{
  "resourceType": "ValueSet",
  "id": "us-core-vaccines-cvx",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>US Core Vaccine Administered Value Set (CVX)</h2><div><p>This identifies the vaccine substance administered - CVX codes. <strong>Inclusion Criteria:</strong>  Any CVX code with CVX  'status' (VSAC Property) = <code>Active</code>,<code>Inactive</code>, <code>Non-US</code> except  those noted in exclusions.  <strong>Exclusion Criteria:</strong>  CVX codes that have a CVX  'status' of either <code>Pending</code> or <code>Never Active</code> AND CVX  codes with CVX 'Nonvaccine' property = True.  Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/cvx</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>01</td><td>diphtheria, tetanus toxoids and pertussis vaccine</td><td/></tr><tr><td>02</td><td>trivalent poliovirus vaccine, live, oral</td><td/></tr><tr><td>03</td><td>measles, mumps and rubella virus vaccine</td><td/></tr><tr><td>04</td><td>measles and rubella virus vaccine</td><td/></tr><tr><td>05</td><td>measles virus vaccine</td><td/></tr><tr><td>06</td><td>rubella virus vaccine</td><td/></tr><tr><td>07</td><td>mumps virus vaccine</td><td/></tr><tr><td>08</td><td>hepatitis B vaccine, pediatric or pediatric/adolescent dosage</td><td/></tr><tr><td>09</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>10</td><td>poliovirus vaccine, inactivated</td><td/></tr><tr><td>100</td><td>pneumococcal conjugate vaccine, 7 valent</td><td/></tr><tr><td>101</td><td>typhoid Vi capsular polysaccharide vaccine</td><td/></tr><tr><td>102</td><td>DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine</td><td/></tr><tr><td>103</td><td>meningococcal C conjugate vaccine</td><td/></tr><tr><td>104</td><td>hepatitis A and hepatitis B vaccine</td><td/></tr><tr><td>105</td><td>vaccinia (smallpox) vaccine, diluted</td><td/></tr><tr><td>106</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens</td><td/></tr><tr><td>107</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation</td><td/></tr><tr><td>108</td><td>meningococcal ACWY vaccine, unspecified formulation</td><td/></tr><tr><td>109</td><td>pneumococcal vaccine, unspecified formulation</td><td/></tr><tr><td>11</td><td>pertussis vaccine</td><td/></tr><tr><td>110</td><td>DTaP-hepatitis B and poliovirus vaccine</td><td/></tr><tr><td>111</td><td>influenza virus vaccine, live, attenuated, for intranasal use</td><td/></tr><tr><td>112</td><td>tetanus toxoid, unspecified formulation</td><td/></tr><tr><td>113</td><td>tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)</td><td/></tr><tr><td>114</td><td>meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)</td><td/></tr><tr><td>115</td><td>tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed</td><td/></tr><tr><td>116</td><td>rotavirus, live, pentavalent vaccine</td><td/></tr><tr><td>117</td><td>varicella zoster immune globulin (Investigational New Drug)</td><td/></tr><tr><td>118</td><td>human papilloma virus vaccine, bivalent</td><td/></tr><tr><td>119</td><td>rotavirus, live, monovalent vaccine</td><td/></tr><tr><td>12</td><td>diphtheria antitoxin</td><td/></tr><tr><td>120</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>121</td><td>zoster vaccine, live</td><td/></tr><tr><td>122</td><td>rotavirus vaccine, unspecified formulation</td><td/></tr><tr><td>123</td><td>influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)</td><td/></tr><tr><td>125</td><td>Novel Influenza-H1N1-09, live virus for nasal administration</td><td/></tr><tr><td>126</td><td>Novel influenza-H1N1-09, preservative-free, injectable</td><td/></tr><tr><td>127</td><td>Novel influenza-H1N1-09, injectable</td><td/></tr><tr><td>128</td><td>Novel influenza-H1N1-09, all formulations</td><td/></tr><tr><td>129</td><td>Japanese Encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>13</td><td>tetanus immune globulin</td><td/></tr><tr><td>130</td><td>Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated</td><td/></tr><tr><td>131</td><td>Historical record of a typhus vaccination</td><td/></tr><tr><td>132</td><td>Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.