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- the dose is expanded to its component antigens first, so one Tdap entry settles a tetanus booster and a pertussis booster at once; matching the preparation's own slug would leave both standing - it runs inside the create transaction and nowhere else: no cron, no ingest hook, and an edit never re-runs it, so correcting a typo in a date cannot move a reminder - forward-only, which is what makes transcribing an old record safe: a page from decades ago never clears a booster that is due now - a free-text-only dose matches nothing; a name string is not evidence about what was in the syringe - an ordinary preventive-care reminder carries no antigen key and is structurally out of reach