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Packagefhir.tx.support.r3
Resource TypeCodeSystem
IdCodeSystem-cvx.json
FHIR VersionR3

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Source1

{
  "resourceType": "CodeSystem",
  "id": "cvx",
  "url": "http://hl7.org/fhir/sid/cvx",
  "version": "20250715",
  "name": "CVX",
  "title": "CVX - US Vaccine Codes",
  "status": "active",
  "experimental": false,
  "date": "2025-07-15",
  "publisher": "Health Level 7",
  "description": "CVX Codes for vaccines",
  "caseSensitive": false,
  "content": "complete",
  "filter": [
    {
      "code": "vaccine-status",
      "description": "Indicates the availability of the vaccine in the United States.",
      "operator": [
        "="
      ],
      "value": "One of: 'active', 'inactive', 'pending', 'never-active', 'non-US'"
    },
    {
      "code": "non-vaccine",
      "description": "If 'true', this is not a product that is not a vaccine.",
      "operator": [
        "="
      ],
      "value": "'false' (default) or 'true'"
    }
  ],
  "property": [
    {
      "code": "notes",
      "description": "Instructions on usage or other relevant notes.",
      "type": "string"
    },
    {
      "code": "vaccine-status",
      "description": "Indicates the availability of the vaccine in the United States.",
      "type": "code"
    },
    {
      "code": "non-vaccine",
      "description": "If 'true', this is not a product that is not a vaccine.",
      "type": "boolean"
    },
    {
      "code": "last-updated",
      "description": "Indicates the last time this particular vaccine code was updated.",
      "type": "dateTime"
    }
  ],
  "concept": [
    {
      "code": "01",
      "display": "DTP",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "diphtheria, tetanus toxoids and pertussis vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "02",
      "display": "OPV, trivalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "trivalent poliovirus vaccine, live, oral"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "This is the OPV used in the US from June 1963 through Dec 1999 and globally through April 2016"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-06-26"
        }
      ]
    },
    {
      "code": "03",
      "display": "MMR",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "measles, mumps and rubella virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "04",
      "display": "M/R",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "measles and rubella virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "05",
      "display": "measles",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "measles virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-08-31"
        }
      ]
    },
    {
      "code": "06",
      "display": "rubella",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rubella virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-06-18"
        }
      ]
    },
    {
      "code": "07",
      "display": "mumps",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "mumps virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-06-18"
        }
      ]
    },
    {
      "code": "08",
      "display": "Hep B, adolescent or pediatric",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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). Use code 43 for that vaccine."
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-12-16"
        }
      ]
    },
    {
      "code": "09",
      "display": "Td (adult), 2 Lf tetanus toxoid, preservative free, adsorbed",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "10",
      "display": "IPV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "poliovirus vaccine, inactivated"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "11",
      "display": "pertussis",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "pertussis vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "12",
      "display": "diphtheria antitoxin",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "diphtheria antitoxin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "13",
      "display": "TIG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "tetanus immune globulin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "14",
      "display": "IG, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "immune globulin, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-03-09"
        }
      ]
    },
    {
      "code": "15",
      "display": "influenza, split (incl. purified surface antigen)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "16",
      "display": "influenza, whole",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "influenza virus vaccine, whole virus"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "17",
      "display": "Hib, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "18",
      "display": "rabies, intramuscular injection",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "19",
      "display": "BCG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Bacillus Calmette-Guerin vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "20",
      "display": "DTaP",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "21",
      "display": "varicella",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "varicella virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "22",
      "display": "DTP-Hib",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "23",
      "display": "plague",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "plague vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2018-05-17"
        }
      ]
    },
    {
      "code": "24",
      "display": "Anthrax, pre-exposure prophylaxis, post-exposure prophylaxis",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Anthrax vaccine, adsorbed, pre-exposure and post-exposure prophylaxis"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-01-25"
        }
      ]
    },
    {
      "code": "25",
      "display": "typhoid, oral",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "typhoid vaccine, live, oral"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "26",
      "display": "cholera, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "cholera vaccine, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2016-06-17"
        }
      ]
    },
    {
      "code": "27",
      "display": "botulinum antitoxin",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "botulinum antitoxin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "28",
      "display": "DT (pediatric)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "diphtheria and tetanus toxoids, adsorbed for pediatric use"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-12-06"
        },
        {
          "code": "notes",
          "valueString": "Retired effective 04/30/2023.  All vaccine NDCs retired.  No further vaccines expected for this formulation."
