
Immunizations: Children (Combo 10) Tip Sheet
Measure Description:
The percentage of children who have received all the following vaccines (Combo 10) by their 2nd birthday:
- 4 diphtheria, tetanus, and acellular pertussis (DTaP) (first dose after 42 days after birth) or anaphylaxis or encephalitis due to the diphtheria, tetanus or pertussis vaccine.
- 3 inactivated polio vaccine (IPV) (first dose after 42 days after birth).
- 1 measles, mumps and rubella (MMR) (on or between child’s 1st and 2nd birthday) or history of measles, mumps and rubella illness.
- 3 haemophilus influenzae type b (Hib) (first dose after 42 days after birth) or anaphylaxis due to the Hib vaccine.
- 3 hepatitis B (HepB) (first dose 0-4 weeks), or anaphylaxis due to the Hepatitis B vaccine.
- 1 varicella (VZV)(on or between child’s 1st and 2nd birthday) or history of varicella zoster (e.g. chicken pox) illness.
- 4 pneumococcal conjugate vaccine (PCV) (first dose after 42 days after birth).
- 2 or 3 rotavirus (RV)* (first dose after 42 days after birth) or anaphylaxis due to the rotavirus vaccine.
- 1 hepatitis A (HepA) (on or between child’s 1st and 2nd birthday) or history of hepatitis A illness.
- 2 influenza (Flu)** (vaccines given after 180 days after birth up to or on the child’s 2nd birthday).
*Members may need 2 or 3 rotavirus doses, depending on the brand of vaccine that was administered. The following will make the member compliant for this vaccine:
- 3 doses for RotaTeq.
- 2 doses Rotarix.
- 1 Rotarix AND 2 RotaTeq
**LAIV (influenza) vaccination must occur on the child’s second birthday.
Note: Measure revisions used in CBI 2023 allow optional exclusions (used in CBI 2022) for anaphylaxis due to vaccine to be numerator compliant for specific indicators. For details, refer to the CBI Technical Specifications.