PackagesCanonicalsLogsProblems
    Packages
    fhir.tx.support.r4@0.22.0
    http://hl7.org/fhir/sid/cvx
{
  "description": "CVX Codes for vaccines",
  "_filename": "CodeSystem-cvx.json",
  "package_name": "fhir.tx.support.r4",
  "date": "2023-12-14",
  "publisher": "Health Level 7",
  "content": "complete",
  "property": [ {
    "code": "notes",
    "type": "string",
    "description": "Instructions on usage or other relevant notes."
  }, {
    "code": "vaccine-status",
    "type": "code",
    "description": "Indicates the availability of the vaccine in the United States."
  }, {
    "code": "non-vaccine",
    "type": "boolean",
    "description": "If 'true', this is not a product that is not a vaccine."
  }, {
    "code": "last-updated",
    "type": "dateTime",
    "description": "Indicates the last time this particular vaccine code was updated."
  } ],
  "name": "CVX",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "CVX - US Vaccine Codes",
  "package_version": "0.22.0",
  "filter": [ {
    "code": "vaccine-status",
    "value": "One of: 'active', 'inactive', 'pending', 'never-active', 'non-US'",
    "operator": [ "=" ],
    "description": "Indicates the availability of the vaccine in the United States."
  }, {
    "code": "non-vaccine",
    "value": "'false' (default) or 'true'",
    "operator": [ "=" ],
    "description": "If 'true', this is not a product that is not a vaccine."
  } ],
  "status": "active",
  "id": "f866ae43-b4a3-4695-ba33-93b15e973c4f",
  "kind": null,
  "url": "http://hl7.org/fhir/sid/cvx",
  "concept": [ {
    "code": "01",
    "display": "diphtheria, tetanus toxoids and pertussis vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTP",
      "language": "en"
    } ]
  }, {
    "code": "02",
    "display": "trivalent poliovirus vaccine, live, oral",
    "property": [ {
      "code": "notes",
      "valueString": "This is the OPV that was used in the US"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-02-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "OPV",
      "language": "en"
    } ]
  }, {
    "code": "03",
    "display": "measles, mumps and rubella virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "MMR",
      "language": "en"
    } ]
  }, {
    "code": "04",
    "display": "measles and rubella virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "M/R",
      "language": "en"
    } ]
  }, {
    "code": "05",
    "display": "measles virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-08-31"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "measles",
      "language": "en"
    } ]
  }, {
    "code": "06",
    "display": "rubella virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-06-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rubella",
      "language": "en"
    } ]
  }, {
    "code": "07",
    "display": "mumps virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-06-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "mumps",
      "language": "en"
    } ]
  }, {
    "code": "08",
    "display": "hepatitis B vaccine, pediatric or pediatric/adolescent dosage",
    "property": [ {
      "code": "notes",
      "valueString": "This code applies to any standard pediatric formulation of Hepatitis B vaccine. It should not be used for the 2-dose hepatitis B schedule for adolescents (11-15 year olds). It requires Merck's Recombivax HB adult formulation. Use code 43 for that vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep B, adolescent or pediatric",
      "language": "en"
    } ]
  }, {
    "code": "09",
    "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Td (adult), 2 Lf tetanus toxoid, preservative free, adsorbed",
      "language": "en"
    } ]
  }, {
    "code": "10",
    "display": "poliovirus vaccine, inactivated",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "IPV",
      "language": "en"
    } ]
  }, {
    "code": "11",
    "display": "pertussis vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "pertussis",
      "language": "en"
    } ]
  }, {
    "code": "12",
    "display": "diphtheria antitoxin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "diphtheria antitoxin",
      "language": "en"
    } ]
  }, {
    "code": "13",
    "display": "tetanus immune globulin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "TIG",
      "language": "en"
    } ]
  }, {
    "code": "14",
    "display": "immune globulin, unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "IG, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "15",
    "display": "influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE",
    "property": [ {
      "code": "notes",
      "valueString": "This code is being retired. It will still be found in older immunization records. It included both preservative free and non-preservative free."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, split (incl. purified surface antigen)",
      "language": "en"
    } ]
  }, {
    "code": "16",
    "display": "influenza virus vaccine, whole virus",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, whole",
      "language": "en"
    } ]
  }, {
    "code": "17",
    "display": "Haemophilus influenzae type b vaccine, conjugate unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hib, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "18",
    "display": "rabies vaccine, for intramuscular injection RETIRED CODE",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code has been retired. It is replace by CVX 175,  or CVX 176. It will continue to be found in historic records."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-10-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rabies, intramuscular injection",
      "language": "en"
    } ]
  }, {
    "code": "19",
    "display": "Bacillus Calmette-Guerin vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "BCG",
      "language": "en"
    } ]
  }, {
    "code": "20",
    "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP",
      "language": "en"
    } ]
  }, {
    "code": "21",
    "display": "varicella virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "varicella",
      "language": "en"
    } ]
  }, {
    "code": "22",
    "display": "DTP-Haemophilus influenzae type b conjugate vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-03-23"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTP-Hib",
      "language": "en"
    } ]
  }, {
    "code": "23",
    "display": "plague vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "plague",
      "language": "en"
    } ]
  }, {
    "code": "24",
    "display": "anthrax vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2019-06-11"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "anthrax",
      "language": "en"
    } ]
  }, {
    "code": "25",
    "display": "typhoid vaccine, live, oral",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "typhoid, oral",
      "language": "en"
    } ]
  }, {
    "code": "26",
    "display": "cholera vaccine, unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-06-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "cholera, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "27",
    "display": "botulinum antitoxin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "botulinum antitoxin",
      "language": "en"
    } ]
  }, {
    "code": "28",
    "display": "diphtheria and tetanus toxoids, adsorbed for pediatric use",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DT (pediatric)",
      "language": "en"
    } ]
  }, {
    "code": "29",
    "display": "cytomegalovirus immune globulin, intravenous",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "CMVIG",
      "language": "en"
    } ]
  }, {
    "code": "30",
    "display": "hepatitis B immune globulin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HBIG",
      "language": "en"
    } ]
  }, {
    "code": "31",
