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MSH|^~\&|||||20251115063502-0700||VXU^V04^VXU_V04|D22W17.FK|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS| PID|1||D22W17^^^AIRA-TEST^MR||RichardsonAIRA^NeriaAIRA^Ysabel^^^^L|TillmanAIRA^NarmadaAIRA^^^^^M|20211114|F||2106-3^White^CDCREC|1024 Vtrecht Cir^^Chippewa Lake^MI^49320^USA^P||^PRN^PH^^^231^5738829|||||||||2135-2^Hispanic or Latino^CDCREC| PD1|||||||||||02^Reminder/Recall - any method^HL70215|||||A|20251115|20251115| NK1|1|PowellAIRA^NarmadaAIRA^^^^^L|MTH^Mother^HL70063|1024 Vtrecht Cir^^Chippewa Lake^MI^49320^USA^P|^PRN^PH^^^231^5738829| ORC|RE||D22W17.3^AIRA|||||||I-23432^Burden^Donna^A^^^^^NIST-AA-1^^^^PRN||57422^RADON^NICHOLAS^^^^^^NIST-AA-1^L^^^PRN| RXA|0|1|20251115||21^Varicella^CVX|0.5|mL^milliliters^UCUM||00^Administered^NIP001||||||U6329BP||MSD^Merck and Co^MVX|||CP|A| RXR|C38299^^NCIT|RA^^HL70163| OBX|1|CE|64994-7^Vaccine funding program eligibility category^LN|1|V05^VFC eligible - Federally Qualified Health Center Patient (under-insured)^HL70064||||||F|||20251115|||VXC40^Eligibility captured at the immunization level^CDCPHINVS| OBX|2|CE|30956-7^Vaccine Type^LN|2|21^Varicella^CVX||||||F| OBX|3|TS|29768-9^Date vaccine information statement published^LN|2|20080313||||||F| OBX|4|TS|29769-7^Date vaccine information statement presented^LN|2|20251115||||||F|
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