Get TX DSHS EC-106 2007-2024

Patient Eligibility Screening Record A screening record of all children 18 years of age or younger who receive immunizations through the TVFC Program must be kept in the health-care provider's office. The record may be completed by the parent, guardian, or individual of record or by the healthcare provider.

161.004. STATEWIDE IMMUNIZATION OF CHILDREN. (a) Every child in the state shall be immunized against vaccine preventable diseases caused by infectious agents in ance with the immunization schedule adopted in department rules.

Administer 1 dose of PPSV23 at 19 through 64 years. Administer 1 dose of PCV13 at 65 years or older. This dose should be given at least 1 year after PPSV23. Administer 1 final dose of PPSV23 at 65 years or older.

The edition date of the VIS (found on the back at the right bottom corner). The date the VIS is provided (i.e., the date of the visit when the vaccine is administered). The office address and name and title of the person who administers the vaccine.

The date the vaccine is administered. The vaccine manufacturer and lot number.

A dose of PCV13 should be given first followed by a dose of PPSV23 at least 1 year later to immunocompetent adults aged ≥65 years. The two vaccines should not be co-administered. If a dose of PPSV23 is inadvertently given earlier than the recommended interval, the dose need not be repeated.

Vaccine Information Statements for Currently Available Vaccines VISCurrent Edition DatesPneumococcal (Conjugate) (PCV)2/4/22Pneumococcal (Polysaccharide) (PPSV23)10/30/19Polio (IPV)8/6/21Polio (IPV & OPV)–33 more rows

Give 1 dose of PPSV23 at least 5 years after the last pneumococcal vaccine. The minimum interval (8 weeks since last PCV13 dose and 5 years since last PPSV23 dose) can be considered in adults with an immunocompromising condition, cochlear implant, or cerebrospinal fluid leak.