</td><td/></tr><tr><td>133</td><td>pneumococcal conjugate vaccine, 13 valent</td><td/></tr><tr><td>134</td><td>Japanese Encephalitis vaccine for intramuscular administration</td><td/></tr><tr><td>135</td><td>influenza, high dose seasonal, preservative-free</td><td/></tr><tr><td>136</td><td>meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)</td><td/></tr><tr><td>137</td><td>HPV, unspecified formulation</td><td/></tr><tr><td>138</td><td>tetanus and diphtheria toxoids, not adsorbed, for adult use</td><td/></tr><tr><td>139</td><td>Td(adult) unspecified formulation</td><td/></tr><tr><td>14</td><td>immune globulin, unspecified formulation</td><td/></tr><tr><td>140</td><td>Influenza, seasonal, injectable, preservative free</td><td/></tr><tr><td>141</td><td>Influenza, seasonal, injectable</td><td/></tr><tr><td>142</td><td>tetanus toxoid, not adsorbed</td><td/></tr><tr><td>143</td><td>Adenovirus, type 4 and type 7, live, oral</td><td/></tr><tr><td>144</td><td>seasonal influenza, intradermal, preservative free</td><td/></tr><tr><td>147</td><td>Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)</td><td/></tr><tr><td>148</td><td>Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine</td><td/></tr><tr><td>149</td><td>influenza, live, intranasal, quadrivalent</td><td/></tr><tr><td>15</td><td>influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE</td><td/></tr><tr><td>150</td><td>Influenza, injectable, quadrivalent, preservative free</td><td/></tr><tr><td>151</td><td>influenza nasal, unspecified formulation</td><td/></tr><tr><td>152</td><td>Pneumococcal Conjugate, unspecified formulation</td><td/></tr><tr><td>153</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free</td><td/></tr><tr><td>155</td><td>Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>156</td><td>Rho(D) Immune globulin- IV or IM</td><td/></tr><tr><td>157</td><td>Rho(D) Immune globulin - IM</td><td/></tr><tr><td>158</td><td>influenza, injectable, quadrivalent, contains preservative</td><td/></tr><tr><td>159</td><td>Rho(D) Unspecified formulation</td><td/></tr><tr><td>16</td><td>influenza virus vaccine, whole virus</td><td/></tr><tr><td>160</td><td>Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013</td><td/></tr><tr><td>161</td><td>Influenza, injectable,quadrivalent, preservative free, pediatric</td><td/></tr><tr><td>162</td><td>meningococcal B vaccine, fully recombinant</td><td/></tr><tr><td>163</td><td>meningococcal B vaccine, recombinant, OMV, adjuvanted</td><td/></tr><tr><td>164</td><td>meningococcal B, unspecified formulation</td><td/></tr><tr><td>165</td><td>Human Papillomavirus 9-valent vaccine</td><td/></tr><tr><td>166</td><td>influenza, intradermal, quadrivalent, preservative free, injectable</td><td/></tr><tr><td>167</td><td>meningococcal vaccine of unknown formulation and unknown serogroups</td><td/></tr><tr><td>168</td><td>Seasonal trivalent influenza vaccine, adjuvanted, preservative free</td><td/></tr><tr><td>169</td><td>Hep A, live attenuated-IM</td><td/></tr><tr><td>17</td><td>Haemophilus influenzae type b vaccine, conjugate unspecified formulation</td><td/></tr><tr><td>170</td><td>non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)</td><td/></tr><tr><td>171</td><td>Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent</td><td/></tr><tr><td>172</td><td>cholera, WC-rBS</td><td/></tr><tr><td>173</td><td>cholera, BivWC</td><td/></tr><tr><td>174</td><td>cholera, live attenuated</td><td/></tr><tr><td>175</td><td>Human Rabies vaccine from human diploid cell culture</td><td/></tr><tr><td>176</td><td>Human rabies vaccine from Chicken fibroblast culture</td><td/></tr><tr><td>177</td><td>pneumococcal conjugate vaccine, 10 valent</td><td/></tr><tr><td>178</td><td>Non-US bivalent oral polio vaccine (types 1 and 3)</td><td/></tr><tr><td>179</td><td>Non-US monovalent oral polio vaccine, unspecified formulation</td><td/></tr><tr><td>18</td><td>rabies vaccine, for intramuscular injection RETIRED