Freely Associated States - One-time Addition of Diseases and Data Elements

National Notifiable Diseases Surveillance System (NNDSS)

Att 8 - Vaccine Data.xlsx

Freely Associated States - One-time Addition of Diseases and Data Elements

OMB: 0920-0728

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Data Element Name Data Element Description Value Set Code CDC Priority (Legacy) CDC Priority (New)
Vaccine administered product type Indicates which product (vaccine) was administered
PHVS_VaccinesAdministered_VZ


Vaccine administered date Indicates the date that the vaccine was administered.
N/A

Vaccine dose number Indicates the dose number in series
N/A

Vaccine product manufacturer Indicates the company which manufactured the vaccine PHVS_ManufacturersOfVaccinesMVX_CDC_NIP

Vaccine Lot Number Indicates the lot number for the vaccine administered N/A

Vaccine Lot Expiration Date Indicates the expiry date for the vaccine administered N/A

Vaccine Event information source Indicates whether the vaccine was administered by the provider organization recording the immunization or obtained from a historical record PHVS_VaccineEventInformation Source_NND

Immunization Schedule used Identifies the schedule used for immunization evaluation and forecast. N/A

Exemption/refusal reason Indicates the reason the patient is either exempt from the immunization or refuses the immunization N/A

National Drug Code (NDC) NDC from the vaccine's bar code can be used to obtain vaccine brand name and manufacturer. N/A

Vaccination Record Identifier Vaccination record identifier N/A

Did the Subject Ever Receive a Vaccine Against This Disease Did the subject ever receive a vaccine against this disease? PHVS_YesNoUnknown_CDC
1
Vaccination Doses Prior to Onset Number of vaccine doses against this disease prior to illness onset N/A
1
Date of Last Dose Prior to Illness Onset Date of last vaccine dose against this disease prior to illness onset N/A
3
Vaccinated per ACIP Recommendations Was subject vaccinated as recommended by the Advisory Committee on Immunization Practices (ACIP)? PHVS_YesNoUnknown_CDC
1
Reason Not Vaccinated Per ACIP Recommendations Reason subject not vaccinated as recommended by ACIP PHVS_VaccineNotGivenReasons_CDC
1
Vaccine History Comments Comments about the subject's vaccination history N/A
3
Number of Doses Received Before 1st Birthday The number of vaccine doses against this disease which the subject received before their first birthday. N/A
1
Number of Doses Received On or After 1st Birthday The number of vaccine doses against this disease which the subject received on or after their first birthday N/A
1
Did Mother Ever Receive a Vaccine Against This Disease Was the mother immunized with Rubella vaccine? PHVS_YesNoUnknown_CDC
1
Source of Mother's Vaccine Information Source of mother's Rubella-containing vaccine information PHVS_ImmunizationInformationSource_CRS
1





12/28/2020



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