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2023
2022
2021
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2023
Survey form view entire document:  text  image
Question ID: CVV.0010.00.3
Variable: SHTCVD191_C
Interview Module: Child
Content Type: Sponsored Content
Question text:
The next questions are about coronavirus or COVID-19 vaccination.
Has ^SCNAME had at least one dose of a COVID-19 vaccination?
^COVIDAGES
*Read if necessary: There are four vaccines for COVID-19 approved for use in the United States.
The first is made by Pfizer, is called Comirnaty® (koe-mir'-na-tee), and requires two or three
initial shots, depending on age. The second is made by Moderna, is called Spikevax®, and also
requires two initial shots. The third is made by Johnson and Johnson and requires one initial
shot. The fourth is made by Novavax and requires two initial shots.
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^COVIDAGES
Description: Read if necessary fills for COVID vaccination availability by age
Instruction:
If GEN.AGE_FINAL[PX_C] lt 5, fill: " Read if necessary: The COVID-19 vaccination has been available for children
under the age of 5 since June 2022."
If GEN.AGE_FINAL[PX_C] ge 5 and GEN.AGE_FINAL[PX_C] le 11,
fill: " Read if necessary: The COVID-19 vaccination has
been available for children between the ages of 5 and 11
since November 2021."
If GEN.AGE_FINAL[PX_C] ge 12 and GEN.AGE_FINAL[PX_C] le
15, fill: " Read if necessary: The COVID-19 vaccination
has been available for children between the ages of 12 and
15 since May 2021."
If GEN.AGE_FINAL[PX_C] ge 16 and GEN.AGE_FINAL[PX_C] le
17, fill: " Read if necessary: The COVID-19 vaccination
has been available for children between the ages of 16 and
17 since 2020."
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17
Skip Instructions:
1 [goto SHTCVD19NM1_C]
2,RF,DK [goto next section]

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2022
Survey form view entire document:  text  image
Question ID: IMS.0061.00.3
Variable: SHTCVD191_A
Interview Module: Adult
Content Type: Sponsored Content

Question text:

The next questions are about coronavirus or COVID-19 vaccination. Have you had at least one dose
of a COVID-19 vaccination?
* Read if necessary: The COVID-19 vaccination has been available since 2020.
* Read if necessary: There are three vaccines for COVID-19 approved for use in the United
States. The first is made by Pfizer, is called Comirnaty® (koe-mir'-na-tee), and requires two
initial shots. The second is made by Moderna, is called Spikevax®, and also requires two initial
shots. The third is made by Johnson and Johnson and requires one initial shot.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1 [goto SHTCVD19NM_A]
2,RF,DK [goto SHTPNUEV_A]

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2021
Survey form view entire document:  text  image
Question ID: IMS.0061.00.3
Variable: SHTCVD19_A
Interview Module: Adult
Content Type: Sponsored Content
Question text:
The next questions are about coronavirus or COVID-19 vaccination.
Have you had a COVID-19 vaccination?
Read if necessary: The COVID-19 vaccination has been available since 2020.
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+
Skip Instructions:
1 [goto SHTCVD19NM_A]
2,RF,DK [goto SHTPNUEV_A]