29/2012 Rota 02/13/2012
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0766
Dose # 2 Rotarix at age 10 weeks-5 days 12/01/2011 F Not Comple 01/10/2012 ROTARIX 119 SKB Valid 02/04/2012 ROTARIX 119 SKB Not Valid
Age: Too Young 2 03/03/2012 04/01/2012 05/28/2012 Rota 02/04/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0767
Dose # 2 Rotarix at age 10 weeks-4 days 12/01/2011 F Complete 01/12/2012 ROTARIX 119 SKB Valid 02/05/2012 ROTARIX 119 SKB Valid - Rota 02/05/2012
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0768
Dose # 2 Rotarix at age 10 weeks 12/01/2011 F Complete 01/12/2012 ROTARIX 119 SKB Valid 02/09/2012 ROTARIX 119 SKB Valid - Rota 02/09/2012
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0769
Dose 1 to dose 2 Rotarix interval 28-5 days 12/01/2011 F Not Comple 02/01/2012 ROTARIX 119 SKB Valid 02/24/2012 ROTARIX 119 SKB Not Valid
Interval: Too Short 2 03/23/2012 04/01/2012 05/28/2012 Rota 02/24/2012
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0770
Dose 1 to dose 2 Rotarix interval 28-4 days 12/01/2011 F Complete 02/01/2012 ROTARIX 119 SKB Valid 02/25/2012 ROTARIX 119 SKB Valid - Rota 02/25/2012
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0771
Dose 1 to dose 2 Rotarix interval 28 days 12/01/2011 F Complete 02/01/2012 ROTARIX 119 SKB Valid 02/29/2012 ROTARIX 119 SKB Valid - Rota 02/29/2012
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0772
≥15 weeks old with no rota vax: no forecast for rotavirus 01/01/2012 F Aged Out - Rota 04/15/2012
No Doses Administered 01/01/2013 11/07/2014
Not recommended: too old
v1.6: Updated Series Status from "Not Complete" to "Aged Out" to align with updated CDSi Logic Specification Series Statuses. 1.6
2013-0773
Dose # 1 ≥ 15 weeks old 12/28/2011 F Not Comple 04/15/2012 ROTARIX 119 SKB Valid 2 05/13/2012 05/13/2012 06/24/2012 Rota 04/15/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from previous dose (catch-up)
2013-0774
8 months old with only one rota vax 08/17/2011 F Not Comple 11/17/2011 ROTARIX 119 SKB Valid 2 12/15/2011 12/17/2011 02/13/2012 Rota 04/17/2012
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on age
Child is exactly 8 months old based on the Assessment Date and should still be recommended for administration. 1.1
2013-0775
Dose # 1 Rotateq at age 6 weeks-4 days 01/01/2012 F Not Comple 02/08/2012 ROTATEQ 116 MSD Valid 2 03/11/2012 05/01/2012 06/28/2012 Rota 02/08/2012
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0776
Rotateq at 2 months; rotarix at 4 mo 01/06/2012 F Not Comple 03/06/2012 ROTATEQ 116 MSD Valid 05/06/2012 ROTARIX 119 SKB Valid 3 06/03/2012 07/06/2012 09/02/2012 Rota 05/06/2012
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0777
Rotatrix at 2 mo; rotateq at 4 mo 01/06/2012 F Not Comple 03/06/2012 ROTARIX 119 SKB Valid 05/06/2012 ROTATEQ 116 MSD Valid 3 06/03/2012 07/06/2012 09/02/2012 Rota 05/06/2012
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0778
Unspecified rotavirus at 2 and 4 mo 12/06/2011 F Not Comple 02/06/2012 Rotavirus U 122 Valid 04/06/2012 Rotavirus U 122 Valid 3 05/04/2012 06/06/2012 08/02/2012 Rota 04/06/2012
Age: At Recommended 01/01/2013 01/01/2013
Recommended based on age
2013-0779
Severe combined immunodeficiency (SCID)=no rotavirus vaccine 02/01/2012 F
immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids) VXC27 CDCPHINVS Contraindicated - Rota 03/01/2012
No Doses Administered 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0780
Anaphylaxis following previous dose 02/01/2012 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 04/01/2012 ROTARIX 119 SKB Valid - Rota 04/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0781
Dose # 1 Rotateq at age 6 weeks 01/01/2012 F Not Comple 02/12/2012 ROTATEQ 116 MSD Valid 2 03/11/2012 05/01/2012 06/28/2012 Rota 02/12/2012