        }
      ]
    },
    {
      "code": "29",
      "display": "CMVIG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "cytomegalovirus immune globulin, intravenous"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "30",
      "display": "HBIG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hepatitis B immune globulin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "31",
      "display": "Hep A, pediatric, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "32",
      "display": "meningococcal MPSV4",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "meningococcal polysaccharide vaccine (MPSV4)"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2017-10-27"
        }
      ]
    },
    {
      "code": "33",
      "display": "pneumococcal polysaccharide PPV23",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "pneumococcal polysaccharide vaccine, 23 valent"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "34",
      "display": "RIG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rabies immune globulin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "35",
      "display": "tetanus toxoid, adsorbed",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "tetanus toxoid, adsorbed"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-08-14"
        }
      ]
    },
    {
      "code": "36",
      "display": "VZIG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "varicella zoster immune globulin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "37",
      "display": "yellow fever live",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "yellow fever vaccine live"
        }
      ],
      "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": "2024-03-07"
        }
      ]
    },
    {
      "code": "38",
      "display": "rubella/mumps",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rubella and mumps virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "39",
      "display": "Japanese encephalitis SC",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Japanese Encephalitis Vaccine SC"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-09-24"
        }
      ]
    },
    {
      "code": "40",
      "display": "rabies, intradermal injection",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rabies vaccine, for intradermal injection"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-06-18"
        }
      ]
    },
    {
      "code": "41",
      "display": "typhoid, parenteral",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "42",
      "display": "Hep B, adolescent/high risk infant",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "43",
      "display": "Hep B, adult",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hepatitis B vaccine, adult dosage"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "This code applies to any standard adult dose and schedule. Also use CVX 43 for the FDA approved Recombivax HB 2-dose hepatitis B schedule for adolescents (11-15 year olds) using the adult formulation."
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-12-12"
        }
      ]
    },
    {
      "code": "44",
      "display": "Hep B, high-dosage, dialysis or IC",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Hepatitis B vaccine (Hep B), high-dosage, dialysis or immunocompromised patient"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "This code is used record patient high dosage vaccine administration for dialysis or immunocompromised patients. For NDCs that are used for both regular vaccine and dialysis/IC high-dosage schedules (e.g. Engerix-B), are mapped to both CVX 43 and CVX 44. CVX code 44 should be utilized to record dialysis/IC dosing."
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-12-13"
        }
      ]
    },
    {
      "code": "45",
      "display": "Hep B, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "46",
      "display": "Hib (PRP-D)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "47",
      "display": "Hib (HbOC)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "48",
      "display": "Hib (PRP-T)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "49",
      "display": "Hib (PRP-OMP)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "50",
      "display": "DTaP-Hib",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "51",
      "display": "Hib-Hep B",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "52",
      "display": "Hep A, adult",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hepatitis A vaccine, adult dosage"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "53",
      "display": "typhoid, parenteral, AKD (U.S. military)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "54",
      "display": "adenovirus, type 4",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "adenovirus vaccine, type 4, live, oral"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "55",
      "display": "adenovirus, type 7",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "adenovirus vaccine, type 7, live, oral"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "56",
      "display": "dengue fever tetravalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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": "2024-12-11"
        }
      ]
    },
    {
      "code": "57",
      "display": "hantavirus",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hantavirus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "58",
      "display": "Hep C",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hepatitis C vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "59",
      "display": "Hep E",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hepatitis E vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "60",
      "display": "herpes simplex 2",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "61",
      "display": "HIV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "human immunodeficiency virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "62",
      "display": "HPV, quadrivalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "human papilloma virus vaccine, quadrivalent"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-06-02"
        }
      ]
    },
    {
      "code": "63",
      "display": "Junin virus",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Junin virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "64",
      "display": "leishmaniasis",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "leishmaniasis vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "65",
      "display": "leprosy",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "leprosy vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "66",
      "display": "Lyme disease",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Lyme disease vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "67",
      "display": "malaria",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "malaria vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "68",
      "display": "melanoma",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "melanoma vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "69",
      "display": "parainfluenza-3",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "parainfluenza-3 virus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-01-09"
        }
      ]
    },
    {
      "code": "70",
      "display": "Q fever",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Q fever vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "71",
      "display": "RSV-IGIV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "72",
      "display": "rheumatic fever",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rheumatic fever vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "73",
      "display": "Rift Valley fever",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Rift Valley fever vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Never Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-09"
        }
      ]
    },
    {
      "code": "74",
      "display": "rotavirus, tetravalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rotavirus, live, tetravalent vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "75",
      "display": "Vaccinia (smallpox, mpox), live",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Vaccinia (smallpox, mpox) vaccine, live"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-04-30"
        }
      ]
    },
    {
      "code": "76",
      "display": "Staphylococcus bacterio lysate",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Staphylococcus bacteriophage lysate"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-03-09"
        }