    "display": "hepatitis A vaccine, pediatric dosage, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Do NOT use this code.  If formulation is unknown, use CVX 85.  There is only one formulation of Hep A, peds."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, pediatric, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "32",
    "display": "meningococcal polysaccharide vaccine (MPSV4)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal MPSV4",
      "language": "en"
    } ]
  }, {
    "code": "33",
    "display": "pneumococcal polysaccharide vaccine, 23 valent",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "pneumococcal polysaccharide PPV23",
      "language": "en"
    } ]
  }, {
    "code": "34",
    "display": "rabies immune globulin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RIG",
      "language": "en"
    } ]
  }, {
    "code": "35",
    "display": "tetanus toxoid, adsorbed",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-08-14"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "tetanus toxoid, adsorbed",
      "language": "en"
    } ]
  }, {
    "code": "36",
    "display": "varicella zoster immune globulin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "VZIG",
      "language": "en"
    } ]
  }, {
    "code": "37",
    "display": "yellow fever vaccine",
    "property": [ {
      "code": "notes",
      "valueString": "This is the YF vaccine that has been available in the US for years. It is stabilized with sorbitol and gelatin."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-03-02"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "yellow fever",
      "language": "en"
    } ]
  }, {
    "code": "38",
    "display": "rubella and mumps virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rubella/mumps",
      "language": "en"
    } ]
  }, {
    "code": "39",
    "display": "Japanese Encephalitis Vaccine SC",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-09-24"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Japanese encephalitis SC",
      "language": "en"
    } ]
  }, {
    "code": "40",
    "display": "rabies vaccine, for intradermal injection",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-06-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rabies, intradermal injection",
      "language": "en"
    } ]
  }, {
    "code": "41",
    "display": "typhoid vaccine, parenteral, other than acetone-killed, dried",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-08-13"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "typhoid, parenteral",
      "language": "en"
    } ]
  }, {
    "code": "42",
    "display": "hepatitis B vaccine, adolescent/high risk infant dosage",
    "property": [ {
      "code": "notes",
      "valueString": "As of August 27, 1998, Merck ceased distribution of their adolescent/high risk infant hepatitis B vaccine dosage. Code 42 should only be used to record historical records. For current administration of hepatitis B vaccine, pediatric/adolescent dosage, use code 08."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep B, adolescent/high risk infant",
      "language": "en"
    } ]
  }, {
    "code": "43",
    "display": "hepatitis B vaccine, adult dosage",
    "property": [ {
      "code": "notes",
      "valueString": "As of September 1999, a 2-dose hepatitis B schedule for adolescents (11-15 year olds) was FDA approved for Merck's Recombivax HB adult formulation. Use code 43 for the 2-dose. This code should be used for any use of standard adult formulation of hepatitis B vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep B, adult",
      "language": "en"
    } ]
  }, {
    "code": "44",
    "display": "hepatitis B vaccine, dialysis patient dosage",
    "property": [ {
      "code": "notes",
      "valueString": "NDCs that are used for both vaccine and dialysis (e.g. Engerix-B)  are mapped to CVX 43 which is not specific to dialysis use"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2019-05-08"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep B, dialysis",
      "language": "en"
    } ]
  }, {
    "code": "45",
    "display": "hepatitis B vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a HepB vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep B, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "46",
    "display": "Haemophilus influenzae type b vaccine, PRP-D conjugate",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hib (PRP-D)",
      "language": "en"
    } ]
  }, {
    "code": "47",
    "display": "Haemophilus influenzae type b vaccine, HbOC conjugate",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hib (HbOC)",
      "language": "en"
    } ]
  }, {
    "code": "48",
    "display": "Haemophilus influenzae type b vaccine, PRP-T conjugate",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hib (PRP-T)",
      "language": "en"
    } ]
  }, {
    "code": "49",
    "display": "Haemophilus influenzae type b vaccine, PRP-OMP conjugate",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hib (PRP-OMP)",
      "language": "en"
    } ]
  }, {
    "code": "50",
    "display": "DTaP-Haemophilus influenzae type b conjugate vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-03-20"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP-Hib",
      "language": "en"
    } ]
  }, {
    "code": "51",
    "display": "Haemophilus influenzae type b conjugate and Hepatitis B vaccine",
    "property": [ {
      "code": "notes",
      "valueString": "This vaccine may still be in use until the existing lots expire on 8/19/16."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-03-11"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hib-Hep B",
      "language": "en"
    } ]
  }, {
    "code": "52",
    "display": "hepatitis A vaccine, adult dosage",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, adult",
      "language": "en"
    } ]
  }, {
    "code": "53",
    "display": "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-06-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "typhoid, parenteral, AKD (U.S. military)",
      "language": "en"
    } ]
  }, {
    "code": "54",
    "display": "adenovirus vaccine, type 4, live, oral",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "adenovirus, type 4",
      "language": "en"
    } ]
  }, {
    "code": "55",
    "display": "adenovirus vaccine, type 7, live, oral",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "adenovirus, type 7",
      "language": "en"
    } ]
  }, {
    "code": "56",
    "display": "dengue fever vaccine, tetravalent",
    "property": [ {
      "code": "notes",
      "valueString": "Applies to tetravalent product (e.g. DENGVAXIA)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-02-16"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "dengue fever tetravalent",
      "language": "en"
    } ]
  }, {
    "code": "57",
    "display": "hantavirus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "hantavirus",
      "language": "en"
    } ]
  }, {
    "code": "58",
    "display": "hepatitis C vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep C",
      "language": "en"
    } ]
  }, {
    "code": "59",
    "display": "hepatitis E vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep E",
      "language": "en"
    } ]
  }, {
    "code": "60",
    "display": "herpes simplex virus, type 2 vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "herpes simplex 2",
      "language": "en"
    } ]
  }, {
    "code": "61",
    "display": "human immunodeficiency virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HIV",
      "language": "en"
    } ]
  }, {
    "code": "62",
    "display": "human papilloma virus vaccine, quadrivalent",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-06-02"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HPV, quadrivalent",
      "language": "en"
    } ]
  }, {
    "code": "63",
    "display": "Junin virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Junin virus",
      "language": "en"
    } ]
  }, {
    "code": "64",
