Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period