      ]
    },
    {
      "code": "77",
      "display": "Tick-borne encephalitis vaccine (non-US)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "78",
      "display": "tularemia vaccine",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "tularemia vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "79",
      "display": "vaccinia immune globulin",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "vaccinia immune globulin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "80",
      "display": "VEE, live",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Venezuelan equine encephalitis, live, attenuated"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "81",
      "display": "VEE, inactivated",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Venezuelan equine encephalitis, inactivated"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "82",
      "display": "adenovirus, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "83",
      "display": "Hep A, ped/adol, 2 dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "84",
      "display": "Hep A, ped/adol, 3 dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "85",
      "display": "Hep A, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "86",
      "display": "IG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "immune globulin, intramuscular"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "87",
      "display": "IGIV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "immune globulin, intravenous"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "88",
      "display": "influenza, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "89",
      "display": "polio, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "90",
      "display": "rabies, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "91",
      "display": "typhoid, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "92",
      "display": "VEE, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "93",
      "display": "RSV-MAb",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "94",
      "display": "MMRV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "95",
      "display": "TST-OT tine test",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "96",
      "display": "TST-PPD intradermal",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "97",
      "display": "TST-PPD tine test",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "98",
      "display": "TST, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "99",
      "display": "RESERVED - do not use",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "100",
      "display": "pneumococcal conjugate PCV 7",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "pneumococcal conjugate vaccine, 7 valent"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2014-06-26"
        }
      ]
    },
    {
      "code": "101",
      "display": "typhoid, ViCPs",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "typhoid Vi capsular polysaccharide vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "102",
      "display": "DTP-Hib-Hep B",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "103",
      "display": "meningococcal C conjugate",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "meningococcal C conjugate vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "104",
      "display": "Hep A-Hep B",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "hepatitis A and hepatitis B vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "105",
      "display": "vaccinia (smallpox) diluted",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "vaccinia (smallpox) vaccine, diluted"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "106",
      "display": "DTaP, 5 pertussis antigens",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "107",
      "display": "DTaP, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "108",
      "display": "meningococcal ACWY, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "109",
      "display": "pneumococcal, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "110",
      "display": "DTaP-Hep B-IPV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "DTaP-hepatitis B and poliovirus vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "111",
      "display": "Influenza, live, trivalent, intranasal, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, live, trivalent, intranasal, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "HCP administered, trivalent code reactivated for 2024/2025 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-07-15"
        }
      ]
    },
    {
      "code": "112",
      "display": "tetanus toxoid, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "tetanus toxoid, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-09-30"
        }
      ]
    },
    {
      "code": "113",
      "display": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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": "2024-01-25"
        }
      ]
    },
    {
      "code": "114",
      "display": "meningococcal MCV4P",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "115",
      "display": "Tdap",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "116",
      "display": "rotavirus, pentavalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rotavirus, live, pentavalent vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "117",
      "display": "VZIG (IND)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "118",
      "display": "HPV, bivalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "human papilloma virus vaccine, bivalent"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "119",
      "display": "rotavirus, monovalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rotavirus, live, monovalent vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "120",
      "display": "DTaP-Hib-IPV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "121",
      "display": "zoster live",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "zoster vaccine, live"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-12-17"
        },
        {
          "code": "notes",
          "valueString": "Zostavax vaccine associated to this CVX Code retired 10/2022"
        }
      ]
    },
    {
      "code": "122",
      "display": "rotavirus, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "rotavirus vaccine, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-09-30"
        }
      ]
    },
    {
      "code": "123",
      "display": "influenza, H5N1-1203",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "125",
      "display": "Novel Influenza-H1N1-09, nasal",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "126",
      "display": "Novel influenza-H1N1-09, preservative-free",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "127",
      "display": "Novel influenza-H1N1-09",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Novel influenza-H1N1-09, injectable"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-08-28"
        }
      ]
    },
    {
      "code": "128",
      "display": "Novel Influenza-H1N1-09, all formulations",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "129",
      "display": "Japanese Encephalitis, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "130",
      "display": "DTaP-IPV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "131",
      "display": "typhus, historical",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Historical record of a typhus vaccination"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "132",
      "display": "DTaP-IPV-HIB-HEP B, historical",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "133",
      "display": "Pneumococcal conjugate PCV 13",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "pneumococcal conjugate vaccine, 13 valent"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "134",
      "display": "Japanese Encephalitis IM",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Japanese Encephalitis vaccine for intramuscular administration"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2010-05-28"
        }
      ]
    },
    {
      "code": "135",
      "display": "Influenza, high-dose, trivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, high-dose, split virus, trivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-02"
        },
        {
          "code": "notes",
          "valueString": "Trivalent code reactivated for 2024/2025 season"
        }
      ]
    },
    {
      "code": "136",
      "display": "Meningococcal MCV4O",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "137",
      "display": "HPV, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "138",