    "display": "leishmaniasis vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "leishmaniasis",
      "language": "en"
    } ]
  }, {
    "code": "65",
    "display": "leprosy vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "leprosy",
      "language": "en"
    } ]
  }, {
    "code": "66",
    "display": "Lyme disease vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Lyme disease",
      "language": "en"
    } ]
  }, {
    "code": "67",
    "display": "malaria vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "malaria",
      "language": "en"
    } ]
  }, {
    "code": "68",
    "display": "melanoma vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "melanoma",
      "language": "en"
    } ]
  }, {
    "code": "69",
    "display": "parainfluenza-3 virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "parainfluenza-3",
      "language": "en"
    } ]
  }, {
    "code": "70",
    "display": "Q fever vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Q fever",
      "language": "en"
    } ]
  }, {
    "code": "71",
    "display": "respiratory syncytial virus immune globulin, intravenous",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-07-19"
    }, {
      "code": "notes",
      "valueString": "No active NDCs or CPT codes associated to this CVX"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV-IGIV",
      "language": "en"
    } ]
  }, {
    "code": "72",
    "display": "rheumatic fever vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rheumatic fever",
      "language": "en"
    } ]
  }, {
    "code": "73",
    "display": "Rift Valley fever vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Rift Valley fever",
      "language": "en"
    } ]
  }, {
    "code": "74",
    "display": "rotavirus, live, tetravalent vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rotavirus, tetravalent",
      "language": "en"
    } ]
  }, {
    "code": "75",
    "display": "vaccinia (smallpox) vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "vaccinia (smallpox)",
      "language": "en"
    } ]
  }, {
    "code": "76",
    "display": "Staphylococcus bacteriophage lysate",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Staphylococcus bacterio lysate",
      "language": "en"
    } ]
  }, {
    "code": "77",
    "display": "Tick-borne encephalitis vaccine (non-US)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-03-04"
    }, {
      "code": "notes",
      "valueString": "Non-US vaccine"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Tick-borne encephalitis vaccine (non-US)",
      "language": "en"
    } ]
  }, {
    "code": "78",
    "display": "tularemia vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "tularemia vaccine",
      "language": "en"
    } ]
  }, {
    "code": "79",
    "display": "vaccinia immune globulin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "vaccinia immune globulin",
      "language": "en"
    } ]
  }, {
    "code": "80",
    "display": "Venezuelan equine encephalitis, live, attenuated",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "VEE, live",
      "language": "en"
    } ]
  }, {
    "code": "81",
    "display": "Venezuelan equine encephalitis, inactivated",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "VEE, inactivated",
      "language": "en"
    } ]
  }, {
    "code": "82",
    "display": "adenovirus vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a adenovirus vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "adenovirus, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "83",
    "display": "hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, ped/adol, 2 dose",
      "language": "en"
    } ]
  }, {
    "code": "84",
    "display": "hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule",
    "property": [ {
      "code": "notes",
      "valueString": "This vaccine formulation is inactive and should not be used, except to record historic vaccinations with this formulation."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, ped/adol, 3 dose",
      "language": "en"
    } ]
  }, {
    "code": "85",
    "display": "hepatitis A vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a HepA vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "86",
    "display": "immune globulin, intramuscular",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "IG",
      "language": "en"
    } ]
  }, {
    "code": "87",
    "display": "immune globulin, intravenous",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "IGIV",
      "language": "en"
    } ]
  }, {
    "code": "88",
    "display": "influenza virus vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a Influenza vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "89",
    "display": "poliovirus vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a polio vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "polio, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "90",
    "display": "rabies vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a rabies vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rabies, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "91",
    "display": "typhoid vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a typhoid vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "typhoid, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "92",
    "display": "Venezuelan equine encephalitis vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a VEE vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "VEE, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "93",
    "display": "respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV-MAb",
      "language": "en"
    } ]
  }, {
    "code": "94",
    "display": "measles, mumps, rubella, and varicella virus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "MMRV",
      "language": "en"
    } ]
  }, {
    "code": "95",
    "display": "tuberculin skin test; old tuberculin, multipuncture device",
    "property": [ {
      "code": "notes",
      "valueString": "TB Skin test is not vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "TST-OT tine test",
      "language": "en"
    } ]
  }, {
    "code": "96",
    "display": "tuberculin skin test; purified protein derivative solution, intradermal",
    "property": [ {
      "code": "notes",
      "valueString": "TB Skin test is not vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "TST-PPD intradermal",
      "language": "en"
    } ]
  }, {
    "code": "97",
    "display": "tuberculin skin test; purified protein derivative, multipuncture device",
    "property": [ {
      "code": "notes",
      "valueString": "TB Skin test is not vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "TST-PPD tine test",
      "language": "en"
    } ]
  }, {
    "code": "98",
    "display": "tuberculin skin test; unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "TB Skin test is not vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "TST, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "99",
    "display": "RESERVED - do not use",
    "property": [ {
      "code": "notes",
      "valueString": "Code 99 will not be used in this table to avoid confusion with code 999."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RESERVED - do not use",
      "language": "en"
    } ]
  }, {
    "code": "100",
    "display": "pneumococcal conjugate vaccine, 7 valent",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-06-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "pneumococcal conjugate PCV 7",
      "language": "en"
    } ]
  }, {
    "code": "101",
    "display": "typhoid Vi capsular polysaccharide vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "typhoid, ViCPs",
      "language": "en"
    } ]
  }, {
    "code": "102",
    "display": "DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX has been corrected. This non-US vaccine contained DTP, Hib and Hep B. It was withdrawn in 2007 ."