CODE</td><td/></tr><tr><td>180</td><td>tetanus immune globulin</td><td/></tr><tr><td>181</td><td>anthrax immune globulin</td><td/></tr><tr><td>182</td><td>Oral Polio Vaccine, Unspecified formulation</td><td/></tr><tr><td>183</td><td>Yellow fever vaccine alternative formulation</td><td/></tr><tr><td>184</td><td>Yellow fever vaccine, unspecified formulation</td><td/></tr><tr><td>185</td><td>Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free</td><td/></tr><tr><td>186</td><td>Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative</td><td/></tr><tr><td>187</td><td>zoster vaccine recombinant</td><td/></tr><tr><td>188</td><td>zoster vaccine, unspecified formulation</td><td/></tr><tr><td>189</td><td>Hepatitis B vaccine (recombinant), CpG adjuvanted</td><td/></tr><tr><td>19</td><td>Bacillus Calmette-Guerin vaccine</td><td/></tr><tr><td>20</td><td>diphtheria, tetanus toxoids and acellular pertussis vaccine</td><td/></tr><tr><td>21</td><td>varicella virus vaccine</td><td/></tr><tr><td>22</td><td>DTP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>23</td><td>plague vaccine</td><td/></tr><tr><td>24</td><td>anthrax vaccine</td><td/></tr><tr><td>25</td><td>typhoid vaccine, live, oral</td><td/></tr><tr><td>26</td><td>cholera vaccine, unspecified formulation</td><td/></tr><tr><td>27</td><td>botulinum antitoxin</td><td/></tr><tr><td>28</td><td>diphtheria and tetanus toxoids, adsorbed for pediatric use</td><td/></tr><tr><td>29</td><td>cytomegalovirus immune globulin, intravenous</td><td/></tr><tr><td>30</td><td>hepatitis B immune globulin</td><td/></tr><tr><td>31</td><td>hepatitis A vaccine, pediatric dosage, unspecified formulation</td><td/></tr><tr><td>32</td><td>meningococcal polysaccharide vaccine (MPSV4)</td><td/></tr><tr><td>33</td><td>pneumococcal polysaccharide vaccine, 23 valent</td><td/></tr><tr><td>34</td><td>rabies immune globulin</td><td/></tr><tr><td>35</td><td>tetanus toxoid, adsorbed</td><td/></tr><tr><td>36</td><td>varicella zoster immune globulin</td><td/></tr><tr><td>37</td><td>yellow fever vaccine</td><td/></tr><tr><td>38</td><td>rubella and mumps virus vaccine</td><td/></tr><tr><td>39</td><td>Japanese Encephalitis Vaccine SC</td><td/></tr><tr><td>40</td><td>rabies vaccine, for intradermal injection</td><td/></tr><tr><td>41</td><td>typhoid vaccine, parenteral, other than acetone-killed, dried</td><td/></tr><tr><td>42</td><td>hepatitis B vaccine, adolescent/high risk infant dosage</td><td/></tr><tr><td>43</td><td>hepatitis B vaccine, adult dosage</td><td/></tr><tr><td>44</td><td>hepatitis B vaccine, dialysis patient dosage</td><td/></tr><tr><td>45</td><td>hepatitis B vaccine, unspecified formulation</td><td/></tr><tr><td>46</td><td>Haemophilus influenzae type b vaccine, PRP-D conjugate</td><td/></tr><tr><td>47</td><td>Haemophilus influenzae type b vaccine, HbOC conjugate</td><td/></tr><tr><td>48</td><td>Haemophilus influenzae type b vaccine, PRP-T conjugate</td><td/></tr><tr><td>49</td><td>Haemophilus influenzae type b vaccine, PRP-OMP conjugate</td><td/></tr><tr><td>50</td><td>DTaP-Haemophilus influenzae type b conjugate vaccine</td><td/></tr><tr><td>51</td><td>Haemophilus influenzae type b conjugate and Hepatitis B vaccine</td><td/></tr><tr><td>52</td><td>hepatitis A vaccine, adult dosage</td><td/></tr><tr><td>53</td><td>typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)</td><td/></tr><tr><td>54</td><td>adenovirus vaccine, type 4, live, oral</td><td/></tr><tr><td>55</td><td>adenovirus vaccine, type 7, live, oral</td><td/></tr><tr><td>62</td><td>human papilloma virus vaccine, quadrivalent</td><td/></tr><tr><td>66</td><td>Lyme disease vaccine</td><td/></tr><tr><td>69</td><td>parainfluenza-3 virus vaccine</td><td/></tr><tr><td>71</td><td>respiratory syncytial virus immune globulin, intravenous</td><td/></tr><tr><td>74</td><td>rotavirus, live, tetravalent vaccine</td><td/></tr><tr><td>75</td><td>vaccinia (smallpox) vaccine</td><td/></tr><tr><td>76</td><td>Staphylococcus bacteriophage lysate</td><td/></tr><tr><td>77</td><td>tick-borne encephalitis