      "display": "Td (adult)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "139",
      "display": "Td(adult) unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "140",
      "display": "Influenza, split virus, trivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, split virus, trivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Trivalent code reactivated for 2024/2025 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-02"
        }
      ]
    },
    {
      "code": "141",
      "display": "Influenza, split virus, trivalent, preservative",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, split virus, trivalent, injectable, contains preservative"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Trivalent code reactivated for 2024/2025 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-02"
        }
      ]
    },
    {
      "code": "142",
      "display": "tetanus toxoid, not adsorbed",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "tetanus toxoid, not adsorbed"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-08-14"
        }
      ]
    },
    {
      "code": "143",
      "display": "Adenovirus types 4 and 7",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "144",
      "display": "influenza, seasonal, intradermal, preservative free",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "145",
      "display": "RSV-MAb (new)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "146",
      "display": "DTaP,IPV,Hib,HepB",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "147",
      "display": "meningococcal MCV4, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "148",
      "display": "Meningococcal C/Y-HIB PRP",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "149",
      "display": "Influenza, live, quadrivalent, intranasal",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, live, quadrivalent, intranasal"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2013/2014 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        }
      ]
    },
    {
      "code": "150",
      "display": "Influenza, split virus, quadrivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, split virus, quadrivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2013/2014 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        }
      ]
    },
    {
      "code": "151",
      "display": "influenza nasal, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "152",
      "display": "Pneumococcal Conjugate, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "153",
      "display": "Influenza, MDCK, trivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, Madin Darby Canine Kidney, subunit, trivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Trivalent code reactivated for 2024/2025 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-06"
        }
      ]
    },
    {
      "code": "154",
      "display": "Hep A, IG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "155",
      "display": "Influenza, recombinant, trivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, recombinant, trivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Trivalent code reactivated for 2024/2025 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-06"
        }
      ]
    },
    {
      "code": "156",
      "display": "Rho(D)-IG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "157",
      "display": "Rho(D) -IG IM",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "158",
      "display": "Influenza, split virus, quadrivalent, preservative",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, split virus, quadrivalent, injectable, contains preservative"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2013/2014 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        }
      ]
    },
    {
      "code": "159",
      "display": "Rho(D) - Unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Rho(D) Unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-03-09"
        }
      ]
    },
    {
      "code": "160",
      "display": "Influenza A monovalent (H5N1), ADJUVANTED-2013",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "161",
      "display": "Influenza, injectable,quadrivalent, preservative free, pediatric",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, injectable,quadrivalent, preservative free, pediatric"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-07-29"
        }
      ]
    },
    {
      "code": "162",
      "display": "meningococcal B, recombinant",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "meningococcal B vaccine, fully recombinant"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2014-11-03"
        }
      ]
    },
    {
      "code": "163",
      "display": "meningococcal B, OMV",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "meningococcal B vaccine, recombinant, OMV, adjuvanted"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2015-02-02"
        }
      ]
    },
    {
      "code": "164",
      "display": "meningococcal B, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "meningococcal B, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2014-11-03"
        }
      ]
    },
    {
      "code": "165",
      "display": "HPV9",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Human Papillomavirus 9-valent vaccine"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2014-12-11"
        }
      ]
    },
    {
      "code": "166",
      "display": "influenza, intradermal, quadrivalent, preservative free",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "167",
      "display": "meningococcal, unknown serogroups",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "168",
      "display": "Influenza, adjuvanted, trivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, adjuvanted, inactivated, trivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-06"
        },
        {
          "code": "notes",
          "valueString": "Trivalent code reactivated for 2024/2025 season"
        }
      ]
    },
    {
      "code": "169",
      "display": "Hep A, live attenuated",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "170",
      "display": "DTAP/IPV/HIB - non-US",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "171",
      "display": "Influenza, MDCK, quadrivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, Madin Darby Canine Kidney, subunit, quadrivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        },
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2016/2017 season"
        }
      ]
    },
    {
      "code": "172",
      "display": "cholera, WC-rBS",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "cholera, WC-rBS"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2016-06-17"
        }
      ]
    },
    {
      "code": "173",
      "display": "cholera, BivWC",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "cholera, BivWC"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2016-06-17"
        }
      ]
    },
    {
      "code": "174",
      "display": "cholera, live attenuated",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "cholera, live attenuated"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2016-06-17"
        }
      ]
    },
    {
      "code": "175",
      "display": "Rabies - IM Diploid cell culture",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "176",
      "display": "Rabies - IM fibroblast culture",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "177",
      "display": "PCV10",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "178",
      "display": "OPV bivalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "179",
      "display": "OPV ,monovalent, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "180",
      "display": "tetanus immune globulin",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "181",
      "display": "anthrax immune globulin",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "anthrax immune globulin"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": true
        },
        {
          "code": "last-updated",
          "valueDateTime": "2020-09-04"
        }
      ]
    },
    {
      "code": "182",
      "display": "OPV, Unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "183",
      "display": "Yellow fever vaccine live - alt",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Yellow fever vaccine live - alternative formulation for vaccine shortage"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "This CVX is associated to an FDA unapproved drug to be used when there is a drug shortage. Stabilized with sorbitol and lactose and has been used outside the US for some time."