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-05-20"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTP-Hib-Hep B",
      "language": "en"
    } ]
  }, {
    "code": "103",
    "display": "meningococcal C conjugate vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal C conjugate",
      "language": "en"
    } ]
  }, {
    "code": "104",
    "display": "hepatitis A and hepatitis B vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A-Hep B",
      "language": "en"
    } ]
  }, {
    "code": "105",
    "display": "vaccinia (smallpox) vaccine, diluted",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "vaccinia (smallpox) diluted",
      "language": "en"
    } ]
  }, {
    "code": "106",
    "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP, 5 pertussis antigens",
      "language": "en"
    } ]
  }, {
    "code": "107",
    "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a DTaP vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "108",
    "display": "meningococcal ACWY vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX is intended for use when one of the meningococcal vaccines containing serogroups A, C, W and Y (conjugate or polysaccaride) was given and the exact formulation was not recorded. It should not be used to record newly administered immunizations. It is not to be used when one of the meningococcal vaccines containing other serogroups was administered."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-12-01"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal ACWY, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "109",
    "display": "pneumococcal vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a pneumococcal vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "pneumococcal, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "110",
    "display": "DTaP-hepatitis B and poliovirus vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP-Hep B-IPV",
      "language": "en"
    } ]
  }, {
    "code": "111",
    "display": "influenza virus vaccine, live, attenuated, for intranasal use",
    "property": [ {
      "code": "notes",
      "valueString": "LAIV3"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-09-22"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, live, intranasal",
      "language": "en"
    } ]
  }, {
    "code": "112",
    "display": "tetanus toxoid, unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "tetanus toxoid, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "113",
    "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed",
      "language": "en"
    } ]
  }, {
    "code": "114",
    "display": "meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal MCV4P",
      "language": "en"
    } ]
  }, {
    "code": "115",
    "display": "tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Tdap",
      "language": "en"
    } ]
  }, {
    "code": "116",
    "display": "rotavirus, live, pentavalent vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rotavirus, pentavalent",
      "language": "en"
    } ]
  }, {
    "code": "117",
    "display": "varicella zoster immune globulin (Investigational New Drug)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "VZIG (IND)",
      "language": "en"
    } ]
  }, {
    "code": "118",
    "display": "human papilloma virus vaccine, bivalent",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HPV, bivalent",
      "language": "en"
    } ]
  }, {
    "code": "119",
    "display": "rotavirus, live, monovalent vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rotavirus, monovalent",
      "language": "en"
    } ]
  }, {
    "code": "120",
    "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP-Hib-IPV",
      "language": "en"
    } ]
  }, {
    "code": "121",
    "display": "zoster vaccine, live",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "zoster live",
      "language": "en"
    } ]
  }, {
    "code": "122",
    "display": "rotavirus vaccine, unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "rotavirus, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "123",
    "display": "influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, H5N1-1203",
      "language": "en"
    } ]
  }, {
    "code": "125",
    "display": "Novel Influenza-H1N1-09, live virus for nasal administration",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-08-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Novel Influenza-H1N1-09, nasal",
      "language": "en"
    } ]
  }, {
    "code": "126",
    "display": "Novel influenza-H1N1-09, preservative-free, injectable",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-08-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Novel influenza-H1N1-09, preservative-free",
      "language": "en"
    } ]
  }, {
    "code": "127",
    "display": "Novel influenza-H1N1-09, injectable",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-08-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Novel influenza-H1N1-09",
      "language": "en"
    } ]
  }, {
    "code": "128",
    "display": "Novel influenza-H1N1-09, all formulations",
    "property": [ {
      "code": "notes",
      "valueString": "This code is used whenever the actual formulation is not determined or when aggregating all Novel H1N1 Influenza-09 immunizations for reporting to CRA. It should not be used for seasonal influenza vaccine that is not otherwise specified. (NOS)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-08-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Novel Influenza-H1N1-09, all formulations",
      "language": "en"
    } ]
  }, {
    "code": "129",
    "display": "Japanese Encephalitis vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a JE vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Japanese Encephalitis, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "130",
    "display": "Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP-IPV",
      "language": "en"
    } ]
  }, {
    "code": "131",
    "display": "Historical record of a typhus vaccination",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "typhus, historical",
      "language": "en"
    } ]
  }, {
    "code": "132",
    "display": "Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.",
    "property": [ {
      "code": "notes",
      "valueString": "This is not the same as CVX 146, Hexavalent vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP-IPV-HIB-HEP B, historical",
      "language": "en"
    } ]
  }, {
    "code": "133",
    "display": "pneumococcal conjugate vaccine, 13 valent",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Pneumococcal conjugate PCV 13",
      "language": "en"
    } ]
  }, {
    "code": "134",
    "display": "Japanese Encephalitis vaccine for intramuscular administration",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Japanese Encephalitis IM",
      "language": "en"
    } ]
  }, {
    "code": "135",
    "display": "influenza, high dose seasonal, preservative-free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, high dose seasonal",
      "language": "en"
    } ]
  }, {
    "code": "136",
    "display": "meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-05-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Meningococcal MCV4O",
      "language": "en"
    } ]
  }, {
    "code": "137",
    "display": "HPV, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a HPV vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HPV, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "138",
    "display": "tetanus and diphtheria toxoids, not adsorbed, for adult use",
    "property": [ {
      "code": "notes",
      "valueString": "Note that this Td is not adsorbed."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2010-09-30"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Td (adult)",
      "language": "en"
    } ]
  }, {
    "code": "139",
    "display": "Td(adult) unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a historic vaccination when the formulation is unknown (for example, when recording a Td vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2019-08-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Td(adult) unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "140",
    "display": "Influenza, seasonal, injectable, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "IIV3. No US product available since 2018/2019 flu season. This vaccine code is one of two which replace CVX 15, influenza, split virus."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-12-15"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, seasonal, injectable, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "141",
    "display": "Influenza, seasonal, injectable",
    "property": [ {
      "code": "notes",
      "valueString": "IIV3. This is one of two codes replacing CVX 15, which is being retired."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-07-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, seasonal, injectable",
      "language": "en"
    } ]
  }, {
    "code": "142",
    "display": "tetanus toxoid, not adsorbed",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-08-14"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "tetanus toxoid, not adsorbed",
      "language": "en"
    } ]
  }, {
    "code": "143",
    "display": "Adenovirus, type 4 and type 7, live, oral",
    "property": [ {
      "code": "notes",
      "valueString": "This vaccine is administered as 2 tablets."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2011-03-20"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Adenovirus types 4 and 7",
      "language": "en"
    } ]
  }, {
    "code": "144",
    "display": "seasonal influenza, intradermal, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "IIV3. No US product available since 2014/2015 flu season"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-12-15"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, seasonal, intradermal, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "145",
    "display": "respiratory syncytial virus monoclonal antibody (motavizumab), intramuscular",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV-MAb (new)",
      "language": "en"
    } ]
  }, {
    "code": "146",
    "display": "Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus, Haemophilus b Conjugate (Meningococcal Protein Conjugate), and Hepatitis B (Recombinant) Vaccine.",
    "property": [ {
      "code": "notes",
      "valueString": "This vaccine is different from CVX 132. Code may be used to document non-US vaccines (e.g. Hexamin) of the same component formulation"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-08-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTaP,IPV,Hib,HepB",
      "language": "en"
    } ]
  }, {
    "code": "147",
    "display": "Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX should only be used for historical doses of meningococcal conjugate vaccine where the formulation is unknown (oligosaccharide vs polysaccharide). It is not the same as CVX 108, Meningococcal, unspecified formulation. This CVX is for unspecified Meningococcal conjugate vaccines."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2012-02-08"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal MCV4, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "148",
    "display": "Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-11"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Meningococcal C/Y-HIB PRP",
      "language": "en"
    } ]
  }, {
    "code": "149",
    "display": "influenza, live, intranasal, quadrivalent",
    "property": [ {
      "code": "notes",
      "valueString": "new in 2012.  LAIV4"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-07-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, live, intranasal, quadrivalent",
      "language": "en"
    } ]
  }, {
    "code": "150",
    "display": "Influenza, injectable, quadrivalent, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "New in 2012.  IIV4"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-07-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, injectable, quadrivalent, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "151",
    "display": "influenza nasal, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX should only be used for historical records where the formulation of nasal flu vaccine is not known."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-01-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza nasal, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "152",
    "display": "Pneumococcal Conjugate, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX should only be used for historical records where the formulation of pneumococcal conjugate vaccine is not known."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-01-28"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Pneumococcal Conjugate, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "153",
    "display": "Influenza, injectable, Madin Darby Canine Kidney, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "ccIIV3"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-06-24"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, injectable, MDCK, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "154",
    "display": "Hepatitis A immune globulin",
    "property": [ {
      "code": "notes",
      "valueString": "Do not use this code. This product may be used for Hep A and other viral infections. The correct vaccine / CVX is 86 (IG)."
