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MSH|^~\&|||||20260428081921-0600||VXU^V04^VXU_V04|W15X51.vy|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS| PID|1||W15X51^^^AIRA-TEST^MR||KinnearAIRA^HansAIRA^L^^^^L|PowerAIRA^SmitaAIRA^^^^^M|20220509|M||2106-3^White^CDCREC|1907 Sittenseradeel St^^Nahma^MI^49864^USA^P||^PRN^PH^^^906^7565002|||||||||2186-5^not Hispanic or Latino^CDCREC| PD1|||||||||||02^Reminder/Recall - any method^HL70215|||||A|20260428|20260428| NK1|1|KinnearAIRA^SmitaAIRA^^^^^L|MTH^Mother^HL70063|1907 Sittenseradeel St^^Nahma^MI^49864^USA^P|^PRN^PH^^^906^7565002| ORC|RE||W15X51.3^AIRA|||||||I-23432^Burden^Donna^A^^^^^NIST-AA-1^^^^PRN||57422^RADON^NICHOLAS^^^^^^NIST-AA-1^L^^^PRN| RXA|0|1|20260428||94^MMRV^CVX|0.5|mL^milliliters^UCUM||00^Administered^NIP001||||||V7737HT||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|||20260428|||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|20260428||||||F|
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