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-03-07"
        }
      ]
    },
    {
      "code": "184",
      "display": "Yellow fever, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Yellow fever vaccine, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-03-07"
        }
      ]
    },
    {
      "code": "185",
      "display": "Influenza, recombinant, quadrivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, recombinant, quadrivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        },
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2017/2018 season"
        }
      ]
    },
    {
      "code": "186",
      "display": "Influenza, MDCK, quadrivalent, preservative",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, Madin Darby Canine Kidney, subunit, quadrivalent, injectable, contains preservative"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        },
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2017/2018 season"
        }
      ]
    },
    {
      "code": "187",
      "display": "zoster recombinant",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "zoster vaccine recombinant"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2017-10-27"
        }
      ]
    },
    {
      "code": "188",
      "display": "zoster, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "189",
      "display": "HepB-CpG",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Hepatitis B vaccine (recombinant), CpG adjuvanted"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2018-05-10"
        }
      ]
    },
    {
      "code": "190",
      "display": "Typhoid conjugate vaccine (TCV)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Typhoid conjugate vaccine (non-US)"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-01-17"
        }
      ]
    },
    {
      "code": "191",
      "display": "meningococcal A polysaccharide (non-US)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "192",
      "display": "meningococcal AC polysaccharide (non-US)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "193",
      "display": "Hep A-Hep B, pediatric/adolescent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "194",
      "display": "Influenza, Southern Hemisphere",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "195",
      "display": "DT, IPV adsorbed",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "196",
      "display": "Td, adsorbed, preservative free, adult use, Lf unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "197",
      "display": "Influenza, high-dose, quadrivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, high-dose, split virus, quadrivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting season 2020/2021"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        }
      ]
    },
    {
      "code": "198",
      "display": "DTP-hepB-Hib Pentavalent Non-US",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "200",
      "display": "influenza, Southern Hemisphere, pediatric, preservative free",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "201",
      "display": "Influenza, Southern Hemisphere, quadrivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, seasonal, Southern Hemisphere, quadrivalent, 0.5 mL dose, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Represents single dose vial"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-04-22"
        }
      ]
    },
    {
      "code": "202",
      "display": "influenza, Southern Hemisphere, quadrivalent, with preservative",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "203",
      "display": "meningococcal conjugate quadrivalent, MenACWY-TT (MCV4)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "204",
      "display": "Ebola Zaire vaccine, live, recombinant, 1mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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": "2024-01-03"
        }
      ]
    },
    {
      "code": "205",
      "display": "Influenza, adjuvanted, quadrivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, adjuvanted, inactivated, quadrivalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        },
        {
          "code": "notes",
          "valueString": "Quadrivalent code starting 2020/2021 season"
        }
      ]
    },
    {
      "code": "206",
      "display": "Vaccinia, smallpox Mpox vaccine live, PF, SQ or ID injection",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "207",
      "display": "COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "208",
      "display": "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "210",
      "display": "COVID-19 vaccine, vector-nr, rS-ChAdOx1, PF, 0.5 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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": "2024-01-03"
        }
      ]
    },
    {
      "code": "211",
      "display": "COVID-19, subunit, rS-nanoparticle+Matrix-M1 Adjuvant, PF, 0.5 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "212",
      "display": "COVID-19 vaccine, vector-nr, rS-Ad26, PF, 0.5 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "213",
      "display": "SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "214",
      "display": "Ebola, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Ebola, unspecified"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "non-vaccine",
          "valueBoolean": false
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-04-06"
        }
      ]
    },
    {
      "code": "215",
      "display": "Pneumococcal conjugate PCV15, polysaccharide CRM197 conjugate, adjuvant, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "216",
      "display": "Pneumococcal conjugate PCV20, polysaccharide CRM197 conjugate, adjuvant, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "217",
      "display": "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose, tris-sucrose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "218",
      "display": "COVID-19, mRNA, LNP-S, PF, 10 mcg/0.2 mL dose, tris-sucrose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "219",
      "display": "COVID-19, mRNA, LNP-S, PF, 3 mcg/0.2 mL dose, tris-sucrose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "220",
      "display": "HepB recombinant, 3-antigen, Al(OH)3",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Hepatitis B vaccine (recombinant), 3-antigen, Al(OH)3 adjuvanted"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Manufacturer VBI has ceased operations - Prehevbrio Hep B vaccine voluntary recall effective 11/15/2024"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-12-11"
        }
      ]
    },
    {
      "code": "221",
      "display": "COVID-19, mRNA, LNP-S, PF, 50 mcg/0.5 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "222",
      "display": "Tick-borne encephalitis, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "223",
      "display": "Tick-borne encephalitis, inactivated, PF, 0.25mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "224",
      "display": "Tick-borne encephalitis, inactivated, PF, 0.5mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "225",
      "display": "COVID-19, D614, recomb, preS dTM, AS03 adjuvant add, PF, 5mcg/0.5mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "226",
      "display": "COVID-19, D614, recomb, preS dTM, AS03 adjuvant add, PF, 10mcg/0.5mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "227",
      "display": "COVID-19, mRNA, LNP-S, PF, pediatric 50 mcg/0.5 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "228",
      "display": "COVID-19, mRNA, LNP-S, PF, pediatric 25 mcg/0.25 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "229",
      "display": "COVID-19, mRNA, LNP-S, bivalent, PF, 50 mcg/0.5 mL or 25mcg/0.25 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "230",
      "display": "COVID-19, mRNA, LNP-S, bivalent, PF, 10 mcg/0.2 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "231",
      "display": "influenza, Southern Hemisphere, high-dose, quadrivalent",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "300",