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0782
Dose # 2 Rotateq at age 10 weeks-5 days 12/01/2011 F Not Comple 01/10/2012 ROTATEQ 116 MSD Valid 02/04/2012 ROTATEQ 116 MSD Not Valid
Age: Too Young 2 03/03/2012 04/01/2012 05/28/2012 Rota 02/04/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0783
Dose # 2 Rotateq at age 10 weeks-4 days 12/01/2011 F Not Comple 01/12/2012 ROTATEQ 116 MSD Valid 02/05/2012 ROTATEQ 116 MSD Valid 3 03/08/2012 06/01/2012 07/28/2012 Rota 02/05/2012
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0784
Dose # 2 Rotateq at age 10 weeks 12/01/2011 F Not Comple 01/12/2012 ROTATEQ 116 MSD Valid 02/09/2012 ROTATEQ 116 MSD Valid 3 03/08/2012 06/01/2012 07/28/2012 Rota 02/09/2012
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0785
Dose # 3 Rotateq at age 14 weeks-5 days 11/01/2011 F Not Comple 12/10/2011 ROTATEQ 116 MSD Valid 01/07/2012 ROTATEQ 116 MSD Valid 02/02/2012 ROTATEQ 116 MSD Not Valid
Age: Too Young 3 03/01/2012 05/01/2012 06/28/2012 Rota 02/02/2012
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0786
Dose # 3 Rotateq at age 14 weeks-4 days 11/01/2011 F Complete 12/13/2011 ROTATEQ 116 MSD Valid 01/10/2012 ROTATEQ 116 MSD Valid 02/03/2012 ROTATEQ 116 MSD Valid - Rota 02/03/2012
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0787
Anaphylaxis following previous dose 02/01/2012 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 04/01/2012 ROTATEQ 116 MSD Valid 05/01/2012 ROTARIX 119 SKB Valid - Rota 05/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0789#1 at 15 months 03/14/2000 F Not Comple 06/14/2001 VARIVAX 21 MSD Valid 2 09/06/2001 03/14/2004 04/10/2007 Var 06/14/2001
All Valid: Forecast Test 01/01/2013 07/08/2013
Recommended based on age
Improved test case name and forecast test type to acurately reflect what was being tested 1.1
2013-0795
No doses of Varicella: current age 13Y -1D 06/02/1991 F Not Complete 1 06/02/1992 06/02/1992 10/29/1992 Var 06/01/2004
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
2013-0798#1 at 1 year 01/01/2005 F Not Comple 01/01/2006 VARIVAX 21 MSD Valid 2 04/01/2006 01/01/2009 01/28/2012 Var 01/01/2006
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0803
# 1 at 12 months-5 days 01/01/2005 F Not Comple 12/27/2005 VARIVAX 21 MSD Not Valid
Age: Too Young 1 01/24/2006 01/24/2006 05/28/2006 Var 12/27/2005
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0804
VAR # 1 at 12 months-4 days 01/01/2005 F Not Comple 12/28/2005 VARIVAX 21 MSD Valid 2 04/01/2006 01/01/2009 01/28/2012 Var 12/28/2005
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0806
Newborn forecasting 04/01/2012 F Not Complete 1 04/01/2013 04/01/2013 08/28/2013 Var 04/01/2012
No Doses Administered 01/01/2013 01/01/2013
Recommended based on age
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0807
# 2 at age 13 years + 28 days 10/18/1998 F Complete 10/18/2011 VARIVAX 21 MSD Valid 11/15/2011 VARIVAX 21 MSD Valid - Var 11/15/2011
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0808
Dose 1 to dose 2 interval 28-1 days in child < 13 years 11/11/2009 F Not Comple 11/12/2010 VARIVAX 21 MSD Valid 12/09/2010 VARIVAX 21 MSD Not Valid
Interval: Too Short 2 03/03/2011 11/11/2013 12/08/2016 Var 12/09/2010
Interval: Below Absolute Minimum 01/01/2013 11/07/2014
Recommended based on age
v1.6: Incorrect Forecast Test Type was used and has been updated to reflect how the recommended date was forecasted. 1.6
2013-0809
Dose 1 to dose 2 interval 28 days in child < 13 yrs old 01/01/1997 F Complete 03/01/2006 VARIVAX 21 MSD Valid 03/29/2006 VARIVAX 21 MSD Valid - Var 03/29/2006
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0810
Dose 1 to dose 2 interval 28-5 days in child ≥ 13 yrs old 01/01/1997 F Not Comple 04/01/2010 VARIVAX 21 MSD Valid 04/24/2010 VARIVAX 21 MSD Not Valid
