immunization ranges/intervals

Question 1

Flu

Answer 1

6 mo + annual

<8 yo and 1st dose then 2 doses 4 wks apart

Question 2

Pneumo

Answer 2

<2 yo need 4 dose (PCV13) @ 2,4,6, and 12-15 mo

> 65 yo need 1 dose (PCV20)

> 65 yo or 19-64 (health cond) then PPSV23/PCV15, 1 dose followed by either of these two prior >1 yr later

Question 3

Rotavirus (LIVE) - oral drops

Answer 3

age 8 mo or less then 2-3 doses

2 dose = mix
3 dose = rtd

Question 4

RSV

Answer 4

60 yo+ need 1 dose

Question 5

Polio (IPV)

Answer 5

<7 yo need 4 dose @ 2,4,6-18 months and then @ 4-6 yrs old

Question 6

Hep A

Answer 6

age 12 mo then 6-18 months later need 2 doses

2 dose, 6 mo apart
= at risk adults (men who have sex with men (MSM), drugs, chronic conditions

Question 7

HPV

Answer 7

<15 yo need 2 dose (0 mo dose 1 then 6-12 mo later 2nd dose)

> 15 yo need 3 dose (0,2,6 mo)

preferred age 11-12 yo

27-45 clinical decision

Question 8

Varicella

Answer 8

chicken pox (LIVE, sc, no pregnant)
- age 12-15 mo 1st dose
- age 4-6 yo 2nd dose

19-65+ , 2 doses (12 yo and less 3 mo apart; 13+ 4-8 wk apart

SHINGLES >50 , 2 dose (2 mo apart eg 0 mo then 2-6+ mo)

Question 9

DTAP

Answer 9

<7 yo need 5 doses

Question 10

Tdap

Answer 10

11+ need one dose

pregnant (27-36 wks) - 1 dose

10 yr booster

for cuts

Question 11

Td

Answer 11

q10 yr booster

Question 12

MMR (LIVE,sc)

Answer 12

kids, 2 doses @ 12-15 mo and 4-6 yrs

<1957/HCW/women of child bearing age - 1-2 dose

Question 13

Hib

Answer 13

age 12-15 months

ActHIB/Hiberix - 3 dose

PedavaxHIB - 2 dose

Question 14

Meningococcal

Answer 14

2 dose (11-12 yo, 16 yo)

1 dose MenACWY (after 16 to 21, military)

Question 15

Best resource regarding up to date vaccine recommendations

Answer 15

ACIP

Advisory Committee on Immunization Practices

Question 16

What is the website to report adverse reactions in vaccines?

Answer 16

VAERS

Vaccine Adverse Event Reporting System

Question 17

Resource to report vaccine errors

Answer 17

VERP

Vaccine Errors Reporting Program

Question 18

How do you fight adverse reactions

Answer 18

epinephrine (for anaphylaxis shock) , anti-histamine, acetaminophen