      "display": "COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "301",
      "display": "COVID-19, mRNA, LNP-S, bivalent, PF, 10 mcg/0.2 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "302",
      "display": "COVID-19, mRNA, LNP-S, bivalent, PF, 3 mcg/0.2 mL dose",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "303",
      "display": "RSV, recombinant, protein subunit RSVpreF, adjuvant reconstituted, 0.5 mL, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "304",
      "display": "Respiratory syncytial virus (RSV), unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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": "2024-01-03"
        }
      ]
    },
    {
      "code": "305",
      "display": "RSV, bivalent, protein subunit RSVpreF, diluent reconstituted, 0.5 mL, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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, pregnant individuals"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-07"
        }
      ]
    },
    {
      "code": "306",
      "display": "RSV, mAb, nirsevimab-alip, 0.5 mL, neonate to 24 months",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "307",
      "display": "RSV, mAb, nirsevimab-alip, 1 mL, neonate to 24 months",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "308",
      "display": "COVID-19, mRNA, LNP-S, PF, tris-sucrose, 3 mcg/0.3 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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 Seasonal 6 months through 4 years of age"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-30"
        }
      ]
    },
    {
      "code": "309",
      "display": "COVID-19, mRNA, LNP-S, PF, tris-sucrose, 30 mcg/0.3 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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 Seasonal 12 years and older"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-30"
        }
      ]
    },
    {
      "code": "310",
      "display": "COVID-19, mRNA, LNP-S, PF, tris-sucrose, 10 mcg/0.3 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, tris-sucrose, 10 mcg/0.3 mL dose"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pfizer Fall Seasonal 5 years through 11 years of age"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-30"
        }
      ]
    },
    {
      "code": "311",
      "display": "COVID-19, mRNA, LNP-S, PF, 25 mcg/0.25 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 25 mcg/0.25 mL dose"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Moderna Fall Seasonal 6 months through 11 years of age"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-30"
        }
      ]
    },
    {
      "code": "312",
      "display": "COVID-19, mRNA, LNP-S, PF, 50 mcg/0.5 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 50 mcg/0.5 mL dose"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Moderna Fall Seasonal 12 years and older"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-30"
        }
      ]
    },
    {
      "code": "313",
      "display": "COVID-19, subunit, rS-nanoparticle, adjuvanted, PF, 5 mcg/0.5 mL",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 (COVID-19) vaccine, subunit, recombinant spike protein-nanoparticle+Matrix-M1 Adjuvant, preservative free, 5 mcg/0.5 mL dose"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Novavax Fall Seasonal 12 years and older"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-09-05"
        }
      ]
    },
    {
      "code": "314",
      "display": "Respiratory syncytial virus (RSV) vaccine, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Respiratory syncytial virus (RSV) vaccine, unspecified"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Unspecified, for historic records where the specific vaccine administered is not known"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-09-19"
        }
      ]
    },
    {
      "code": "315",
      "display": "Respiratory syncytial virus (RSV) MAB, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Respiratory syncytial virus (RSV) monoclonal antibody (MAB), unspecified"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Unspecified, for historic records where the specific RSV MAB administered is not known"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-09-19"
        }
      ]
    },
    {
      "code": "316",
      "display": "Meningococcal polysaccharide (MenACWY-TT conjugate), (MenB), PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Meningococcal polysaccharide (groups A, C, Y, W) tetanus toxoid conjugate, meningococcal B recombinant vaccine, 0.5mL, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Meningococcal pentavalent vaccine strains ABCW and Y"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-01-25"
        }
      ]
    },
    {
      "code": "317",
      "display": "Chikungunya live attenuated vaccine, 0.5 mL, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Chikungunya, live attenuated vaccine, 0.5 mL, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Chikungunya Vaccine"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2023-12-20"
        }
      ]
    },
    {
      "code": "318",
      "display": "Anthrax, post-exposure prophylaxis",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Anthrax vaccine, adsorbed, adjuvanted, post-exposure prophylaxis"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "National stockpile vaccine (Cyfendus)"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-01-25"
        }
      ]
    },
    {
      "code": "319",
      "display": "Anthrax vaccine, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Anthrax vaccine, unspecified"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Unspecified code to record historic administration when specific product is unknown"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-03-15"
        }
      ]
    },
    {
      "code": "320",
      "display": "Influenza, MDCK, trivalent, preservative",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, Madin Darby Canine Kidney, subunit, trivalent, injectable, contains preservative"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Trivalent code starting 2024/2025 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-05-15"
        }
      ]
    },
    {
      "code": "321",
      "display": "Influenza-avian, H5N8, monovalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza-avian, H5N8, viral-vector, monovalent, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Novel Bird Flu H5N8 Vaccine 2024"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-06-12"
        }
      ]
    },
    {
      "code": "322",
      "display": "Influenza-avian, H5N8, monovalent, preservative",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza-avian, H5N8, viral-vector, monovalent, injectable, contains preservative"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Novel Bird Flu H5N8 Vaccine 2024"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-06-12"
        }
      ]
    },
    {
      "code": "323",
      "display": "Influenza-avian, H5, unspecified formulation",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza-avian, H5, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Unspecified code H5xx vaccines to be used when specific formulation is unknown - for vaccines administered starting 2024"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-06-06"
        }
      ]
    },
    {
      "code": "324",
      "display": "Poliovirus, inactivated, fractional-dose (fIPV)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Poliovirus, inactivated, fractional-dose (fIPV)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Non-US polio vaccine administered since 2016"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-06-05"
        }
      ]
    },
    {
      "code": "325",
      "display": "Vaccinia (smallpox, mpox), unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Vaccinia (smallpox, mpox), unspecified"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Use this CVX for historical records where; the formulation administered is not known, or is a non-US product without an associated CVX code."