vaccine</td><td/></tr><tr><td>78</td><td>tularemia vaccine</td><td/></tr><tr><td>79</td><td>vaccinia immune globulin</td><td/></tr><tr><td>80</td><td>Venezuelan equine encephalitis, live, attenuated</td><td/></tr><tr><td>801</td><td>AS03 Adjuvant</td><td/></tr><tr><td>81</td><td>Venezuelan equine encephalitis, inactivated</td><td/></tr><tr><td>82</td><td>adenovirus vaccine, unspecified formulation</td><td/></tr><tr><td>83</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule</td><td/></tr><tr><td>84</td><td>hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule</td><td/></tr><tr><td>85</td><td>hepatitis A vaccine, unspecified formulation</td><td/></tr><tr><td>86</td><td>immune globulin, intramuscular</td><td/></tr><tr><td>87</td><td>immune globulin, intravenous</td><td/></tr><tr><td>88</td><td>influenza virus vaccine, unspecified formulation</td><td/></tr><tr><td>89</td><td>poliovirus vaccine, unspecified formulation</td><td/></tr><tr><td>90</td><td>rabies vaccine, unspecified formulation</td><td/></tr><tr><td>91</td><td>typhoid vaccine, unspecified formulation</td><td/></tr><tr><td>92</td><td>Venezuelan equine encephalitis vaccine, unspecified formulation</td><td/></tr><tr><td>93</td><td>respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular</td><td/></tr><tr><td>94</td><td>measles, mumps, rubella, and varicella virus vaccine</td><td/></tr><tr><td>95</td><td>tuberculin skin test; old tuberculin, multipuncture device</td><td/></tr><tr><td>96</td><td>tuberculin skin test; purified protein derivative solution, intradermal</td><td/></tr><tr><td>97</td><td>tuberculin skin test; purified protein derivative, multipuncture device</td><td/></tr><tr><td>98</td><td>tuberculin skin test; unspecified formulation</td><td/></tr><tr><td>998</td><td>no vaccine administered</td><td/></tr></table></li></ul></div>"
  },
  "url": "http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1010.6"
    },
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.3.88.12.80.22"
    }
  ],
  "version": "3.0.0",
  "name": "USCoreVaccineAdministeredValueSetCvx",
  "title": "US Core Vaccine Administered Value Set (CVX)",
  "status": "active",
  "date": "2019-05-21T00:00:00-04:00",
  "publisher": "HL7 US Realm Steering Committee",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "This identifies the vaccine substance administered - CVX codes. **Inclusion Criteria:**  Any CVX code with CVX  'status' (VSAC Property) = `Active`,` Inactive`, `Non-US` except  those noted in exclusions.  **Exclusion Criteria:**  CVX codes that have a CVX  'status' of either `Pending` or `Never Active` AND CVX  codes with CVX 'Nonvaccine' property = True.  Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/sid/cvx",
        "concept": [
          {
            "code": "01",
            "display": "diphtheria, tetanus toxoids and pertussis vaccine"
          },
          {
            "code": "02",
            "display": "trivalent poliovirus vaccine, live, oral"
          },
          {
            "code": "03",
            "display": "measles, mumps and rubella virus vaccine"
          },
          {
            "code": "04",
            "display": "measles and rubella virus vaccine"
          },
          {
            "code": "05",
            "display": "measles virus vaccine"
          },
          {
            "code": "06",
            "display": "rubella virus vaccine"
          },
          {
            "code": "07",
            "display": "mumps virus vaccine"
          },
          {
            "code": "08",
            "display": "hepatitis B vaccine, pediatric or pediatric/adolescent dosage"
          },
          {
            "code": "09",
            "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"
          },
          {
            "code": "10",
            "display": "poliovirus vaccine, inactivated"
          },
          {
            "code": "100",
            "display": "pneumococcal conjugate vaccine, 7 valent"
          },
          {
            "code": "101",
            "display": "typhoid Vi capsular polysaccharide vaccine"
