Vaccine Preferrences by Dose Override ACIP Schedule Recommendations

The purpose of Vaccine Preferences by Dose to Override ACIP Schedule Recommendations is to allow the administrator to change the core forecast for a vaccine family.

Example of Use

In August 2009, the ACIP recommendation for polio was modified. This modification affected at what age dose 4 is the valid and final dose. However, before this modification came into effect, ACIP guidelines allowed dose 4 to be administered as the final dose earlier than 4 years of age. Some states may have state school laws, and so on, that require the final dose of polio to be administered at >= 4 years of age regardless of past ACIP recommendations. The vaccine preferences by dose settings enable that type of override for state-specific criteria.

Let's use this as an example: DOB=01/01/2005 and an administered dose 4 of IPV on 09/01/2008. This is counted as a valid and final dose 4 under ACIP guidelines because it was administered prior to the published change. To enforce that dose 4 be administered at >= 4 years of age, the recommended and minimum age settings may be configured with Vaccine Preferences by Dose. It is only necessary to complete the fields relevant to the particular scenario. In this case, recommended age and minimum age would be configured for 48 months of age.

To access the Vaccine Preferences by Dose to Override ACIP Schedule Recommendations section, click on the Forecasting Settings link on the main page, then scroll down the page. Enter the parameters and click the Save button. To remove the vaccine preference, click the Delete icon displayed in the row for the vaccine.

The available fields and options in the Vaccine Preferences by Dose to Override ACIP Schedule Recommendations section are as follows:

Field/Option

Description

Vaccine Family

Select the vaccine family name to be modified from the drop-down list.

Dose Number

Select the dose number of the vaccine to be modified from the drop-down list.

Recommended Age

Enter the recommended age in the first field and then select either Days or Months from the drop-down list.

Note: The recommended age is the age at which the vaccine is recommended. This is used as a recommendation only and is not the minimum date against which a vaccine is validated as meeting a minimum age or interval.

Minimum Age

Enter the minimum age in the first field and then select either Days or Months from the drop-down list.

Note: The minimum age is the earliest age set by the state for which this vaccine dose is considered valid.

Minimum Interval from Previous Dose

Enter the minimum interval from the previous dose in the first field and then select either Days or Months from the drop-down list.

Note: The minimum interval allows the state to enforce an interval from the previous dose which overrides ACIP guidelines. For example, Varicella vaccine administered to children >= 13 years of age may have a week's interval between doses. To enforce a 12-week interval instead, set this to 84 days.

Recommended Interval from Previous Dose

Enter the recommended interval from the previous dose in the first field and then select either Days or Months from the drop-down list.

Note: The recommended interval allows the state to display a recommended date based on an interval from the previous dose which overrides ACIP guidelines. For example, Varicella vaccine administered to children >=13 years of age may have a 4-week interval between doses. To display the recommended date with a 12-week interval instead, set this to 84 days.

Past Due Age

Enter the past due age in the first field and then select either Days or Months from the drop-down list.

Note: The past due age allows the state to calculate a past due age based on its own criteria. For example, DTaP #5 is recommended at age 4-6 years and would display as overdue at 7 years of age. This setting can be used to calculate the past due age at 5 years of age instead, if that is the preferred setting.

Continue Forecasting after ACIP Completion

Select this option to continue forecasting for this vaccine even after the series is met. This can be used for vaccine families, such as for PPSV, which are generally a one-dose series. It is not used for a series with scheduled booster doses, such as Td.

This setting requires that the vaccine family, dose number, recommended interval from previous dose, and the continue forecasting after ACIP completion settings all be set for each subsequent dose that should be forecast.