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-05-02"
        }
      ]
    },
    {
      "code": "326",
      "display": "RSV, mRNA, injectable, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Respiratory syncytial virus (RSV), mRNA, injectable, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "mRNA RSV vaccine added 2024"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-08-30"
        }
      ]
    },
    {
      "code": "327",
      "display": "Pneumococcal conjugate PCV21, polysaccharide CRM197 conjugate, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Pneumococcal conjugate vaccine, 21 valent (PCV21), polysaccharide CRM197 conjugate, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-07-11"
        }
      ]
    },
    {
      "code": "328",
      "display": "Meningococcal oligosaccharide (MenACWY), (MenB), PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Meningococcal oligosaccharide conjugated (groups A, C, W, Y) and group B, 0.5 mL, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Meningococcal pentavalent vaccine strains ABCW and Y"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-03-18"
        }
      ]
    },
    {
      "code": "329",
      "display": "Chikungunya, VLP, recombinant, 0.8 mL, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Chikungunya, virus-like particle (VLP), recombinant vaccine, 0.8 mL, preservative free"
        }
      ],
      "property": [
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-03-18"
        }
      ]
    },
    {
      "code": "330",
      "display": "Dengue fever, unspecified",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Dengue fever, unspecified formulation"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Use this CVX for historical records where; the formulation of the dengue vaccine administered is not known, or is a non-US product without an associated CVX code."
        },
        {
          "code": "vaccine-status",
          "valueCode": "Inactive"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-04-30"
        }
      ]
    },
    {
      "code": "331",
      "display": "Influenza, Southern Hemisphere, trivalent, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, seasonal, Southern Hemisphere, trivalent, 0.5 mL dose, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Represents single dose vial"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-04-30"
        }
      ]
    },
    {
      "code": "332",
      "display": "RSV, mAb, clesrovimab-cfor, 0.7 mL, neonate and infant, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Respiratory syncytial virus (RSV), monoclonal antibody, IgG1κ , (clesrovimab-cfor), 0.7 mL, neonate and infant, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "RSV mAb for neonates and infants born during or entering first RSV season (Enflonsia)"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-07-03"
        }
      ]
    },
    {
      "code": "333",
      "display": "Influenza, live, trivalent, intranasal, self/caregiver admin, PF",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Influenza, live, trivalent, intranasal, self or caregiver administered, preservative free"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Self or caregiver administered, new starting 2025/2026 season"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Active"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2025-07-15"
        }
      ]
    },
    {
      "code": "500",
      "display": "COVID-19 Non-US Vaccine, Product Unknown",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Non-US Vaccine, Specific Product Unknown"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Covid Administration - specific CVX or product unknown"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-07-15"
        }
      ]
    },
    {
      "code": "501",
      "display": "COVID-19 IV Non-US Vaccine (QAZCOVID-IN)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (QAZCOVID-IN)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward  immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-07-15"
        }
      ]
    },
    {
      "code": "502",
      "display": "COVID-19 IV Non-US Vaccine (COVAXIN)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (COVAXIN)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine Authorized by WHO 11-3-2021, recognized toward immunity in US, https://extranet.who.int/pqweb/vaccines/who-recommendation-bharat-biotech-international-ltd-covid-19-vaccine-whole-virion"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-11-19"
        }
      ]
    },
    {
      "code": "503",
      "display": "COVID-19 LAV Non-US Vaccine (COVIVAC)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Live Attenuated Virus Non-US Vaccine Product (COVIVAC)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward  immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-01-03"
        }
      ]
    },
    {
      "code": "504",
      "display": "COVID-19 VVnr Non-US Vaccine (Sputnik Light)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (Sputnik Light)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward  immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-07-15"
        }
      ]
    },
    {
      "code": "505",
      "display": "COVID-19 VVnr Non-US Vaccine (Sputnik V)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (Sputnik V)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward  immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-07-15"
        }
      ]
    },
    {
      "code": "506",
      "display": "COVID-19 VVnr Non-US Vaccine (CanSino Biological Inc./Beijing Institute of Biotechnology",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (CONVIDECIA), CanSino Biological Inc./Beijing Institute of Biotechnology"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine. Authorized by WHO 5/19/2022 - Counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-12-16"
        }
      ]
    },
    {
      "code": "507",