    }, {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, IG",
      "language": "en"
    } ]
  }, {
    "code": "155",
    "display": "Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "RIV"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-07-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, recombinant, injectable, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "156",
    "display": "Rho(D) Immune globulin- IV or IM",
    "property": [ {
      "code": "notes",
      "valueString": "This immune globulin may be administered either IM or IV."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Rho(D)-IG",
      "language": "en"
    } ]
  }, {
    "code": "157",
    "display": "Rho(D) Immune globulin - IM",
    "property": [ {
      "code": "notes",
      "valueString": "This immune globulin may be administered IM only."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Rho(D) -IG IM",
      "language": "en"
    } ]
  }, {
    "code": "158",
    "display": "influenza, injectable, quadrivalent, contains preservative",
    "property": [ {
      "code": "notes",
      "valueString": "New in 2013.  IIV4"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2013-08-20"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, injectable, quadrivalent",
      "language": "en"
    } ]
  }, {
    "code": "159",
    "display": "Rho(D) Unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Rho(D) - Unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "160",
    "display": "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013",
    "property": [ {
      "code": "notes",
      "valueString": "Approved by FDA 2013, adjuvant is mixed at point of administration."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-05-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza A monovalent (H5N1), ADJUVANTED-2013",
      "language": "en"
    } ]
  }, {
    "code": "161",
    "display": "Influenza, injectable,quadrivalent, preservative free, pediatric",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-07-23"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, injectable,quadrivalent, preservative free, pediatric",
      "language": "en"
    } ]
  }, {
    "code": "162",
    "display": "meningococcal B vaccine, fully recombinant",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-11-03"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal B, recombinant",
      "language": "en"
    } ]
  }, {
    "code": "163",
    "display": "meningococcal B vaccine, recombinant, OMV, adjuvanted",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-02-02"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal B, OMV",
      "language": "en"
    } ]
  }, {
    "code": "164",
    "display": "meningococcal B, unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-11-03"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal B, unspecified",
      "language": "en"
    } ]
  }, {
    "code": "165",
    "display": "Human Papillomavirus 9-valent vaccine",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2014-12-11"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HPV9",
      "language": "en"
    } ]
  }, {
    "code": "166",
    "display": "influenza, intradermal, quadrivalent, preservative free, injectable",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-12-15"
    }, {
      "code": "notes",
      "valueString": "No US product available since 2017/2018 flu season"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, intradermal, quadrivalent, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "167",
    "display": "meningococcal vaccine of unknown formulation and unknown serogroups",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX is intended for use when any one of the meningococcal vaccines is recorded and there is no information about which serogroups are protected against. This code should not be used when a newly administered immunization is recorded."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-12-01"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal, unknown serogroups",
      "language": "en"
    } ]
  }, {
    "code": "168",
    "display": "Seasonal trivalent influenza vaccine, adjuvanted, preservative free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2015-12-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, trivalent, adjuvanted",
      "language": "en"
    } ]
  }, {
    "code": "169",
    "display": "Hep A, live attenuated-IM",
    "property": [ {
      "code": "notes",
      "valueString": "This vaccine is not available in the US."
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A, live attenuated",
      "language": "en"
    } ]
  }, {
    "code": "170",
    "display": "non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX was split off from CVX 102, to correctly identify the contents of the vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-05-20"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTAP/IPV/HIB - non-US",
      "language": "en"
    } ]
  }, {
    "code": "171",
    "display": "Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-06-16"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, injectable, MDCK, preservative free, quadrivalent",
      "language": "en"
    } ]
  }, {
    "code": "172",
    "display": "cholera, WC-rBS",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-06-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "cholera, WC-rBS",
      "language": "en"
    } ]
  }, {
    "code": "173",
    "display": "cholera, BivWC",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-06-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "cholera, BivWC",
      "language": "en"
    } ]
  }, {
    "code": "174",
    "display": "cholera, live attenuated",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-06-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "cholera, live attenuated",
      "language": "en"
    } ]
  }, {
    "code": "175",
    "display": "Human Rabies vaccine from human diploid cell culture",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-10-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Rabies - IM Diploid cell culture",
      "language": "en"
    } ]
  }, {
    "code": "176",
    "display": "Human rabies vaccine from Chicken fibroblast culture",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-10-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Rabies - IM fibroblast culture",
      "language": "en"
    } ]
  }, {
    "code": "177",
    "display": "pneumococcal conjugate vaccine, 10 valent",
    "property": [ {
      "code": "notes",
      "valueString": "This is a foreign vaccine"
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2016-12-19"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "PCV10",
      "language": "en"
    } ]
  }, {
    "code": "178",
    "display": "Non-US bivalent oral polio vaccine (types 1 and 3)",
    "property": [ {
      "code": "notes",
      "valueString": "This is a non-US vaccine that may be seen in some immunization histories."