Interval: Too Short 2 05/22/2010 05/22/2010 05/22/2010 Var 04/24/2010
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0811
Dose 1 to dose 2 interval 28-4 days in child ≥ 13 years old 01/01/1997 F Complete 04/01/2010 VARIVAX 21 MSD Valid 04/25/2010 VARIVAX 21 MSD Valid - Var 04/25/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0812
Dose 1 to dose 2 interval 28 days in child ≥ 13 years old 01/01/1997 F Complete 06/01/2010 VARIVAX 21 MSD Valid 06/29/2010 VARIVAX 21 MSD Valid - Var 06/29/2010
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0813
VZ and MMR given on same day at age 12 months 08/08/2008 F Not Comple 08/08/2009 M-M-R II 03 MSD Valid 08/08/2009 VARIVAX 21 MSD Valid 2 11/08/2009 08/08/2012 09/04/2015 Var 08/08/2009
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0814
Doses 1 and 2 of VZ and MMR given at ages 12 and 13 months 09/09/2009 F Complete 09/09/2010 M-M-R II 03 MSD Valid 09/09/2010 VARIVAX 21 MSD Valid 10/07/2010 M-M-R II 03 MSD Valid 10/07/2010 VARIVAX 21 MSD Valid - Var 10/07/2010
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0815
MMR to VZ interval 28-1 day = invalid VZ. 07/07/2005 F Not Comple 07/07/2006 M-M-R II 03 MSD Valid 08/03/2006 VARIVAX 21 MSD Not Valid
Live Virus Conflict 1 08/31/2006 08/31/2006 12/04/2006 Var 08/03/2006
Live Virus: Below Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0816
MMR given at age 12 mo; VZ at age 12 mo+28 days 10/10/2010 F Not Comple 10/10/2011 M-M-R II 03 MSD Valid 11/07/2011 VARIVAX 21 MSD Valid 2 01/30/2012 10/10/2014 11/06/2017 Var 11/07/2011
Live Virus: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0817
# 1 at age 12 mo-5 days 11/10/2009 F Not Comple 11/05/2010 VARIVAX 21 MSD Not Valid
Age: Too Young 1 12/03/2010 12/03/2010 04/06/2011 Var 11/05/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0818
# 1 MMRV at 12 m-5 days 11/10/2009 F Not Comple 11/05/2010 PROQUAD 94 MSD Not Valid
Age: Too Young 1 12/03/2010 12/03/2010 04/06/2011 Var 11/05/2010
Age: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0819
# 1 MMRV at 12 m-4 days 07/01/2005 F Not Comple 06/27/2006 PROQUAD 94 MSD Valid 2 10/01/2006 07/01/2009 07/28/2012 Var 06/27/2006
Age: At Absolute Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0820
# 1 MMRV at 12 months 07/01/2009 F Not Comple 07/01/2010 PROQUAD 94 MSD Valid 2 10/01/2010 07/01/2013 07/28/2016 Var 07/01/2010
Age: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0821
Dose 1 to dose 2 MMRV interval 28 days in child < 15 months 05/01/2008 F Complete 06/01/2009 PROQUAD 94 MSD Valid 06/29/2009 PROQUAD 94 MSD Valid - Var 06/29/2009
Interval: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0822
Dose 1 to dose 2 MMRV interval 28 days in child ≥ 15 months old=valid VZ 05/01/2004 F Complete 07/15/2005 PROQUAD 94 MSD Valid 08/12/2005 PROQUAD 94 MSD Valid - Var 08/12/2005
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0823
Dose 1 to dose 2 MMRV interval 28-1 days 09/06/2004 F Not Comple 10/01/2008 PROQUAD 94 MSD Valid 10/28/2008 PROQUAD 94 MSD Not Valid
Live Virus Conflict 2 01/20/2009 01/20/2009 10/03/2011 Var 10/28/2008
Interval: Below Absolute Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from invalid dose
2013-0824
MMR to MMRV interval 28 days=valid VZ # 1 02/02/2005 F Not Comple 02/02/2006 M-M-R II 03 MSD Valid 03/02/2006 PROQUAD 94 MSD Valid 2 05/25/2006 02/02/2009 02/29/2012 Var 03/02/2006
Live Virus: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0825
MMR to MMRV interval 27 days=invalid as VZ # 1 02/01/2011 F Not Comple 02/02/2012 M-M-R II 03 MSD Valid 02/29/2012 PROQUAD 94 MSD Not Valid
Live Virus Conflict 1 03/28/2012 03/28/2012 06/28/2012 Var 02/29/2012
Live Virus: Below Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0826
