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The required documentation includes: Vaccine name, manufacturer, lot number, and expiration date Dose, route of administration, and anatomical site Date of administration and the administering provider Vaccine Information Statement (VIS) edition date and the date given to the patient Documented consent for vaccination Primary diagnosis Z23 plus any exposure or risk diagnosis The vaccine product code on a separate line, with the NDC The provider order for the vaccine NDC Reporting on the Vaccine Product Line The National Drug Code (NDC) reports on the vaccine product line, not the 90471 administration line

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Qty:2 vials

Intestinal barrier integrity is another critical factor