1 |
Vaccine ID |
VACCINE_ID |
Vaccine identifier for the vaccination given. |
n/a
|
2 |
Vaccination event ID |
VAX_EVENT_ID |
The vaccination event's unique identifier within the system. |
n/a |
3 |
Extract type |
EXT_TYPE |
FOR CDC REPORTING ONLY. Extract type defines whether CDC file contains completely de-identified data, PPRL ID, or fully identifiable data. Set to Deidentified. |
Locally Defined Value Set: D (Deidentified) P (PPRL) I (Identified) |
4 |
Recipient ID |
RECIP_ID |
Unique ID for recipient. |
n/a |
5 |
Recipient name: first |
RECIP_FIRST_NAME |
Recipient's first name. |
n/a |
6 |
Recipient name: middle |
RECIP_MIDDLE_NAME |
Recipient's middle name. |
n/a |
7 |
Recipient name: last |
RECIP_LAST_NAME |
Recipient's last name. |
n/a |
8 |
Recipient date of birth |
RECIP_DOB |
Recipient's date of birth. |
n/a |
9 |
Recipient sex |
RECIP_SEX |
Recipient sex. Derived from value recorded for second dose, unless null, then first dose value is used. |
Locally Defined Value Set: F (Female)
M (Male) O (Other) X (Non-binary) U (Unknown/undifferentiated) |
10 |
Recipient address: street |
RECIP_ADDRESS _STREET |
The street component of the recipient's address. |
n/a |
11 |
Recipient address:
street 2 |
RECIP_ADDRESS_ STREET_2 |
The street 2 component of the recipient's address.
|
n/a |
12 |
Recipient address: city |
RECIP_ADDRESS_CITY |
The city component of the recipient's address. |
n/a |
13 |
Recipient address: county |
RECIP_ADDRESS _COUNTY |
The county code component of the recipient's address |
FIPS Codes |
14 |
Recipient address: state |
RECIP_ADDRESS_STATE |
The state component of the recipient's address. |
US Postal Service two-character state codes |
15 |
Recipient address: zip code |
RECIP_ADDRESS_ZIP |
The zip code of the recipient's address. |
n/a |
16 |
Recipient race 1 |
RECIP_RACE_1 |
Recipient's race |
HL7 User Defined table 0005 1002-5 (American Indian or Alaska Native) 2028-9 (Asian) 2076-8 (Native Hawaiian or Other Pacific Islander) 2054-5 (Black or African American) 2106-3 (White) 2131-1 (Other Race) UNK (Unknown) |
17 |
Recipient race 2 |
RECIP_RACE_2 |
Recipient's race. Fields recipient race 2-6 support recipients with more than 1 race. (Skip if only one race reported). |
See Value Set in "Recipient Race 1" field |
18 |
Recipient race 3 |
RECIP_RACE_3 |
Recipient's race. Fields recipient race 2-6 support recipients with more than 1 race. (Skip if only one race reported). |
See Value Set in "Recipient Race 1" field |
19 |
Recipient race 4 |
RECIP_RACE_4 |
Recipient's race. Fields recipient race 2-6 support recipients with more than 1 race. (Skip if only one race reported). |
See Value Set in "Recipient Race 1" field |
20 |
Recipient race 5 |
RECIP_RACE_5 |
Recipient's race. Fields recipient race 2-6 support recipients with more than 1 race. (Skip if only one race reported). |
See Value Set in "Recipient Race 1" field |
21 |
Recipient race 6 |
RECIP_RACE_6 |
Recipient's race. Fields recipient race 2-6 support recipients with more than 1 race. (Skip if only one race reported). |
See Value Set in "Recipient Race 1" field |
22 |
Recipient ethnicity |
RECIP_ETHNICITY |
Recipient's ethnicity.
|
HL7 User Defined table 0189 2135-2 (Hispanic or Latino) 2186-5 (Not Hispanic or Latino) UNK (Unknown ethnicity) |
23 |
Recipient race/ethnicity |
RECIP_RACE_ETH |
Recipient's race/ethnicity. |
When ethnicity is marked 'Hispanic or Latino' then 'Latino', when more than one specified race code (1002-5, 2028-9, 2076-8, 2054-5, 2106-3) is noted then 'Multiracial', otherwise first race is noted.