          },
          {
            "code": "102",
            "display": "DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine"
          },
          {
            "code": "103",
            "display": "meningococcal C conjugate vaccine"
          },
          {
            "code": "104",
            "display": "hepatitis A and hepatitis B vaccine"
          },
          {
            "code": "105",
            "display": "vaccinia (smallpox) vaccine, diluted"
          },
          {
            "code": "106",
            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens"
          },
          {
            "code": "107",
            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation"
          },
          {
            "code": "108",
            "display": "meningococcal ACWY vaccine, unspecified formulation"
          },
          {
            "code": "109",
            "display": "pneumococcal vaccine, unspecified formulation"
          },
          {
            "code": "11",
            "display": "pertussis vaccine"
          },
          {
            "code": "110",
            "display": "DTaP-hepatitis B and poliovirus vaccine"
          },
          {
            "code": "111",
            "display": "influenza virus vaccine, live, attenuated, for intranasal use"
          },
          {
            "code": "112",
            "display": "tetanus toxoid, unspecified formulation"
          },
          {
            "code": "113",
            "display": "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"
          },
          {
            "code": "114",
            "display": "meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)"
          },
          {
            "code": "115",
            "display": "tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed"
          },
          {
            "code": "116",
            "display": "rotavirus, live, pentavalent vaccine"
          },
          {
            "code": "117",
            "display": "varicella zoster immune globulin (Investigational New Drug)"
          },
          {
            "code": "118",
            "display": "human papilloma virus vaccine, bivalent"
          },
          {
            "code": "119",
            "display": "rotavirus, live, monovalent vaccine"
          },
          {
            "code": "12",
            "display": "diphtheria antitoxin"
          },
          {
            "code": "120",
            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"
          },
          {
            "code": "121",
            "display": "zoster vaccine, live"
          },
          {
            "code": "122",
            "display": "rotavirus vaccine, unspecified formulation"
          },
          {
            "code": "123",
            "display": "influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)"
          },
          {
            "code": "125",
            "display": "Novel Influenza-H1N1-09, live virus for nasal administration"
          },
          {
            "code": "126",
            "display": "Novel influenza-H1N1-09, preservative-free, injectable"
          },
          {
            "code": "127",
            "display": "Novel influenza-H1N1-09, injectable"
          },
          {
            "code": "128",
            "display": "Novel influenza-H1N1-09, all formulations"
          },
          {
            "code": "129",
            "display": "Japanese Encephalitis vaccine, unspecified formulation"
          },
          {
            "code": "13",
            "display": "tetanus immune globulin"
          },
          {
            "code": "130",
            "display": "Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated"
          },
          {
            "code": "131",
            "display": "Historical record of a typhus vaccination"
          },
          {
            "code": "132",
            "display": "Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine."