Dose 1 to dose 2 MMRV interval 12 weeks in child < 13 years old 02/02/2005 F Complete 08/13/2008 PROQUAD 94 MSD Valid 11/05/2008 PROQUAD 94 MSD Valid - Var 11/05/2008
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0827
Dose 1 to dose 2 interval of 4 wks between VZ and MMRV in any age child=both valid 05/22/2005 F Complete 06/01/2006 VARIVAX 21 MSD Valid 06/29/2006 PROQUAD 94 MSD Valid - Var 06/29/2006
Interval: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0829
28 day interval between invalid VZ and subsequent MMRV=valid VZ 05/22/2005 F Not Comple 05/17/2006 VARIVAX 21 MSD Not Valid
Age: Too Young 06/14/2006 PROQUAD 94 MSD Valid 2 09/06/2006 05/22/2009 06/18/2012 Var 06/14/2006
Live Virus: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0831
Interval of < 24 days between an invalid VZ and a subsequent MMRV=not valid VZ 07/16/2005 F Not Comple 07/11/2006 VARIVAX 21 MSD Not Valid
Age: Too Young 08/04/2006 PROQUAD 94 MSD Not Valid
Live Virus Conflict 1 09/01/2006 09/01/2006 12/13/2006 Var 08/04/2006
Live Virus: Below Minimum 01/01/2013 06/26/2013
Recommended based on minimum interval from live virus vaccine
Forecast Dates were forecasting Dose 2, but the patient is still trying to satisfy target dose #1. Dates were updated to reflect a forecast for dose 1 based on live virus spacing. 1.1
2013-0832
LAIV given at age 3 years; VZ at age 3 years + 27 days 10/14/2008 F Not Comple 10/14/2011 FLUMIST 111 MED Valid 11/10/2011 VARIVAX 21 MSD Not Valid
Live Virus Conflict 1 12/08/2011 12/08/2011 12/08/2011 Var 11/10/2011
Live Virus: Below Minimum 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0833
LAIV given at age 3 years; VZ at age 3 years + 28 days 10/14/2008 F Not Comple 10/14/2011 FLUMIST 111 MED Valid 11/11/2011 VARIVAX 21 MSD Valid 2 02/03/2012 10/14/2012 11/10/2015 Var 11/11/2011
Live Virus: At Minimum 01/01/2013 01/01/2013
Recommended based on age
2013-0834
History of VZ=series complete or exempt by hx of disease 05/01/2004 F
History of varicella infection 38907003 SCT Immune - Var 04/01/2005
No Doses Administered 01/01/2013 01/01/2013
Not recommended: immune
2013-0835
Titer of immunity to VZ=series complete or exempt 06/01/2005 F
History of varicella infection 38907003 SCT Immune - Var 06/01/2006
No Doses Administered 01/01/2013 01/01/2013
Not recommended: immune
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2013-0836
Anaphylactic reaction to dose 1 of VZ 12/12/2010 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindic 03/15/2012 VARIVAX 21 MSD Valid - Var 03/15/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0837
Diagnosis of severe immunodeficiency. No second dose. 12/12/2009 F
immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids) VXC27 CDCPHINVS Contraindic 12/20/2010 VARIVAX 21 MSD Valid - Var 12/20/2010
All Valid: Forecast Test 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0839
Diagnosis of severe immunodeficiency before administration of any VZ. No VZ to be given. 11/18/2010 F
immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids) VXC27 CDCPHINVS Contraindicated - Var 10/18/2011
No Doses Administered 01/01/2013 01/01/2013
Not recommended: contraindication
2013-0840
# 1 MMR at 12.5 mo; VZ not given=need 28 day interval for VZ 03/17/2011 F Not Comple 04/01/2012 M-M-R II 03 MSD Valid 1 04/29/2012 04/29/2012 08/13/2012 Var 04/01/2012
All Valid: Forecast Test 01/01/2013 01/01/2013
Recommended based on minimum interval from live virus vaccine
2013-0842
# 2 at age 12 mo+ 4 Weeks 11/28/2007 F Complete 11/28/2008 VARIVAX 21 MSD Valid 12/26/2008 VARIVAX 21 MSD Valid - Var 12/26/2008
Age: At Absolute Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0843# 2 at age 15 mo. 11/28/2007 F Complete 11/28/2008 VARIVAX 21 MSD Valid 02/28/2009 VARIVAX 21 MSD Valid - Var 02/28/2009
Age: At Minimum 01/01/2013 01/01/2013