Derived from original ethnicity and race codes: HL7 User Defined Table 0189 2135-2 (Hispanic or Latino) 2186-5 (Not Hispanic or Latino) UNK (Unknown ethnicity)
HL7 User Defined Table 0005 1002-5 (American Indian or Alaska Native) 2028-9 (Asian) 2076-8 (Native Hawaiian or Other Pacific Islander) 2054-5 (Black or African American) 2106-3 (White) 2131-1 (Other Race) UNK (Unknown)
|
24 |
Administration date |
ADMIN_DATE |
The date the vaccination event occurred (or was intended to occur). |
n/a |
25 |
CVX |
CVX |
The vaccine type that was administered. |
Vaccine Codes |
26 |
NDC |
NDC |
The vaccine product that was administered: Unit of Use (UoU) is preferred if both UoU and Unit of Sale (UoS) are available. |
NDC Crosswalk Tables |
27 |
MVX |
MVX |
The manufacturer of the vaccine administered. |
MVX ā Manufacturers of Vaccines |
28 |
Lot number |
LOT_NUMBER |
The lot number of the vaccine administered: Unit of Use (UoU) is preferred if both UoU and Unit of Sale (UoS) are available. |
n/a |
29 |
Vaccine administering site |
VAX_ADMIN_SITE |
The body site of vaccine administration. |
HL7 defined table 0163 LT (Left thigh)
LA (left arm) LD (left deltoid) LG (left gluteus medius) LVL (left vastus lateralis) LLFA (left lower forearm) RT (right thigh) RA (right arm) RD (right deltoid) RG (right gluteus medius) RVL (right vastus lateralis) RLFA (right lower forearm) |
30 |
Vaccine route of administration |
VAX_ROUTE |
The route of vaccine administration (e.g., oral, subcutaneous). |
HL7 defined table 0162 or
FDA NCI Thesaurus (NCIT) NCIT values preferred and provided for reference C38238 (Intradermal) C28161 (Intramuscular) C38284 (Nasal) C38276 (Intravenous) C38288 (Oral) C38676 (Percutaneous) C38299 (Subcutaneous) C38305 (Transdermal) |
31 |
Dose number |
DOSE_NUM |
Dose number in vaccination series, provided dose is considered valid (e.g., counts towards immunity). |
Locally Defined Value Set: 1 (Valid first dose) 2 (Valid second dose) INV (Invalid dose) UNK (Unknown validity) |
32 |
Vaccination series complete |
VAX_SERIES_COMPLETE |
Report if the vaccination series is complete. Select "YES" when the recipient has completed the required doses for the specific vaccine product. If more doses are required select "NO." If unknown, or cannot be calculated, select "UNK." |
Locally Defined Value Set: YES (Yes) NO (No) UNK (Unknown) |
33 |
Responsible organization |
RESPONSIBLE_ORG |
The name of the parent organization or health system that originated and is accountable for the content of the record. If an organization has several clinics or facilities, this would be the organization that represents all of the clinics/facilities. (The "Administered at location" field is the name of individual physical location.) |
n/a |
34 |
Administered at location |
ADMIN_NAME |
The name of the physical clinic or facility that reported the vaccination, refusal, or missed appointment. In a small practice setting, this could be the same as the responsible organization. |
n/a |
35 |
VTrckS provider PIN |
VTRCKS_PROV_PIN |
The 6-digit Provider PIN in VTrckS. For VFC Providers, this is the VFC PIN. |
n/a |
36 |
Administered at location: type |
ADMIN_TYPE |
The characteristic of the provider site that reported the vaccination, refusal, or missed appointment. |
Locally Defined Value Set: 1 (Childcare facility) 2 (College/university) 3 (Community HC) 4 (Corrections facility - all ages) 5 (Drug treatment facility) 6 (Family planning) 7 (Family practice) 8 (Fed-qual or rural HC) 9 (Foster care) 10 (Health department-associated site) 11 (Health plans) 12 (HIE/data aggregator) 13 (HIV/STD clinic) 14 (Home health) 15 (Hospital - birthing) 16 (Tribal/IHS clinic) 17 (Internal medicine) 18 (Juvenile detention center) 19 (Local health dept) 20 (Military healthcare) 21 (Multispecialty practice) 22 (Nursing home/LTC) 23 (OBGYN) 24 (Other) 25 (Other IIS) 26 (Pediatrics) 27 (Pharmacy) 28 (Private practice) 29 (School/school district) 30 (Special vaccine clinic) 31 (State agency) 32 (State public health) 33 (Urgent care) 34 (WIC program) 35 (Hospital) 36 (School clinic) 37 (Non clinical site) 38 (Pandemic only) 39 (Pending) |
37 |
Administration address: street |
ADMIN_ADDRESS _STREET |
The street component of where the vaccine is administered/ planned to be administered. Exception for mobile clinics. |
n/a |
38 |
Administration address:
street 2 |
ADMIN_ADDRESS _STREET_2 |
The street 2 component of where the vaccine is administered/planned to be administered. Exception for mobile clinics. |
n/a |
39 |
Administration address: city |
ADMIN_ADDRESS_CITY |
The city component of where the vaccine is administered/planned to be administered. Exception for mobile clinics. |
n/a |
40 |
Administration address: county |
ADMIN_ADDRESS _COUNTY |
The county component of the administration address. |
FIPS Codes |
41 |
Administration address: state |
ADMIN_ADDRESS_STATE |
The state component of where the vaccine is administered/ planned to be administered. Exception for mobile clinics. |
US Postal Service two-character state codes |
42 |
Administration address:
zip code |
ADMIN_ADDRESS_ZIP |
The zip code component of where the vaccine is being administered/ planned to be administered. Exception for mobile clinics. |
n/a |
43 |
Vaccination refusal |
VAX_REFUSAL |
If vaccination was refused, select 'Yes'. If the vaccine was administered, select 'No'. |
Locally Defined Value Set: YES NO |
44 |
Comorbidity status |
CMORBID_STATUS |
Report if the recipient has a comorbidity. Recipients are a member of a special risk group that are at increased risk of severe illness.
