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MSH|^~\&|||||20250914040839-0600||VXU^V04^VXU_V04|P02U12.2pa|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS| PID|1||P02U12^^^AIRA-TEST^MR||DefianceAIRA^ReeseAIRA^Forester^^^^L|EstillAIRA^KloeAIRA^^^^^M|20210918|M||2106-3^White^CDCREC|1712 Pude IJsselstreek Ln^^Emmett Township^MI^48022^USA^P||^PRN^PH^^^810^7858920|||||||||2186-5^not Hispanic or Latino^CDCREC| PD1|||||||||||02^Reminder/Recall - any method^HL70215|||||A|20250914|20250914| NK1|1|MadisonAIRA^KloeAIRA^^^^^L|MTH^Mother^HL70063|1712 Pude IJsselstreek Ln^^Emmett Township^MI^48022^USA^P|^PRN^PH^^^810^7858920| ORC|RE||P02U12.3^AIRA|||||||I-23432^Burden^Donna^A^^^^^NIST-AA-1^^^^PRN||57422^RADON^NICHOLAS^^^^^^NIST-AA-1^L^^^PRN| RXA|0|1|20250914||94^MMRV^CVX|0.5|mL^milliliters^UCUM||00^Administered^NIP001||||||S4121RG||MSD^Merck and Co^MVX|||CP|A| RXR|C38299^^NCIT|RA^^HL70163| OBX|1|CE|64994-7^Vaccine funding program eligibility category^LN|1|V02^VFC eligible - Medicaid/Medicaid Managed Care^HL70064||||||F|||20250914|||VXC40^Eligibility captured at the immunization level^CDCPHINVS| OBX|2|CE|30956-7^Vaccine Type^LN|2|94^MMRV^CVX||||||F| OBX|3|TS|29768-9^Date vaccine information statement published^LN|2|20100521||||||F| OBX|4|TS|29769-7^Date vaccine information statement presented^LN|2|20250914||||||F|
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