          },
          {
            "code": "133",
            "display": "pneumococcal conjugate vaccine, 13 valent"
          },
          {
            "code": "134",
            "display": "Japanese Encephalitis vaccine for intramuscular administration"
          },
          {
            "code": "135",
            "display": "influenza, high dose seasonal, preservative-free"
          },
          {
            "code": "136",
            "display": "meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)"
          },
          {
            "code": "137",
            "display": "HPV, unspecified formulation"
          },
          {
            "code": "138",
            "display": "tetanus and diphtheria toxoids, not adsorbed, for adult use"
          },
          {
            "code": "139",
            "display": "Td(adult) unspecified formulation"
          },
          {
            "code": "14",
            "display": "immune globulin, unspecified formulation"
          },
          {
            "code": "140",
            "display": "Influenza, seasonal, injectable, preservative free"
          },
          {
            "code": "141",
            "display": "Influenza, seasonal, injectable"
          },
          {
            "code": "142",
            "display": "tetanus toxoid, not adsorbed"
          },
          {
            "code": "143",
            "display": "Adenovirus, type 4 and type 7, live, oral"
          },
          {
            "code": "144",
            "display": "seasonal influenza, intradermal, preservative free"
          },
          {
            "code": "147",
            "display": "Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)"
          },
          {
            "code": "148",
            "display": "Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine"
          },
          {
            "code": "149",
            "display": "influenza, live, intranasal, quadrivalent"
          },
          {
            "code": "15",
            "display": "influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE"
          },
          {
            "code": "150",
            "display": "Influenza, injectable, quadrivalent, preservative free"
          },
          {
            "code": "151",
            "display": "influenza nasal, unspecified formulation"
          },
          {
            "code": "152",
            "display": "Pneumococcal Conjugate, unspecified formulation"
          },
          {
            "code": "153",
            "display": "Influenza, injectable, Madin Darby Canine Kidney, preservative free"
          },
          {
            "code": "155",
            "display": "Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free"
          },
          {
            "code": "156",
            "display": "Rho(D) Immune globulin- IV or IM"
          },
          {
            "code": "157",
            "display": "Rho(D) Immune globulin - IM"
          },
          {
            "code": "158",
            "display": "influenza, injectable, quadrivalent, contains preservative"
          },
          {
            "code": "159",
            "display": "Rho(D) Unspecified formulation"
          },
          {
            "code": "16",
            "display": "influenza virus vaccine, whole virus"
          },
          {
            "code": "160",
            "display": "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"
          },
          {
            "code": "161",
            "display": "Influenza, injectable,quadrivalent, preservative free, pediatric"
          },
          {
            "code": "162",
            "display": "meningococcal B vaccine, fully recombinant"
          },
          {
            "code": "163",
            "display": "meningococcal B vaccine, recombinant, OMV, adjuvanted"
          },
          {
            "code": "164",
            "display": "meningococcal B, unspecified formulation"
          },
          {
            "code": "165",
            "display": "Human Papillomavirus 9-valent vaccine"
          },
          {
            "code": "166",
            "display": "influenza, intradermal, quadrivalent, preservative free, injectable"
          },
          {
            "code": "167",
            "display": "meningococcal vaccine of unknown formulation and unknown serogroups"
          },
          {
            "code": "168",
            "display": "Seasonal trivalent influenza vaccine, adjuvanted, preservative free"
          },
          {
            "code": "169",
            "display": "Hep A, live attenuated-IM"
          },
          {
            "code": "17",
            "display": "Haemophilus influenzae type b vaccine, conjugate unspecified formulation"
          },
          {
            "code": "170",
            "display": "non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"
          },
          {
            "code": "171",
            "display": "Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent"
          },
          {
            "code": "172",
            "display": "cholera, WC-rBS"
