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S_WI_STU_IMM_X (ver 16.10.1)

This table is an extension of the [Students] table. This table provides Immunization-specific fields for Wisconsin.

Column Name

Version

Data Type

Description

StudentsDCID

16.10.1

Number(10,0)

Primary Key.

Imm_exclude

16.10.1

Number(1,0)

Exclude Student from Immunization Reporting.

Imm_2dose_hepb

16.10.1

Number(1,0)

Student is receiving the 2 dose series for Hepatitis B.

Imm_Waiver

16.10.1

Varchar2(18)

Waiver for all immunizations.

Imm_dtp_waiver

16.10.1

Varchar2(18)

Waiver type for Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_hepb_waiver

16.10.1

Varchar2(18)

Waiver type for Hepatitis B.

Imm_mmr_waiver

16.10.1

Varchar2(18)

Waiver type for Measles, Mumps Rubella (MMR).

Imm_polio_waiver

16.10.1

Varchar2(18)

Waiver type for Polio (IPV, OPV).

Imm_TdapTd_waiver

16.10.1

Varchar2(18)

Waiver type for Tdap/Td Adolescent Booster..

Imm_var_waiver

16.10.1

Varchar2(18)

Waiver type for Varicella (Chicken Pox) Vaccine

Imm_Notes

16.10.1

Varchar2(600)

Notes.

Imm_Status

16.10.1

Varchar2(200)

Compliance Status.

Imm_dtp1

16.10.1

Date

Date of first Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_dtp2

16.10.1

Date

Date of second Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_dtp3

16.10.1

Date

Date of third Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_dtp4

16.10.1

Date

Date of fourth Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_dtp5

16.10.1

Date

Date of fifth Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_dtp6

16.10.1

Date

Date of sixth Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_dtp7

16.10.1

Date

Date of seventh Diptheria, Tetanus, Pertussis (DTaP, DTP, DT, Td).

Imm_hepb1

16.10.1

Date

Date of first Hepatitis B.

Imm_hepb2

16.10.1

Date

Date of second Hepatitis B.

Imm_hepb3

16.10.1

Date

Date of third Hepatitis B.

Imm_mmr1

16.10.1

Date

Date of first Measles, Mumps Rubella (MMR).

Imm_mmr2

16.10.1

Date

Date of second Measles, Mumps Rubella (MMR).

Imm_mmr3

16.10.1

Date

Date of third Measles, Mumps Rubella (MMR).

Imm_polio1

16.10.1

Date

Date of first Polio (IPV, OPV).

Imm_polio2

16.10.1

Date

Date of second Polio (IPV, OPV).

Imm_polio3

16.10.1

Date

Date of third Polio (IPV, OPV).

Imm_polio4

16.10.1

Date

Date of fourth Polio (IPV, OPV).

Imm_polio5

16.10.1

Date

Date of fifth Polio (IPV, OPV).

Imm_polio6

16.10.1

Date

Date of sixth Polio (IPV, OPV).

Imm_td

16.10.1

Date

Date of Adolescent Booster - Td.

Imm_tdap

16.10.1

Date

Date of Adolescent Booster - Tdap.

Imm_var1

16.10.1

Date

Date of first Varicella (Chicken Pox) Vaccine.

Imm_var2

16.10.1

Date

Date of second Varicella (Chicken Pox) Vaccine.

Imm_VarDisease

16.10.1

Date

Date of Chicken Pox Disease.

Imm_LastDateModified

17.6.1

Date

Date Immunization was last modified.

COVID_Vaccine_1_CVX_Code

21.11.1.0

Varchar2(4)

Type of first COVID Immunization.

COVID_Vaccine_1_Date

21.11.1.0

Date

Date of first COVID.

COVID_Vaccine_2_CVX_Code

21.11.1.0

Varchar2(4)

Type of second COVID Immunization.

COVID_Vaccine_2_Date

21.11.1.0

Date

Date of second COVID.

COVID_Vaccine_3_CVX_Code

21.11.1.0

Varchar2(4)

Type of third COVID Immunization.

COVID_Vaccine_3_Date

21.11.1.0

Date

Date of third COVID.

COVID_Vaccine_4_CVX_Code

21.11.1.0

Varchar2(4)

Type of fourth COVID Immunization.

COVID_Vaccine_4_Date

21.11.1.0

Date

Date of fourth COVID.

MenACWY_Vaccine_1_Date

24.7.2.0

Date

MenACWY vaccine seventh grad

MenACWY_Vaccine_2_Date

24.7.2.0

Date

MenACWY booster (2nd dose in series)

MenACWY_Waiver

24.7.2.0

Varchar2(18)

MenACWY Waiver Type

Approved_Sharing_Records

17.8.0

Varchar2(1)

Parent/Guardian Approves Sharing of Student's Records.

Signature_On_File

17.8.0

Number(1,0)

Parent/Guardian Signature On File.

Date_ParentGuard_Response

17.8.0

Date

Date of Parent/Guardian Response.

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