Tennessee Immunization Rules

Last Modified on 10/22/2022 9:56 am CDT

Classic Path: System Administration > Health > Vaccines

Search Terms: Vaccines

Health vaccines and their associated compliance listings are based on state guidelines. While Infinite Campus maintains standard guidelines for all states, districts have the ability to enter additional compliances. The following information describes vaccine compliance rules as defined by the Tennessee State Department of Health.

For more information on the creation, modification or deletion of vaccine compliances, see the Vaccines page.

These compliance rules are meant to explain how compliance is indicated in Campus. These rules should not be used as guidelines for immunization dosage or timelines. Contact your school's nurse or visit the Tennessee Department of Health's website for more information.

DTaP

RuleRequirements

Age 0-1 Month 

No Requirement  

Students 1 month old and younger are not required to receive any doses of the DT, DTaP/DTP, TD, or Tdap vaccine.

1 dose Age 2-3 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 2 month old and no older than 3 months old,
  • student receives 1 dose of the DT, DTaP/DTP, TD, or Tdap vaccine, and
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

2 doses Age 4-5 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 4 month old and no older than 5 months old,
  • student receives 2 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance, and
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance.

3 doses Age 6-14 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 6 month old and no older than 14 months old,
  • student receives 3 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance, and
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance.

4 doses under 4 

Compliant  

 
 

The student is considered compliant if the following conditions have been met:

  • student no older than 47 months old,
  • student receives 4 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the fourth dose and the previous dose is greater than 4 months with a 4 day tolerance, and
  • the difference between the fourth dose and the student's birthdate is greater than 12 months with a 4 day tolerance.

4 doses 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student receives 4 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the fourth dose and the previous dose is greater than 28 days with a 4 day tolerance, and
  • the difference between the fourth dose and the student's birthdate is greater than 48 months with a 4 day tolerance.

5 doses 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student receives 5 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the fourth dose and the previous dose is greater than 4 months with a 4 day tolerance, and
  • the difference between the fifth dose and the previous dose is greater than 6 months with a 4 day tolerance.

6 doses 

Compliant  

The student is considered compliant if the student receives 6 dose of the DT, DTaP/DTP, TD, or Tdap vaccine.

3 doses over 7 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 84 months old,
  • student receives 3 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the third dose and the previous dose is greater than 6 months with a 4 day tolerance, and
  • the difference between the third dose and the student's birthdate is greater than 48 months with a 4 day tolerance.

4 doses over 7 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 84 months old,
  • student receives 4 doses of the DT, DTaP/DTP, TD, or Tdap vaccine,
  • the difference between the first dose and the student's birthdate is less than 11 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance, and
  • the difference between the fourth dose and the previous dose is greater than 6 months with a 4 day tolerance.

3 doses 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student is at least 15 month old and no older than 83 months old,
  • student receives 3 doses of the DT, DTaP/DTP, TD, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 5 months with a 1 day tolerance.

2 doses 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student is at least 84 months old,
  • student receives 2 doses of the DT, DTaP/DTP, TD, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 5 months with a 1 day tolerance.

1 dose 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the DT, DTaP/DTP, TD, or Tdap vaccine, and
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

Default  

No requirement   

N/A

Polio

RuleAdditional Information

Over 18 years  

No Requirement  

Students 18 years old and older are not required to receive any doses of the Polio vaccine.

Age 0-1 months 

No Requirement  

Students 1 month old and younger are not required to receive any doses of the Polio vaccine.

1 dose Age 2-3 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 2 months old and is no older than 3 months old,
  • student receives 1 dose of the IPV or Polio (IPV/OPV) vaccine, and
  • the difference between the dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

2 doses Age 4-5 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 4 months old and is no older than 5 months old,
  • student receives 2 doses of the IPV or Polio (IPV/OPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance, and
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance. 

4 doses before 08/07/2010  

Compliant  

The student is considered compliant if the following conditions have been met:

  • student receives 4 doses of the IPV or Polio (IPV/OPV) vaccine, 
  • the last dose is received on or after 08/07/2010, 
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance, 
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance, and 
  • the difference between the fourth dose and the previous dose is greater than 28 days with a 4 day tolerance.