Not recommended: series complete
2013-0844
# 1 at age ≥ 13 years old 01/01/1997 F Not Comple 01/04/2010 VARIVAX 21 MSD Valid 2 02/01/2010 02/01/2010 02/01/2010 Var 01/04/2010
All Valid: Forecast Test 01/01/2013 06/26/2013
Recommended based on minimum interval from previous dose (catch-up)
Past Due Date was incorrect. Should be in alignment with the earliest and recommended. Child is in catch-up schedule. 1.1
2015-0001
Varicella: Zoster dose in lieu of first dose of Varicella for adult patient 06/16/1979 F Not Comple 06/16/2015 ZOSTAVAX 121 MSD Valid 2 07/14/2015 07/14/2015 07/14/2015 Var 06/16/2015
Vaccine: Off Label 06/23/2015 06/23/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0002
Varicella: Adult patient has received 2 doses of the Varicella Vaccine at least 4 weeks apart 02/18/1992 F Complete 03/28/2015 VARIVAX 21 MSD Valid 5/2/2015 VARIVAX 21 MSD Valid - Var 05/02/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Not recommended: series complete
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0003
Varicella: Patient is U.S. born before 1/1/1980 06/16/1977 F Immune - Var 06/19/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: immune
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0004
Varicella: Patient was born in Mexico and born before 01/01/1980 05/28/1974 F Not Comple 05/28/2015 VARIVAX 21 MSD Valid 2 06/25/2015 06/25/2015 06/25/2015 Var 05/28/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0005
Varicella: Patient has laboratory evidence of immunity for Varicella 06/16/1990 F
Laboratory Evidence of Immunity or confirmation of Varicella Disease 371113008 SCT Immune - Var 06/16/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: immune
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0006
Varicella: Patient has a Varicella verifiable diagnosis by a healthcare provider. 06/16/1983 F
Healthcare provider verified history of or diagnosis of Varicella 38907003 SCT Immune - Var 06/16/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: immune
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0007
Varicella: Patient has a Herpes Zoster verifiable diagnosis by a healthcare provider. 06/19/1972 F
Healthcare provider verified history of or diagnosis of Herpes Zoster 4740000 SCT Immune - Var 06/19/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: immune
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0008
Varicella: Patient is a healthcare worker without evidence of immunity for Varicella. 03/28/1968 F
Healthcare Personnel 223366009 SCT Not Comple 05/28/2015 VARIVAX 21 MSD Valid 2 06/25/2015 06/25/2015 06/25/2015 Var 05/28/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0011
Varicella: Patient is pregnant, and has not been found to have evidence of immunity for Varicella. 06/19/1977 F
Patient currently Pregnant 77386006 SCT Contraindicated - Var 06/19/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: contraindication
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0012
Varicella: Zoster dose administered at 50 years - 1 day 05/29/1965 F Not Comple 05/28/2015 ZOSTAVAX 121 MSD Valid 2 06/25/2015 06/25/2015 06/25/2015 Var 05/28/2015
Vaccine: Off Label 06/23/2015 06/23/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0013
Zoster: Zoster Dose administered at 50 years of age 06/12/1965 F Complete 06/12/2015 ZOSTAVAX 121 MSD Valid - Zoster 06/12/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Not recommended: series complete
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0014
Zoster: Zoster Dose administered at 60 years of age 01/20/1955 F Complete 02/03/2015 ZOSTAVAX 121 MSD Valid - Zoster 02/03/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Not recommended: series complete
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0015
