2.6 Vaccinations

Question 1

Is mild acute illness a contraindication to vaccination

Answer 1

no
even with fever, URTI, OM

Question 1

What are contraindications to vaccination

5

Answer 1

• moderate to severe illness (esp GI and rotarix)
• measles (any varicella containing vax)
• active TB (MMR + varicella)
• wheezing (live influenza)
• hx anaphylactic reaction to vaccine

Question 2

Is a history of febrile seizures a contraindication to vaccination

Answer 2

no- kids are no more at risk of developing seizures with vaccination

Question 3

Which two vaccinations support casual relationship to the development of GBS

Answer 3

• influenza
• tetanus containing vaccinations

Question 4

What is hypotonic-hyporesponsive episode (HHE) after immunization

Answer 4

sudden onset hypotonia+hyporesponsiveness + pallor/cyanosis following vaccination in first 2 years of life

thought to be a pain response

Question 5

Is a history of hypotonic-hyporesponsive episode a contraindication to future vaccination

Answer 5

no- risk of recurrence low

Question 6

Is a history of high pitches presistent crying following immunization a contraindication to future vaccination

Answer 6

no- thought to be pain response

Question 7

What is oculorespiratory syndrome

Answer 7

bila conjunctivitis + one or more:
cough, wheeze, chest tightness, SOB, difficulty swallowing, hoarseness, sore throat

with or without facial edema wiithin 24 hours of flu shot

transient - resolves after 48 hours
no contraindication to future vaccination

Question 8

FYI- big locals, limb edema, syncope, severe site reaction are not contraindications to vaccination

Question 9

Are egg allergies a contraindication to vaccination even if the vaccination contains egg

Answer 9

no

Question 10

Is being on anticoagulation a contraindication to vaccination

Answer 10

no

Question 11

Which immunization is contraindicated in infants with hx of GI intussusception or uncorrected malformation of GI tract

Answer 11

rotarix