          },
          {
            "code": "173",
            "display": "cholera, BivWC"
          },
          {
            "code": "174",
            "display": "cholera, live attenuated"
          },
          {
            "code": "175",
            "display": "Human Rabies vaccine from human diploid cell culture"
          },
          {
            "code": "176",
            "display": "Human rabies vaccine from Chicken fibroblast culture"
          },
          {
            "code": "177",
            "display": "pneumococcal conjugate vaccine, 10 valent"
          },
          {
            "code": "178",
            "display": "Non-US bivalent oral polio vaccine (types 1 and 3)"
          },
          {
            "code": "179",
            "display": "Non-US monovalent oral polio vaccine, unspecified formulation"
          },
          {
            "code": "18",
            "display": "rabies vaccine, for intramuscular injection RETIRED CODE"
          },
          {
            "code": "180",
            "display": "tetanus immune globulin"
          },
          {
            "code": "181",
            "display": "anthrax immune globulin"
          },
          {
            "code": "182",
            "display": "Oral Polio Vaccine, Unspecified formulation"
          },
          {
            "code": "183",
            "display": "Yellow fever vaccine alternative formulation"
          },
          {
            "code": "184",
            "display": "Yellow fever vaccine, unspecified formulation"
          },
          {
            "code": "185",
            "display": "Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free"
          },
          {
            "code": "186",
            "display": "Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative"
          },
          {
            "code": "187",
            "display": "zoster vaccine recombinant"
          },
          {
            "code": "188",
            "display": "zoster vaccine, unspecified formulation"
          },
          {
            "code": "189",
            "display": "Hepatitis B vaccine (recombinant), CpG adjuvanted"
          },
          {
            "code": "19",
            "display": "Bacillus Calmette-Guerin vaccine"
          },
          {
            "code": "20",
            "display": "diphtheria, tetanus toxoids and acellular pertussis vaccine"
          },
          {
            "code": "21",
            "display": "varicella virus vaccine"
          },
          {
            "code": "22",
            "display": "DTP-Haemophilus influenzae type b conjugate vaccine"
          },
          {
            "code": "23",
            "display": "plague vaccine"
          },
          {
            "code": "24",
            "display": "anthrax vaccine"
          },
          {
            "code": "25",
            "display": "typhoid vaccine, live, oral"
          },
          {
            "code": "26",
            "display": "cholera vaccine, unspecified formulation"
          },
          {
            "code": "27",
            "display": "botulinum antitoxin"
          },
          {
            "code": "28",
            "display": "diphtheria and tetanus toxoids, adsorbed for pediatric use"
          },
          {
            "code": "29",
            "display": "cytomegalovirus immune globulin, intravenous"
          },
          {
            "code": "30",
            "display": "hepatitis B immune globulin"
          },
          {
            "code": "31",
            "display": "hepatitis A vaccine, pediatric dosage, unspecified formulation"
          },
          {
            "code": "32",
            "display": "meningococcal polysaccharide vaccine (MPSV4)"
          },
          {
            "code": "33",
            "display": "pneumococcal polysaccharide vaccine, 23 valent"
          },
          {
            "code": "34",
            "display": "rabies immune globulin"
          },
          {
            "code": "35",
            "display": "tetanus toxoid, adsorbed"
          },
          {
            "code": "36",
            "display": "varicella zoster immune globulin"
          },
          {
            "code": "37",
            "display": "yellow fever vaccine"
          },
          {
            "code": "38",
            "display": "rubella and mumps virus vaccine"
          },
          {
            "code": "39",
            "display": "Japanese Encephalitis Vaccine SC"
          },
          {
            "code": "40",
            "display": "rabies vaccine, for intradermal injection"
          },
          {
            "code": "41",
            "display": "typhoid vaccine, parenteral, other than acetone-killed, dried"
          },
          {
            "code": "42",
            "display": "hepatitis B vaccine, adolescent/high risk infant dosage"
          },
          {
            "code": "43",
            "display": "hepatitis B vaccine, adult dosage"
          },
          {
            "code": "44",
            "display": "hepatitis B vaccine, dialysis patient dosage"