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "OPV bivalent",
      "language": "en"
    } ]
  }, {
    "code": "179",
    "display": "Non-US monovalent oral polio vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This is a non-US vaccine that may be seen in some immunization histories. It is composed of either Type 1, Type 2 or Type 3 oral polio vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "OPV ,monovalent, unspecified",
      "language": "en"
    } ]
  }, {
    "code": "180",
    "display": "tetanus immune globulin",
    "property": [ {
      "code": "notes",
      "valueString": "This record duplicates CVX 13 (TIG). Do not use CVX 180."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "tetanus immune globulin",
      "language": "en"
    } ]
  }, {
    "code": "181",
    "display": "anthrax immune globulin",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-09-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "anthrax immune globulin",
      "language": "en"
    } ]
  }, {
    "code": "182",
    "display": "Oral Polio Vaccine, Unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This code represents an oral polio vaccine where the specific formulation is unknown."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "OPV, Unspecified",
      "language": "en"
    } ]
  }, {
    "code": "183",
    "display": "Yellow fever vaccine alternative formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This vaccine is stabilized with sorbitol and lactose and has been used outside the US for some time. It will be made available in the US."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-03-02"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Yellow fever vaccine - alt",
      "language": "en"
    } ]
  }, {
    "code": "184",
    "display": "Yellow fever vaccine, unspecified formulation",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-03-02"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Yellow fever, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "185",
    "display": "Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-04-21"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, recombinant, quadrivalent,injectable, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "186",
    "display": "Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-06-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, injectable, MDCK, quadrivalent, preservative",
      "language": "en"
    } ]
  }, {
    "code": "187",
    "display": "zoster vaccine recombinant",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "zoster recombinant",
      "language": "en"
    } ]
  }, {
    "code": "188",
    "display": "zoster vaccine, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a zoster vaccination when noted on a vaccination card)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2017-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "zoster, unspecified formulation",
      "language": "en"
    } ]
  }, {
    "code": "189",
    "display": "Hepatitis B vaccine (recombinant), CpG adjuvanted",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HepB-CpG",
      "language": "en"
    } ]
  }, {
    "code": "190",
    "display": "Typhoid conjugate vaccine (non-US)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Typhoid conjugate vaccine (TCV)",
      "language": "en"
    } ]
  }, {
    "code": "191",
    "display": "meningococcal A polysaccharide vaccine (non-US)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal A polysaccharide (non-US)",
      "language": "en"
    } ]
  }, {
    "code": "192",
    "display": "meningococcal AC polysaccharide vaccine (non-US)",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-05-10"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal AC polysaccharide (non-US)",
      "language": "en"
    } ]
  }, {
    "code": "193",
    "display": "hepatitis A and hepatitis B vaccine, pediatric/adolescent (non-US)",
    "property": [ {
      "code": "notes",
      "valueString": "e.g. Twinrix Junior available in Canada"
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2018-08-21"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Hep A-Hep B, pediatric/adolescent",
      "language": "en"
    } ]
  }, {
    "code": "194",
    "display": "influenza, Southern Hemisphere, unspecified formulation",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code should be used to record administration of Southern Hemisphere influenza vaccine where formulation is unknown"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-07-16"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza, Southern Hemisphere",
      "language": "en"
    } ]
  }, {
    "code": "195",
    "display": "Diphtheria, Tetanus, Poliomyelitis adsorbed",
    "property": [ {
      "code": "notes",
      "valueString": "This code should be used to document non-US vaccines for DT,IPV such as Revaxis"
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DT, IPV adsorbed",
      "language": "en"
    } ]
  }, {
    "code": "196",
    "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use, Lf unspecified",
    "property": [ {
      "code": "notes",
      "valueString": "Used when Td Lf specification is unknown"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2019-08-15"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Td, adsorbed, preservative free, adult use, Lf unspecified",
      "language": "en"
    } ]
  }, {
    "code": "197",
    "display": "influenza, high-dose seasonal, quadrivalent, 0.7mL dose, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "Target population 65 and older, starting season 2020/2021"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, high-dose, quadrivalent",
      "language": "en"
    } ]
  }, {
    "code": "198",
    "display": "Diphtheria, pertussis, tetanus, hepatitis B, Haemophilus Influenza Type b, (Pentavalent)",
    "property": [ {
      "code": "notes",
      "valueString": "This represents the non-US pentavalent vaccine.  Should be used for historic documentation in US"
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "DTP-hepB-Hib Pentavalent Non-US",
      "language": "en"
    } ]
  }, {
    "code": "200",
    "display": "influenza, seasonal, Southern Hemisphere, quadrivalent, pediatric 0.25mL dose, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "Pediatric dose for ages 6-35 months"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, Southern Hemisphere, pediatric, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "201",
    "display": "influenza, seasonal, Southern Hemisphere, quadrivalent, 0.5mL dose, no preservative",
    "property": [ {
      "code": "notes",
      "valueString": "Represents single dose vial"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, Southern Hemisphere, preservative free",
      "language": "en"
    } ]
  }, {
    "code": "202",
    "display": "influenza, seasonal, Southern Hemisphere, quadrivalent, 0.5mL dose, with preservative",
    "property": [ {
      "code": "notes",
      "valueString": "Represents multi-dose vial"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, Southern Hemisphere, quadrivalent, with preservative",
      "language": "en"
    } ]
  }, {
    "code": "203",
    "display": "meningococcal polysaccharide (groups A, C, Y, W-135) tetanus toxoid conjugate vaccine 0.5mL dose, preservative free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "meningococcal conjugate quadrivalent, MenACWY-TT (MCV4)",
      "language": "en"
    } ]
  }, {
    "code": "204",
    "display": "Ebola Zaire vaccine, live, recombinant, 1mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "FDA Approved ERVEBO Vaccine."
