代码说明Flshots Vacc。Type 1 Diphtheria, tetanus toxoids and pertussis DTP 2 Trivalent poliovirus, live, oral OPV 3 Measles, mumps, and rubella virus MMR 4 Measles and rubella virus MR 5 Measles virus MEASLES 6 Rubella virus RUBELLA 7 Mumps virus MUMPS 8 Hepatitis B, pediatric or pediatric/adolescent HEP B PED 9 Td (adult), 2 Lf tetanus toxoid, preservative free, adsorbed TD PF (TDVAX) 10 Poliovirus, inactivated IPV 11 Pertussis PERTUSSIS 12 Diphtheria antitoxin DIPHTHERIA ANTITOXIN 13 Tetanus immune globulin TIG 14 Immune globulin, unspecified IG UNK 17 Haemophilus influenza type B,未指定的HIB UNK 19杆菌Calmette-Guerin bcg 20 D iPhtheria,Tetanus毒素和细胞的全部百日咳DTAP 21 VARICELLA病毒VZV 22 DTP-HAEMOPHILUS流感型流感型dtp-Haemophilus b型B型B型dtp-Hib dtp-Hib 23 Typhoid, live, oral TYPHOID PO 26 Cholera, unspecified CHOLERA UNK 27 Botulinum antitoxin BOTULINUM 28 Diphtheria and tetanus toxoids, adsorbed, pediatric DT 29 Cytomagalovirus IG IV CMVIG 30 Hepatitis B immune globulin HBIG 32 Meningococcal polysaccharide MPSV4 33 Pneumoccocal polysaccharide PPSV23 34 Rabies immune globulin RIG 35 Tetanus toxoid, adsorbed TT 36 Varicella zoster immune globulin VZIG 37 Yellow fever (YF-VAX) YELLOW FEVER (YF-VAX) 38 Rubella and mumps virus MUMPS-RUB 39 Japanese encephalitis, SC JENCEPH SC 40 Rabies, intradermal RABIES ID 41 Typhoid, parenteral, non-AKD TYPHOID PAR 42 Hepatitis B, adol/high risk infant HEP B HIGH RISK 43 Hepatitis B, adult HEP B ADULT 44 Hepatitis B, dialysis HEP B DIALYSIS 45 Hepatitis B, unspecified HEP B UNK 46 Haemophilus influenza type B, PRP-D HIB PRP-D 47嗜血杆菌流感B,HBOC HIB HBOC 48嗜血杆菌B型B型,Prp-T Hib Prp-t
mmr(麻疹,腮腺炎,风疹) - 2剂MMR疫苗或两(2)剂麻疹,两(2)剂的腮腺炎和(2)剂Rubella;或血清学证明麻疹,腮腺炎和/或风疹的免疫力证明。仅选择一个选项。
Surrogate Screening Tests: Probable Possible HIV (Human Immunodeficiency Virus)* $105.00 HBsAg (Hepatitis B) * $99.00 HCsAb (Hepatitis C) * $59.00 RPR (Syphilis) * $49.00 DNA Gene Probe (Gonorrhea & Chlamydia) * $139.00 CMV Total (Cytomegalovirus) $104.00 ABO RH(血型)$ 39.00抗体屏幕$ 55.00 Rubella ab IgG $ 129.00 Rubella疫苗接种(如果不能免疫)(注射套件)$ 142.00 VARICELLA(Chicken Pox)Varicella疫苗接种(Injection X2 incection x2 incl。)$ 377.00孕酮$ 140.00 cbc w/diff $ 48.00电解质$ 42.00 FSH(卵泡刺激激素)$ 140.00 counsyl遗传测试†$ 550.00尿液药物筛查$ 83.00 Venipuncture(x3)上面的“*”测试每六个月重复一次,以确保
抗原缩写至关重 rubella PCV pneumococcal conjugate PPSV pneumococcal polysaccharide RV rotavirus Td tetanus, diphtheria Tdap tetanus, diphtheria, acellular pertussis VZV varicella-zoster virus Covid SARS-CoV-2 RSV respiratory syncytial virus
MenB = Meningococcal B vaccine PCV 13 = Pneumococcal conjugate vaccine 13 valent Men C = Meningococcal C conjugate vaccine Rotavirus = Rotavirus oral vaccine MMR = Measles Mumps & Rubella vaccine Chickenpox = Varicella vaccine PCV7 = Pneumococcal conjugate vaccine 7 valent
b“月/天/年/年/日/年免疫滴度(血液测试)显示出麻疹和腮腺炎的免疫力。**提供英语实验室报告。** History of measles (rubella) disease: (month/year) ______________________ History of mumps disease: (month/year) _______________________ Physician's name (please print): __________________________________________________________________"
所有的学生(包括转学和研究生),1956年以后出生的所有学生都必须提供对Rubeola(红麻疹),风疹(德国麻疹)和腮腺炎(MMR)的免疫证明。可以通过以下一项证明免疫力:•两种MMR(麻疹,腮腺炎,风疹疫苗接种)的文档(月,日,年)或•阳性红宝石,红宝石和amumps的历史记录(月/年)。实验室结果的副本必须伴随这种形式,或者•医生记录了患有麻疹,风疹和腮腺炎的历史(月,日和年)。办公室记录必须随附此表格。
Chlamydia Hepatitis B or C(disease or prenatal exposure) Rubella Confirmed septicemia (sepsis) Herpes Syphilis (disease or exposure to active disease) Cytomegalovirus Listeriosis Tetanus neonatorum HIV Gonococcal conjunctivitis neonatorium Meningitis Group B streptococcus Necrotizing enterocolitis leading to surgery Endocrine,代谢或免疫疾病