Zoster: Patient is 60 years of age and pregnant 06/12/1955 F
Patient currently Pregnant 77386006 SCT Contraindicated - Zoster 06/12/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: contraindication
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2015-0016
Zoster: Patient is overdue at 62 years of age for Zoster dose 03/16/1953 F Not Complete 1 03/16/2013 03/16/2013 Zoster 04/01/2015
No Doses Administered 06/23/2015 06/23/2015
Recommended based on age
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0017
Zoster: Anaphylactic reaction to Zoster vaccine components (Gelatin or neomycin). 06/16/1955 F
allergy to previous dose of this vaccine or to any of its unlisted vaccine components (anaphylactic) VXC20 CDCPHINVS Contraindicated - Zoster 06/16/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: contraindication
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0018
Zoster: MMR to Zoster interval 28 days 05/12/1962 F Complete 05/12/2015 M-M-R II 03 MSD Valid 6/9/2015 ZOSTAVAX 121 MSD Valid - Zoster 06/09/2015
Live Virus: At Minimum 06/23/2015 06/23/2015
Not recommended: series complete
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0019
Zoster: MMR to Zoster interval 28 - 1 days 05/12/1964 F Not Comple 05/12/2015 M-M-R II 03 MSD Valid 6/8/2015 ZOSTAVAX 121 MSD Not Valid
Live Virus Conflict 1 05/12/2024 05/12/2024 Zoster 06/08/2015
Live Virus: Below Minimum 06/23/2015 06/23/2015
Recommended based on minimum interval from live virus vaccine
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0020
Pneumococcal: Patient has no history of PCV 13 or PPSV 23 06/08/1950 F Not Complete 1 06/08/2015 06/08/2015 PCV 06/08/2015
No Doses Administered 06/23/2015 06/23/2015
Recommended based on age
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0021
Pneumococcal: Patient has received PCV13 and PPSV23 02/18/1950 F Complete 02/24/2015 PREVNAR 1 133 PFR Valid 2/24/2016 PNEUMOVA 33 MSD Valid - PCV 02/24/2016
All Valid: Forecast Test 06/23/2015 09/18/2015
Not recommended: series complete
New test case for version 2.0 which expanded scope into Adult recommendations. Update due to MMWR (9/4/2015 / Vol.64 / No. 34) changing the minimal and recommended interval from PCV13 to PPSV23 in adults 65+ from 6-12 months to 1 year. 2.1
2015-0022
Pneumococcal: Patient has received PCV13 but has no history of PPSV23 05/28/1950 F Not Comple 05/28/2015 PREVNAR 1 133 PFR Valid 2 05/28/2016 05/28/2016 PCV 05/28/2015
All Valid: Forecast Test 06/23/2015 09/18/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations. Update due to MMWR (9/4/2015 / Vol.64 / No. 34) changing the minimal and recommended interval from PCV13 to PPSV23 in adults 65+ from 6-12 months to 1 year. 2.1
2015-0023
Pneumococcal: Patient has received PPSV23 at age 65 but has no history of PCV13. 04/12/1950 F Not Comple 04/28/2015 PNEUMOVA 33 MSD Valid 2 04/28/2016 04/28/2016 PCV 04/28/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0024
MMR: Patient is born before 01/01/1957 06/12/1956 F Immune - MMR 03/23/2015
No Doses Administered 06/23/2015 06/23/2015
Not recommended: immune
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0025
MMR: Patient is a healthcare worker, born before 1957, without laboratory evidence of immunity. 08/12/1955 F
Healthcare Personnel 223366009 SCT Not Comple 04/30/2015 M-M-R II 03 MSD Valid 2 05/28/2015 05/28/2015 05/28/2015 MMR 04/30/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Recommended based on interval
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2015-0027
Zoster: Patient has received a dose of Varicella vaccine 05/12/1955 F Not Recom 05/23/2015 VARIVAX 21 MSD Valid - Zoster 05/23/2015
All Valid: Forecast Test 06/23/2015 06/23/2015
Not recommended
New test case for version 2.0 which expanded scope into Adult recommendations 2.0