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-12"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Ebola Zaire vaccine, live, recombinant, 1mL dose",
      "language": "en"
    } ]
  }, {
    "code": "205",
    "display": "influenza, seasonal vaccine, quadrivalent, adjuvanted, 0.5mL dose, preservative free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-01-17"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Influenza vaccine, quadrivalent, adjuvanted",
      "language": "en"
    } ]
  }, {
    "code": "206",
    "display": "Vaccinia, smallpox monkeypox vaccine, live attenuated, preservative free, subcutaneous or intradermal injection",
    "property": [ {
      "code": "notes",
      "valueString": "Associated to FDA US Licensed product JYNNEOS, non-US tradenames IMVANEX, IMVAMUNE. Review CDC & FDA guidance for updates regarding administration"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-02-14"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Vaccinia, smallpox Mpox vaccine live, PF, SQ or ID injection",
      "language": "en"
    } ]
  }, {
    "code": "207",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Moderna adult vaccine. FDA rescinded all doses for US use 4/18/2023. Continue to used to record historic US Moderna vaccines and those administered in non-US locations (includes tradename Spikevax)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-24"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
      "language": "en"
    } ]
  }, {
    "code": "208",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Pfizer adult vaccine (12+ yrs). FDA rescinded all doses for US use 4/18/2023.  Continue to use to record historic US Pfizer vaccines and Non-US vaccines administered (includes tradename Comirnaty)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-11-14"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "210",
    "display": "SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-ChAdOx1, preservative free, 0.5 mL",
    "property": [ {
      "code": "notes",
      "valueString": "WHO authorized pandemic vaccine.  Recognized towards immunity in US.  AstraZeneca vaccine non-US WHO authorized tradenames/identifiers include VAXZEVRIA, AZD1222, ChAdOx1 nCoV-19, COVISHIELD"
    }, {
      "code": "vaccine-status",
      "valueCode": "Non-US"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-11-16"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19 vaccine, vector-nr, rS-ChAdOx1, PF, 0.5 mL",
      "language": "en"
    } ]
  }, {
    "code": "211",
    "display": "SARS-COV-2 (COVID-19) vaccine, subunit, recombinant spike protein-nanoparticle+Matrix-M1 Adjuvant, preservative free, 0.5mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Novavax vaccine (12+ years), FDA rescinded for US doses 10/03/2023. Continue to use to record Novavax Non-US vaccines administered (includes tradenames NUVAXOVID, COVOVAX)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-24"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, subunit, rS-nanoparticle+Matrix-M1 Adjuvant, PF, 0.5 mL",
      "language": "en"
    } ]
  }, {
    "code": "212",
    "display": "SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-Ad26, preservative free, 0.5 mL",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Janssen/J&J adult vaccine. All NDCs expired 6/20/2023, not reauthorized by FDA for Fall 2023 US doses. Continue to use to record Jansses/J&J Non-US vaccines administered vaccines administered"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19 vaccine, vector-nr, rS-Ad26, PF, 0.5 mL",
      "language": "en"
    } ]
  }, {
    "code": "213",
    "display": "SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED",
    "property": [ {
      "code": "notes",
      "valueString": "Unspecified code for COVID-19 not to be used to record patient US administration. May be used to record historic US administration if product not known.  CVX code 500 should be used to record Non-US vaccine where product is not known."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2021-07-31"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED",
      "language": "en"
    } ]
  }, {
    "code": "214",
    "display": "Ebola, unspecified",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": false
    }, {
      "code": "last-updated",
      "valueDateTime": "2021-04-06"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Ebola, unspecified",
      "language": "en"
    } ]
  }, {
    "code": "215",
    "display": "Pneumococcal conjugate vaccine 15-valent (PCV15), polysaccharide CRM197 conjugate, adjuvant, preservative free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2021-08-18"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Pneumococcal conjugate PCV15, polysaccharide CRM197 conjugate, adjuvant, PF",
      "language": "en"
    } ]
  }, {
    "code": "216",
    "display": "Pneumococcal conjugate vaccine 20-valent (PCV20), polysaccharide CRM197 conjugate, adjuvant, preservative free",
    "property": [ {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Pneumococcal conjugate PCV20, polysaccharide CRM197 conjugate, adjuvant, PF",
      "language": "en"
    } ]
  }, {
    "code": "217",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose, tris-sucrose formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Pfizer tris-sucrose formulation FDA EUA (12+ yrs) and BLA (16+ yrs), FDA rescinded monovalent use 08/31/2022, BLA NDCs not retired until 09/11/2023."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-11-02"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose, tris-sucrose",
      "language": "en"
    } ]
  }, {
    "code": "218",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 10 mcg/0.2mL dose, tris-sucrose formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Pfizer tris-sucrose formulation (5 yrs through 11 yrs), FDA rescinded 4/18/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-25"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, 10 mcg/0.2 mL dose, tris-sucrose",
      "language": "en"
    } ]
  }, {
    "code": "219",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 3 mcg/0.2mL dose, tris-sucrose formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Pfizer tris-sucrose formulation (6 mo through 4 yrs), FDA rescinded 4/18/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, 3 mcg/0.2 mL dose, tris-sucrose",
      "language": "en"
    } ]
  }, {
    "code": "220",
    "display": "Hepatitis B vaccine (recombinant), 3-antigen, Al(OH)3 adjuvanted",
    "property": [ {
      "code": "notes",
      "valueString": "New Hep B vaccine 1/2022"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-02-14"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "HepB recombinant, 3-antigen, Al(OH)3",
      "language": "en"
    } ]
  }, {
    "code": "221",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 50 mcg/0.5 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Moderna, (Adult) FDA rescinded 4/18/2023, (6 yrs through 11 yrs) FDA rescinded 04/18/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-25"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, 50 mcg/0.5 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "222",
    "display": "Tick-borne encephalitis vaccine, unspecified",
    "property": [ {
      "code": "notes",
      "valueString": "Unspecified Code - should only be used when specific vaccine administered is unknown"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-03-16"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Tick-borne encephalitis, unspecified",
      "language": "en"
    } ]
  }, {
    "code": "223",
    "display": "Tick-borne encephalitis vaccine, inactivated, preservative free, 0.25mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Pediatric dose vaccine"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-03-03"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Tick-borne encephalitis, inactivated, PF, 0.25mL",
      "language": "en"
    } ]
  }, {
    "code": "224",
    "display": "Tick-borne encephalitis vaccine, inactivated, preservative free, 0.5mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Adult dose vaccine"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2022-03-04"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Tick-borne encephalitis, inactivated, PF, 0.5mL",
      "language": "en"
    } ]
  }, {
    "code": "225",
    "display": "SARS-COV-2 (COVID-19) vaccine, D614, prefusion spike recombinant protein subunit (CoV2 preS dTM), AS03 adjuvant added, preservative free, 5mcg/0.5mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "EUA submission withdrawn by Sanofi"