          },
          {
            "code": "45",
            "display": "hepatitis B vaccine, unspecified formulation"
          },
          {
            "code": "46",
            "display": "Haemophilus influenzae type b vaccine, PRP-D conjugate"
          },
          {
            "code": "47",
            "display": "Haemophilus influenzae type b vaccine, HbOC conjugate"
          },
          {
            "code": "48",
            "display": "Haemophilus influenzae type b vaccine, PRP-T conjugate"
          },
          {
            "code": "49",
            "display": "Haemophilus influenzae type b vaccine, PRP-OMP conjugate"
          },
          {
            "code": "50",
            "display": "DTaP-Haemophilus influenzae type b conjugate vaccine"
          },
          {
            "code": "51",
            "display": "Haemophilus influenzae type b conjugate and Hepatitis B vaccine"
          },
          {
            "code": "52",
            "display": "hepatitis A vaccine, adult dosage"
          },
          {
            "code": "53",
            "display": "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"
          },
          {
            "code": "54",
            "display": "adenovirus vaccine, type 4, live, oral"
          },
          {
            "code": "55",
            "display": "adenovirus vaccine, type 7, live, oral"
          },
          {
            "code": "62",
            "display": "human papilloma virus vaccine, quadrivalent"
          },
          {
            "code": "66",
            "display": "Lyme disease vaccine"
          },
          {
            "code": "69",
            "display": "parainfluenza-3 virus vaccine"
          },
          {
            "code": "71",
            "display": "respiratory syncytial virus immune globulin, intravenous"
          },
          {
            "code": "74",
            "display": "rotavirus, live, tetravalent vaccine"
          },
          {
            "code": "75",
            "display": "vaccinia (smallpox) vaccine"
          },
          {
            "code": "76",
            "display": "Staphylococcus bacteriophage lysate"
          },
          {
            "code": "77",
            "display": "tick-borne encephalitis vaccine"
          },
          {
            "code": "78",
            "display": "tularemia vaccine"
          },
          {
            "code": "79",
            "display": "vaccinia immune globulin"
          },
          {
            "code": "80",
            "display": "Venezuelan equine encephalitis, live, attenuated"
          },
          {
            "code": "801",
            "display": "AS03 Adjuvant"
          },
          {
            "code": "81",
            "display": "Venezuelan equine encephalitis, inactivated"
          },
          {
            "code": "82",
            "display": "adenovirus vaccine, unspecified formulation"
          },
          {
            "code": "83",
            "display": "hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule"
          },
          {
            "code": "84",
            "display": "hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule"
          },
          {
            "code": "85",
            "display": "hepatitis A vaccine, unspecified formulation"
          },
          {
            "code": "86",
            "display": "immune globulin, intramuscular"
          },
          {
            "code": "87",
            "display": "immune globulin, intravenous"
          },
          {
            "code": "88",
            "display": "influenza virus vaccine, unspecified formulation"
          },
          {
            "code": "89",
            "display": "poliovirus vaccine, unspecified formulation"
          },
          {
            "code": "90",
            "display": "rabies vaccine, unspecified formulation"
          },
          {
            "code": "91",
            "display": "typhoid vaccine, unspecified formulation"
          },
          {
            "code": "92",
            "display": "Venezuelan equine encephalitis vaccine, unspecified formulation"
          },
          {
            "code": "93",
            "display": "respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular"
          },
          {
            "code": "94",
            "display": "measles, mumps, rubella, and varicella virus vaccine"
          },
          {
            "code": "95",
            "display": "tuberculin skin test; old tuberculin, multipuncture device"
          },
          {
            "code": "96",
            "display": "tuberculin skin test; purified protein derivative solution, intradermal"
          },
          {
            "code": "97",
            "display": "tuberculin skin test; purified protein derivative, multipuncture device"
          },
          {
            "code": "98",
            "display": "tuberculin skin test; unspecified formulation"
          },
          {
            "code": "998",
            "display": "no vaccine administered"
          }
        ]
      }
    ]
  }
}