The best replacement for trivalent is hexavalent.


The best alternatives to trivalent are rated as following:
★★★★★  hexavalent
★★★★  hexavalent chrome
★★★★  quadrivalent
★★★  quadrivalent flu vaccine
★★  hexavalent chromium
★  quadrivalent influenza vaccine
★  quadrivalent flu shot
★  quadrivalent flu vaccines
  hexavalent chromate
  dichromate

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trivalent
hexavalent
hexavalent chrome