    }, {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, D614, recomb, preS dTM, AS03 adjuvant add, PF, 5mcg/0.5mL",
      "language": "en"
    } ]
  }, {
    "code": "226",
    "display": "SARS-COV-2 (COVID-19) vaccine, D614, prefusion spike recombinant protein subunit (CoV2 preS dTM), AS03 adjuvant added, preservative free, 10mcg/0.5mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "EUA submission withdrawn by Sanofi"
    }, {
      "code": "vaccine-status",
      "valueCode": "Never Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, D614, recomb, preS dTM, AS03 adjuvant add, PF, 10mcg/0.5mL",
      "language": "en"
    } ]
  }, {
    "code": "227",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, pediatric 50 mcg/0.5 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Moderna pediatric vaccine (FDA rescinded 4/18/2023). Inactivated 6/14/2022 to use CVX code 221 product instead"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, pediatric 50 mcg/0.5 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "228",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, pediatric 25 mcg/0.25 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original monovalent Moderna pediatric vaccine (6 mo through 5 yrs), FDA rescinded 4/18/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, pediatric 25 mcg/0.25 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "229",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent, preservative free, 50 mcg/0.5 mL or 25 mcg/0.25 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original strain + omicron BA.4/BA.5 bivalent Moderna vaccine (6 mo and older), FDA rescinded 9/11/2023.  Continue to use to record Non-US vaccines administered (tradename Spikevax Bivalent)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, bivalent, PF, 50 mcg/0.5 mL or 25mcg/0.25 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "230",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent, preservative free, 10 mcg/0.2 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Original strain + omicron BA.4/BA.5 bivalent Moderna vaccine (6 mo through 5 yrs), FDA rescinded 9/11/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, bivalent, PF, 10 mcg/0.2 mL",
      "language": "en"
    } ]
  }, {
    "code": "231",
    "display": "influenza, seasonal, Southern Hemisphere, high-dose, quadrivalent, 0.7mL dose, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "Target population 65 and older, starting Southern Hemisphere season 2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-14"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "influenza, Southern Hemisphere, high-dose, quadrivalent",
      "language": "en"
    } ]
  }, {
    "code": "300",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent, preservative free, 30 mcg/0.3 mL dose, tris-sucrose formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Original strain + omicron BA.4/BA.5 bivalent Pfizer vaccine (12 yrs and older). FDA rescinded 09/11/2023.  Continue to use to record Non-US vaccines administered (tradename Comirnaty Bivalent)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "301",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent, preservative free, 10 mcg/0.2 mL dose, tris-sucrose formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Original strain + omicron BA.4/BA.5 bivalent Pfizer vaccine (5 yrs through 11 yrs), FDA rescinded 9/11/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, bivalent, PF, 10 mcg/0.2 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "302",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent, preservative free, 3 mcg/0.2 mL dose, tris-sucrose formulation",
    "property": [ {
      "code": "notes",
      "valueString": "Original strain + omicron BA.4/BA.5 bivalent Pfizer vaccine (6 mo through 4 yrs), FDA rescinded 09/11/2023"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-10-26"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, bivalent, PF, 3 mcg/0.2 mL dose",
      "language": "en"
    } ]
  }, {
    "code": "303",
    "display": "Respiratory syncytial virus (RSV), vaccine, recombinant, protein subunit RSV prefusion F, adjuvant reconstituted, 0.5 mL, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "Adults 60 years and older"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-06-06"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV, recombinant, protein subunit RSVpreF, adjuvant reconstituted, 0.5 mL, PF",
      "language": "en"
    } ]
  }, {
    "code": "304",
    "display": "Respiratory syncytial virus (RSV), unspecified",
    "property": [ {
      "code": "notes",
      "valueString": "Unspecified, for historic records where it is not known if RSV vaccine or RSV MAB was administered"
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-09-20"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Respiratory syncytial virus (RSV), unspecified",
      "language": "en"
    } ]
  }, {
    "code": "305",
    "display": "Respiratory syncytial virus (RSV), vaccine, bivalent, protein subunit RSV prefusion F, diluent reconstituted, 0.5 mL, preservative free",
    "property": [ {
      "code": "notes",
      "valueString": "Adults 60 years and older"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-07-13"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV, bivalent, protein subunit RSVpreF, diluent reconstituted, 0.5 mL, PF",
      "language": "en"
    } ]
  }, {
    "code": "306",
    "display": "Respiratory syncytial virus (RSV) monoclonal antibody, IgG1κ , (nirsevimab-alip), 0.5 mL, neonates and children to 24 months",
    "property": [ {
      "code": "notes",
      "valueString": "RSV monoclonal antibody (Beyfortus)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-07-25"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV, mAb, nirsevimab-alip, 0.5 mL, neonate to 24 months",
      "language": "en"
    } ]
  }, {
    "code": "307",
    "display": "Respiratory syncytial virus (RSV) monoclonal antibody, IgG1κ , (nirsevimab-alip), 1 mL, neonates and children to 24 months",
    "property": [ {
      "code": "notes",
      "valueString": "RSV monoclonal antibody (Beyfortus)"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-08-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "RSV, mAb, nirsevimab-alip, 1 mL, neonate to 24 months",
      "language": "en"
    } ]
  }, {
    "code": "308",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, tris-sucrose, 3 mcg/0.3 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Pfizer Fall 2023 6 months through 4 years of age"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-09-13"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "COVID-19, mRNA, LNP-S, PF, tris-sucrose, 3 mcg/0.3 mL",
      "language": "en"
    } ]
  }, {
    "code": "309",
    "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, tris-sucrose, 30 mcg/0.3 mL dose",
    "property": [ {
      "code": "notes",
      "valueString": "Pfizer Fall 2023 12 years and older"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-09-13"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
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      "code": "notes",
      "valueString": "This is the adjuvant that is packaged with H5N1 vaccine, adjuvanted"
    }, {
      "code": "vaccine-status",
      "valueCode": "Active"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "AS03 Adjuvant",
      "language": "en"
    } ]
  }, {
    "code": "998",
    "display": "no vaccine administered",
    "property": [ {
      "code": "notes",
      "valueString": "Code 998 was added for use in VXU HL7 messages where the OBX segment is nested with the RXA segment, but the message does not contain information about a vaccine administration. An example of this use is to report the vaccines due next for a patient when no vaccine administration is being reported."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2023-03-09"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "no vaccine administered",
      "language": "en"
    } ]
  }, {
    "code": "999",
    "display": "unknown vaccine or immune globulin",
    "property": [ {
      "code": "notes",
      "valueString": "This CVX code has little utility and should rarely be used."
    }, {
      "code": "vaccine-status",
      "valueCode": "Inactive"
    }, {
      "code": "non-vaccine",
      "valueBoolean": true
    }, {
      "code": "last-updated",
      "valueDateTime": "2020-10-27"
    } ],
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "unknown",
      "language": "en"
    } ]
  } ],
  "caseSensitive": false,
  "version": "20231214"
}