CAIR2 does not collect information on comorbidity status; default is set to 'UNK'.
|
Locally Defined Value Set: YES
NO
UNK |
45 |
Serology results |
SEROLOGY |
Report if there was a positive serology (antibody test) result.
CAIR2 does not collect information on comorbidity status; default is set to 'UNK'.
|
Locally Defined Value Set: YES
NO
UNK |
46 |
Email |
EMAIL_ADDRESS |
Recipient's email address. |
n/a |
47 |
Phone number |
PHONE_NUMBER |
Recipient's phone number. |
n/a |
48 |
Date vaccine entered into registry |
IIS_ADDED_DATE |
The date vaccine reported to local registry. |
n/a |
49 |
Source IIS |
SOURCE_IIS |
Name of IIS. |
Locally Defined Value Set: CAIR2 RIDE |
50 |
ID |
IMMUN_FACT_ID |
Unique identifier for the immunization record. |
n/a |
51 |
Snowflake entered date |
WAREHOUSE_ENTER _DATE |
Date/time record created in Snowflake. |
n/a |
52 |
Recipient county name |
RECIP_COUNTY_DESC |
The county name component of the recipient's address.
'Outside California' category includes out-of-state residents and records where recipient's state of residence is blank.
|
Derived from FIPs based on County_Code. When recip_address_county is null, derived from recip_address_zip. See Recip_Address_County_New. |
53 |
Administration address: county name |
ADMIN_COUNTY_DESC |
The county component of where the vaccine is being administered/planned to be administered. Exception for mobile clinics. |
Join with FIPs table based on County_Code to get the county name. |
54 |
Organization code |
ORG_CODE |
The CAIR2 or RIDE Organization Code assigned to administering organization. |
n/a |
55 |
Historical dose |
HISTORICAL_IND |
Vaccination entered as an administered or historical dose. |
Locally Defined Value Set: 00 (Administered) 01 (Historical) |
56 |
Booster indicator |
BOOSTER_IND |
Vaccination is defined by IIS as booster dose. |
Locally Defined Value Set: Y (Yes) N (No) U (Unknown) |
57 |
Medicaid ID |
MEDICAID_ID |
Medicaid ID. |
n/a |
58 |
Mother's first name |
MOTHERS_FIRST_NAME |
Mother's first name. |
n/a |
59 |
Mother's maiden name |
MOTHERS_MAIDEN _LAST |
Mother's maiden name. |
n/a |
60 |
Multiple birth count |
MULTIPLE_BIRTH _COUNT |
Count of children if multiple birth. |
|
61 |
Multiple birth order |
MULTIPLE_BIRTH _ORDER |
Birth order.
|
|
62 |
Medicare |
MEDICARE |
Medicare status (field not currently in use). |
n/a |
63 |
Patient sharing indicator |
LOCKED_IND |
Patient sharing status.
If 1, patient has requested that their record not be shared with organizations other than their own provider or public health.
|
Locally Defined Value Set: 0 (FALSE) 1 (TRUE) |
64 |
Snowflake updated date |
WAREHOUSE_UPDATE _DATE |
Date/time record updated in Snowflake. |
n/a |
65 |
CAIR2 updated date |
CAIR_UPDATE_TS |
Date/time record updated in CAIR2. |
n/a |
66 |
Table creation date |
TBL_CREATE_DTTM |
Date/time the recipient level view materialization (table creation) is performed. |
n/a
|