4 doses 

Compliant 
 

The student is considered compliant if the following conditions have been met:

  • student receives 4 doses of the IPV or Polio (IPV/OPV) vaccine, 
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance, 
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the fourth dose and the previous dose is greater than 6 months with a 4 day tolerance, and
  • the difference between the last dose and the student's birthdate is greater than 48 months with a 4 day tolerance.

3 doses 

Compliant  
 

The student is considered compliant if the following conditions have been met:

  • student is at least 6 months old,
  • student receives 3 doses of the IPV or Polio (IPV/OPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance, 
  • the difference between the third dose and the previous dose is greater than 6 months with a 4 day tolerance, and
  • the difference between the last dose and the student's birthdate is greater than 48 months with a 4 day tolerance.

2 doses 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student is at least 6 months old,
  • student receives 2 doses of the IPV or Polio (IPV/OPV) vaccine, and 
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the IPV or Polio (IPV/OPV) vaccine, and 
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

Default  

No requirement   

N/A

MMR

RuleRequirements

Age 0-11 months 

No Requirement  

Students 11 month old and younger are not required to receive any doses of the MMR vaccine.

1 dose 12-59 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 12 months old and is no older than 59 months old,
  • student receives 1 does of the MMR or MMRV vaccine, and
  • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance.

1 dose 12-59 months M, M, R 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 12 months old and is no older than 59 months old,
  • student receives 1 dose of the Measles, MMR, or MMRV vaccine,
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, OR 
  • student receives 1 dose of the MMR, MMRV, or Mumps vaccine,
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, OR
  • student receives 1 dose of the MMR, MMRV, or Rubella vaccine,
    • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance. 

2 doses  

Compliant  

The student is considered compliant if the following conditions have been met:

  • student receives 2 doses of the Measles, MMR, or MMRV vaccine,
  • the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance.

2 doses M, M, R 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student receives 2 doses of the Measles, MMR, or MMRV vaccine,
    • the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance,
    •  the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance, OR
  • student receives 2 doses of the MMR, MMRV, or Mumps vaccine,
    • the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance,
    •  the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance, OR
  • student receives 2 doses of the MMR, MMRV, or Rubella vaccine,
    • the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance,
    •  the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance.

1 dose 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student receives 1 does of the MMR or MMRV vaccine, and
  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

1 dose M,M, R 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the Measles, MMR, or MMRV vaccine,
    •  the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance, OR
  • student receives 1 dose of the MMR, MMRV, or Mumps vaccine,
    •  the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance, OR
  • student receives 1 dose of the MMR, MMRV, or Rubella vaccine,
    •  the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

Default  

No requirement   

N/A

Hep B

RuleRequirements

1 dose 0-1 months  

Compliant   

The student is considered compliant if the following conditions have been met:

  • student is no old than 1 month old, and
  • student receives 1 dose of the Hepatitis B (Hep B) or Hep B - 3 Dose (HepB-3) vaccine.

2 doses 2-3 months  

Compliant   

The student is considered compliant if the following conditions have been met:

  • student is at least 2 months old and is no older than 3 months old,
  • student receives 2 doses of the Hepatitis B (Hep B) vaccine or Hep B - 3 Dose (HepB-3) vaccine, and
  • the difference between the second dose and the previous is greater than 28 days with a 4 day tolerance.

3 doses  

Compliant   

The student is considered compliant if the following conditions have been met:

  • student receives 3 doses of the Hepatitis B (Hep B) or Hep B - 3 Dose (HepB-3) vaccine,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the last dose and the second valid dose is greater than 56 days with a 4 day tolerance,
  • the difference between the last dose and the first valid dose if greater than 112 days with a 4 day tolerance, and
  • the difference between the last dose and the student's birthdate is greater than 168 days with a 4 day tolerance.

2 doses Hep B-2 Over 11 yrs  

Compliant   

The student is considered compliant if the following conditions have been met:

  • student is at least 132 months old,
  • student receives 2 doses of the Hepatitis B - 2 Dose (Hep B - 2) vaccine, and 
  • the difference between the second dose and the previous is greater than 4 months with a 4 day tolerance.

1 dose Hep B-2 Over 11 yrs 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student is at least 132 months old,
  • student receives 1 dose of the Hepatitis B - 2 Dose (Hep B - 2) vaccine, and 
  • the difference between the dose and the effective dose is less than 4 months with a 0 (zero) day tolerance.

