91300 (Pfizer Vaccine Adult – 12 and older) |
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted, for intramuscular use (Report with administration
codes: 0001A-First administration and 0002A-Second administration). Eff. 12/11/2020 |
0001A (Admin1) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted;
first dose. (Report with administration of Pfizer vaccine 91300) |
0002A (Admin2) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted;
second dose. (Report with administration of Pfizer vaccine 91300) |
0003A (Admin3) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3mL dosage, diluent reconstituted;
third dose. (Report with administration of Pfizer vaccine 91300) |
91307 (Pfizer vaccine youth dose, ages 5-11 years) |
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, one-third adult dose, diluent reconstituted, for intramuscular use (Report with administration
codes: 0071A-First administration and 0072A-Second administration). Eff. 10/29/2021 |
0071A (Admin1)
|
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, one-third adult dose, diluent
reconstituted; first dose. (Report with administration of Pfizer vaccine pediatric dose 91307) |
0072A (Admin2)
|
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, one-third adult dose, diluent
reconstituted; second dose. (Report with administration of Pfizer vaccine pediatric dose 91307) |
0073A (Admin3)
|
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, one-third adult dose, diluent
reconstituted; third dose. (Report with administration of Pfizer vaccine pediatric dose 91307) |
91308 (Pfizer vaccine pediatric dose, 6 months to 4 years) |
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, diluent reconstituted, for intramuscular use (Report with administration codes: 0081A-First
administration and 0082A-Second administration and 0083A-Third administration). |
0081A (Admin1)
|
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; first dose. (Report
with administration of Pfizer vaccine child dose 91308) |
0082A (Admin2)
|
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; second dose.
(Report with administration of Pfizer vaccine child dose 91308) |
0083A (Admin2)
|
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; third dose. (Report
with administration of Pfizer vaccine child dose 91308) |
91301 (Moderna vaccine Adult – 12 yrs and older) |
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, 100 mcg/0.5mL dosage, for intramuscular use (Report with administration codes: 0011A-First
administration and 0012A-Second administration) Eff. 12/18/2020 |
0011A (Admin1) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; first dose.
(Report with administration of Moderna vaccine 91301) |
0012A (Admin2) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; second dose. (Report with administration of Moderna vaccine 91301) |
0013A (Admin3) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5mL dosage; third dose.
(Report with administration of Moderna vaccine 91311) |
91309 (Moderna vaccine youth 6-11) |
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, for intramuscular use for youth 5-11. (Report with administration codes: 00971A-First
administration and 00972A-Second administration)
Effective March 7, 2022 age revision |
0091A (Admin1) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; first dose. (Report with
administration of Moderna vaccine 91309) |
0079A (Admin2) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; second dose. (Report with
administration of Moderna vaccine 91309) |
0079A (Admin3) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; third dose. (Report with
administration of Moderna vaccine 91309 |
91311 (Moderna vaccine for children 6 months to 5 years) |
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, preservative free, for intramuscular use for children 6 months-5 years. (Report with administration codes: 0111A-First
administration and 0112A-Second administration) |
0111A (Admin1) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; first dose. (Report with
administration of Moderna vaccine 91311) |
0112A (Admin2) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; second dose. (Report with
administration of Moderna vaccine 91311) |
0113A (Admin3) |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free; third dose. (Report with administration of Moderna vaccine 91311> |
91303 (Janssen /Johnson & Johnson vaccine) |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5mL dosage, for intramuscular use. Eff. Date: 2/27/2021 |
0031A |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010
viral particles/0.5mL dosage, single dose. Eff. Date: 2/27/2021 |
91304-NOVAVAX (Ages 18 and up) |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5 mL dosage, for intramuscular use.
|
0041A - FIRST DOSE |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5 mL dosage, for intramuscular use; first dose. |
0042A - SECOND DOSE |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5 mL dosage, for intramuscular use; second dose. |