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MSH|^~\&|||||20260113224710-0700||VXU^V04^VXU_V04|V36U90.1m|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS| PID|1||V36U90^^^AIRA-TEST^MR||Santa ClaraAIRA^OdettaAIRA^^^^^L|PawneeAIRA^HesperAIRA^^^^^M|20220116|F||2054-5^Black or African-American^CDCREC|1940 Varneveld Ave^^Sodus^MI^49126^USA^P||^PRN^PH^^^269^2318504|||||||||2135-2^Hispanic or Latino^CDCREC| PD1|||||||||||02^Reminder/Recall - any method^HL70215|||||A|20260113|20260113| NK1|1|Santa ClaraAIRA^HesperAIRA^^^^^L|MTH^Mother^HL70063|1940 Varneveld Ave^^Sodus^MI^49126^USA^P|^PRN^PH^^^269^2318504| ORC|RE||V36U90.3^AIRA|||||||I-23432^Burden^Donna^A^^^^^NIST-AA-1^^^^PRN||57422^RADON^NICHOLAS^^^^^^NIST-AA-1^L^^^PRN| RXA|0|1|20260113||03^MMR^CVX|0.5|mL^milliliters^UCUM||00^Administered^NIP001||||||V7634SH||MSD^Merck and Co^MVX|||CP|A| RXR|C38299^^NCIT|LA^^HL70163| OBX|1|CE|64994-7^Vaccine funding program eligibility category^LN|1|V02^VFC eligible - Medicaid/Medicaid Managed Care^HL70064||||||F|||20260113|||VXC40^Eligibility captured at the immunization level^CDCPHINVS| OBX|2|CE|30956-7^Vaccine Type^LN|2|03^MMR^CVX||||||F| OBX|3|TS|29768-9^Date vaccine information statement published^LN|2|20120420||||||F| OBX|4|TS|29769-7^Date vaccine information statement presented^LN|2|20260113||||||F|
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