      "display": "COVID-19 PS Non-US Vaccine (Anhui Zhifei Longcom Biopharm + Inst of Micro, Chinese Acad of Sciences)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Anhui Zhifei Longcom Biopharmaceutical + Institute of Microbiology, Chinese Academy of Sciences)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-08-18"
        }
      ]
    },
    {
      "code": "508",
      "display": "COVID-19 PS Non-US Vaccine (Jiangsu Province Centers for Disease Control and Prevention)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Jiangsu Province Centers for Disease Control and Prevention)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward  immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-01-03"
        }
      ]
    },
    {
      "code": "509",
      "display": "COVID-19 PS Non-US Vaccine (EpiVacCorona)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (EpiVacCorona)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward  immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2021-07-15"
        }
      ]
    },
    {
      "code": "510",
      "display": "COVID-19 IV Non-US Vaccine (BIBP, Sinopharm)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (BIBP, Sinopharm)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine. Authorized by WHO - Counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-11-15"
        }
      ]
    },
    {
      "code": "511",
      "display": "COVID-19 IV Non-US Vaccine (CoronaVac, Sinovac)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (CoronaVac, Sinovac)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine. Authorized by WHO - Counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-11-15"
        }
      ]
    },
    {
      "code": "512",
      "display": "SARS-COV-2 COVID-19 VLP Non-US Vaccine (Medicago, Covifenz)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Virus Like Particle (VLP) Non-US Vaccine Product (Medicago, Covifenz)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - ACIP does recognize towards immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-04-12"
        }
      ]
    },
    {
      "code": "513",
      "display": "SARS-COV-2 COVID-19 PS Non-US Vaccine (Anhui Zhifei Longcom, Zifivax)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Anhui Zhifei Longcom, Zifivax)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-04-12"
        }
      ]
    },
    {
      "code": "514",
      "display": "SARS-COV-2 COVID-19 DNA Non-US Vaccine (Zydus Cadila, ZyCoV-D)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 DNA Non-US Vaccine Product (Zydus Cadila, ZyCoV-D)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-04-12"
        }
      ]
    },
    {
      "code": "515",
      "display": "SARS-COV-2 COVID-19 PS Non-US Vaccine (Medigen, MVC-COV1901)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Medigen, MVC-COV1901)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-04-12"
        }
      ]
    },
    {
      "code": "516",
      "display": "COV-2 COVID-19 Inactivated Non-US Vaccine Product (Minhai Biotechnology Co, KCONVAC)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Inactivated Non-US Vaccine Product (Minhai Biotechnology Co, KCONVAC)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-04-12"
        }
      ]
    },
    {
      "code": "517",
      "display": "SARS-COV-2 COVID-19 PS Non-US Vaccine (Biological E Limited, Corbevax)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Biological E Limited, Corbevax)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-04-12"
        }
      ]
    },
    {
      "code": "518",
      "display": "COVID-19 Inactivated, Non-US Vaccine (VLA2001, Valneva)",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 Inactivated, Non-US Vaccine (VLA2001, Valneva)"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-11-17"
        }
      ]
    },
    {
      "code": "519",
      "display": "COVID-19 mRNA, bivalent, original/Omicron BA.1, Non-US Vaccine (Spikevax Bivalent), Moderna",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 mRNA, bivalent, original/Omicron BA.1, Non-US Vaccine (Spikevax Bivalent), Moderna"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - Is authorized by EU and counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-11-17"
        }
      ]
    },
    {
      "code": "520",
      "display": "COVID-19 mRNA, bivalent, original/Omicron BA.1, Non-US Vaccine Product, Pfizer-BioNTech",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 COVID-19 mRNA, bivalent, original/Omicron BA.1, Non-US Vaccine Product (Comirnaty Bivalent), Pfizer-BioNTech"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine. Authorized by WHO 10/19/2022 - Counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2022-12-19"
        }
      ]
    },
    {
      "code": "521",
      "display": "COVID-19 SP, protein-based, adjuvanted (VidPrevtyn Beta), Sanofi-GSK",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "SARS-COV-2 (COVID-19) vaccine SP, protein-based, adjuvanted, B.1.351 strain (VidPrevtyn Beta), Sanofi-GSK"
        }
      ],
      "property": [
        {
          "code": "notes",
          "valueString": "Pandemic Non-US Vaccine not Authorized by WHO - not counted toward immunity in US"
        },
        {
          "code": "vaccine-status",
          "valueCode": "Non-US"
        },
        {
          "code": "last-updated",
          "valueDateTime": "2024-01-03"
        }
      ]
    },
    {
      "code": "801",
      "display": "AS03 Adjuvant",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "AS03 Adjuvant"
        }
      ],
      "property": [
        {
          "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"
        }
      ]
    },
    {
      "code": "998",
      "display": "no vaccine administered",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    },
    {
      "code": "999",
      "display": "unknown",
      "designation": [
        {
          "language": "en",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "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"
        }
      ]
    }
  ]
}