2016-0001
Dose #1 received at 4 months, dose #2 received at 8 months, dose #3 received at 2 years, and dose #4 received at 3 years. Current Age is 7 yrs. 06/08/2009 F Not Comple 10/08/2009 DTaP 20 PMC Valid 02/08/2010 DTaP 20 PMC Valid 06/08/2011 DTaP 20 PMC Valid 06/08/2012 DTaP 20 PMC Valid 4 06/08/2016 06/08/2016 06/08/2016 DTaP 06/08/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0002
Dose #1 received at 2 years, dose #2 received at 3 years, and dose #3 received at 4 years. Current age 7 yrs 03/02/2009 F Not Comple 05/02/2011 DTaP 20 PMC Valid 05/16/2012 DTaP 20 PMC Valid 08/01/2013 DTaP 20 PMC Valid 4 03/02/2016 03/02/2016 03/02/2016 DTaP 03/02/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0003
3 Dose received at < 12 months. Current age is 7 years. 11/12/2009 F Not Comple 01/12/2010 DTaP 20 PMC Valid 03/12/2010 DTaP 20 PMC Valid 07/12/2010 DTaP 20 PMC Valid 4 11/12/2016 11/12/2016 11/12/2016 DTaP 11/12/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0004
Dose #1 given at < 12 months. Current age is 7. 02/01/2009 F Not Comple 07/01/2009 DTaP 20 PMC Valid 2 02/01/2016 02/01/2016 02/01/2016 DTaP 02/01/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0005
Dose #1 given at 3 months, dose #2 given at 1 year, dose #3 given at 2 years, and dose # 4 given at 3years. Current age is 7 yrs 02/17/2009 F Not Comple 05/17/2009 DTaP 20 PMC Valid 02/17/2010 DTaP 20 PMC Valid 02/17/2011 DTaP 20 PMC Valid 02/17/2012 DTaP 20 PMC Valid 5 02/17/2016 02/17/2016 02/17/2016 DTaP 02/17/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
CDC Test Test Case DOB Gender Med Histo Med Histo Med Histo Series Sta Date Admini Vaccine N CVX_1 MVX_1 Evaluation Evaluation Date Adminis Vaccine N CVX_2 MVX_2 Evaluation Evaluation Date Adminis Vaccine N CVX_3 MVX_3 Evaluation Evaluation Date Adminis Vaccine N CVX_4 MVX_4 Evaluation Evaluation Date Admini Vaccine N CVX_5 MVX_5 Evaluation Evaluation Date Adm Vaccine N CVX_6 MVX_6 Evaluation Evaluation Date Adm Vaccine N CVX_7 MVX_7 Evaluation Evaluation Forecast # Earliest_Date Recommende Past Due Da Vaccine G Assessment D Evaluation Date_added Date update Forecast T Reason Fo Changed_In_Version
2016-0006
Dose #1 given at 5 months, dose #2 given at 1 year, dose #3 given at 2 years. Current age is 7 yrs 05/14/2009 F Not Comple 10/14/2009 DTaP 20 PMC Valid 05/04/2010 DTaP 20 PMC Valid 05/14/2011 DTaP 20 PMC Valid 4 05/14/2016 05/14/2016 05/14/2016 DTaP 05/14/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0007
Dose #1 at 9 months, dose #2 at 2 years, and dose #3 at 5 years. Current Age is 7 yrs 01/31/2009 F Not Comple 10/31/2009 DTaP 20 PMC Valid 01/31/2011 DTaP 20 PMC Valid 01/31/2014 DTaP 20 PMC Valid 4 01/31/2016 01/31/2016 01/31/2016 DTaP 01/31/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0008
Dose 1 given at < 12 mo Dose 2 given at 2 yrs Current age 7 yrs 04/02/2009 F Not Comple 06/02/2009 DTaP 20 PMC Valid 04/02/2011 DTaP 20 PMC Valid 3 04/02/2016 04/02/2016 04/02/2016 DTaP 04/02/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0009
3 doses at < 12 mos, 1 dose at 1.5 yrs. Current Age is 7 yrs. 03/01/2009 F Not Comple 05/01/2009 DTaP 20 PMC Valid 09/01/2009 DTaP 20 PMC Valid 11/01/2009 DTaP 20 PMC Valid 08/01/2010 DTaP 20 PMC Valid 5 03/01/2016 03/01/2016 03/01/2016 DTaP 03/01/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2
2016-0010
Dose 1 and 2 given at < 12 months of age. Dose # 3 given at 2 years and dose #4 given at 3 years. Current age is 7 years. 04/04/2009 F Not Comple 07/04/2009 DTaP 20 PMC Valid 01/04/2010 DTaP 20 PMC Valid 04/16/2011 DTaP 20 PMC Valid 05/18/2012 DTaP 20 PMC Valid 4 04/04/2016 04/04/2016 04/04/2016 DTaP 04/04/2016
All Valid: Forecast Test 03/15/2016 03/15/2016
Recommended based on age
New logic concerning Tdap 2.2