2 doses 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student receives 2 doses of the Hepatitis B (Hep B) vaccine or Hep B - 3 Dose (HepB-3), and 
  • the difference between the last dose and the effective date is less than 56 days with a 0 (zero) day tolerance. 

1 dose 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student receives 1 dose of the Hepatitis B (Hep B) vaccine or Hep B - 3 Dose (HepB-3), and

  • the difference between the last dose and the effective date is less than 28 days with a 0 (zero) day tolerance.

Default  

No requirement   

N/A

Hib

RuleRequirements

Age 0-1 months 

No Requirement  

Students 1 month old and younger are not required to receive any doses of the Hib vaccine.

1 dose Age 2-3 months 

Compliant  

The student is considered compliant if the following conditions have been met

  • student is at least 2 months old and no older than 3 months old,
  • student receives 1 dose of the Hib vaccine, and 
  • the difference between the dose and the student's birthdate is greater than 42 days with a 4 day tolerance.

2 doses Age 4-11 months 

Compliant  

The student is considered compliant if the following conditions have been met

  • student is at least 4 months old and no older than 11 months old,
  • student receives 2 doses of the Hib vaccine, 
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance, and
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance.

2 doses 12-59 months 

Compliant  

The student is considered compliant if the following conditions have been met

  • student is at least 12 months old and no older than 59 months old,
  • student receives 2 dose of the Hib vaccine, 
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 56 days with a 4 day tolerance, 
  •  the difference between the second dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and 
  •  the difference between the second dose and the student's birthdate is less than 14 months with a 4 day tolerance. 

3 doses 12-59 months 

Compliant  

The student is considered compliant if the following conditions have been met

  • student is at least 12 months old and no older than 59 months old,
  • student receives 3 dose of the Hib vaccine, 
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 56 days with a 4 day tolerance, 
  • the difference between the third dose and the previous dose is greater than 56 days with a 4 day tolerance,
  • the difference between the first dose and the student's birthdate is less than 12 months with a 4 day tolerance,
  • the difference between the second dose and the student's birthdate is less than 15 months with a 4 day tolerance, and
  • the difference between the second dose and the student's birthdate is greater than 12 months with a 4 day tolerance. 

4 doses 

Compliant  

The student is considered compliant if the following conditions have been met

  • student is at least 12 months old,
  • student receives 4 dose of the Hib vaccine, 
  • the difference between the first dose and the student's birthdate is greater than 42 days with a 4 day tolerance,
  • the difference between the first dose and the student's birthdate is less than 12 months with a 4 day tolerance,
  • the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance,
  •  the difference between the second dose and the student's birthdate is less than 12 months with a 4 day tolerance,
  • the difference between the third dose and the previous dose is greater than 28 days with a 4 day tolerance,
  • the difference between the third dose and the student's birthdate is less than 12 months with a 4 day tolerance, and
  • the difference between the fourth dose and the previous dose is greater than 56 days with a 4 day tolerance.

1 dose 4-11 months 

In Progress  

The student is considered in progress if the following conditions have been met:

  • student is at least 4 months old and no older than 11 months old,
  • student receives 1 dose of the Hib vaccine, and
  • the difference between the dose and the effective date is less than 28 days with a 4 day tolerance.

Default  

No requirement   

N/A

PPV

All doses have 4 day tolerance unless otherwise noted.

RuleRequirements
Ages 5 and older
No Requirement		Students age 5 years (60 months) old and older are not required to receive any doses of the Pneumococcal (PPV) vaccine.
Age 0-1 months
No Requirement		Students 1 month old and younger are not required to receive any doses of the Pneumococcal (PPV) vaccine.

1 dose, Age 2-3 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 2 months old and no older than 3 months old,
  • student receives 1 dose of the Pneumococcal (PPV) vaccine, and
  • the difference between the dose and the student's birthdate is greater than or equal to 42 days.

2 doses, Age 4-5 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 4 months old and no older than 5 months old,
  • student receives 2 doses of the Pneumococcal (PPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than or equal to 42 days, and
  • the difference between the second dose and the previous dose is greater than or equal to 28 days.

3 doses, 6-11 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 6 months old and no older than 11 months old,
  • student receives 3 doses of the Pneumococcal (PPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than or equal to 42 days,
  • the difference between the second dose and the previous dose is greater than or equal to 28 days, and
  • the difference between the third dose and the previous dose is greater than or equal to 28 days.

2 doses, 6-11 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 6 months old and no older than 11 months old,
  • student receives 2 doses of the Pneumococcal (PPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than or equal to 42 days,
  • the second dose is on or after 7 months of age, and the difference between second and previous dose is greater than or equal to 28 days.

4 doses, 1 year and older 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 12 months old,
  • has received 4 doses of the Pneumococcal (PPV) vaccine,
  • the first dose is on or after 42 days of age,
  • the difference between the second and previous dose is greater than or equal to 28 days,
  • the difference between the third and previous dose is greater than or equal to 28 days,
  • the third dose is on or before 12 months of age, and
  • the difference between the fourth and previous dose is greater than or equal to 56 days.
3 doses, 1 year and older  

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 12 months old,
  • has received 3 doses of the Pneumococcal (PPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than or equal to 42 days, 
  • the difference between the first dose and the student's birthdate is less than or equal to 11 months,
  • the difference between the second dose and the previous dose is greater than or equal to 28 days,
  • the difference between the third and previous dose is greater than or equal to 56 days,
  • the difference between the last dose and the student's birthdate is greater than or equal to 12 months. 
2 doses, 1 year and older   

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 12 months old,
  • has received 2 doses of the Pneumococcal (PPV) vaccine,
  • the difference between the first dose and the student's birthdate is greater than or equal to 12 months,
  • the difference between the second dose and the previous dose is greater than or equal to 56 days.

1 dose under 24 months 

In Progress  

The student is considered in progress if the following conditions have been met:

  • the student is at least 4 months old and no older than 23 months old,
  • has received 1 dose of the Pneumococcal (PPV) vaccine, and
  • the difference between the dose and the effective date is less than or equal to 28 days with a 0 day tolerance.

1 dose over 24 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is at least 24 months old and no older than 59 months old,
  • has received 1 dose of the Pneumococcal (PPV) vaccine, and
  • the difference between the last dose and the student's birthdate is greater than or equal to 24 months.

Default 

Non-compliant

N/A

Varicella

RuleRequirements

Age 0-11 months 

No requirement  

The student is not required to receive any Varicella doses if they are 11 months old or less.

1 dose 12-59 months 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is between 12 and 59 months old,
  • student receives 1 dose of the MMRV or Varicella vaccine, and
  • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance.

2 doses 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student receives 2 doses of the MMRV or Varicella vaccine,
  •  the difference between the first dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and
  •  the difference between the second dose and the previous dose is greater than 28 days with a 4 day tolerance. 

1 dose 

In Progress  

The students is considered in progress who have received 1 dose of the MMRV or Varicalla vaccine within the last 28 days.

Default 

Non-compliant  

The students is considered non-compliant if they have not received any doses of the MMRV or Varicella vaccine.

Tdap

RuleRequirements

1 dose 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is in state grade: 07,
  • student receives a dose of the Tdap vaccine, and
  • the difference between the dose and the student's birthdate is greater than 84 months with a 4 day tolerance.

No doses 

Non-Compliant  

The student is considered non-compliant if the student is in state grade: 07 and has not received any doses of the DTap/DTP, TD, or Tdap vaccine.

Default 

No Requirement  

N/A

Hepatitis A

RuleRequirements

1 dose 

Compliant  

The student is considered compliant if the following conditions have been met:

  • student is in state grade: P3, P4
  • student receives a dose of the Hepatitis A vaccine, and
  • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance.

2 doses Kindergarten

Compliant

The student is considered compliant if the following conditions have been met:

  • student is in state grade: K,
  • student receives 2 doses of the Hepatitis A vaccine, 
  • the difference between the dose and the student's birthdate is greater than 12 months with a 4 day tolerance, and
  • the difference between the second dose and the previous is greater than 6 months with a 4 day tolerance.

1 dose

In Progress

The student is considered in progress if the following conditions have been met:

  • student is in state grade: K,
  • student receives a dose of the Hepatitis A vaccine, and
  • the difference between the last dose and the effective date is less than 5 months with a 1 day tolerance.

No Doses PK or K

Non Compliant

The student is considered non-compliant if the following conditions have been met:

  • student is in state grade: P3, P4, K, and
  • student has not received any doses of the Hepatitis A vaccine.


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