immunization ranges/intervals Flashcards
Flu
6 mo + annual
<8 yo and 1st dose then 2 doses 4 wks apart
Pneumo
<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
Rotavirus (LIVE) - oral drops
age 8 mo or less then 2-3 doses
2 dose = mix
3 dose = rtd
RSV
60 yo+ need 1 dose
Polio (IPV)
<7 yo need 4 dose @ 2,4,6-18 months and then @ 4-6 yrs old
Hep A
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
HPV
<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
Varicella
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)
DTAP
<7 yo need 5 doses
Tdap
11+ need one dose
pregnant (27-36 wks) - 1 dose
10 yr booster
for cuts
Td
q10 yr booster
MMR (LIVE,sc)
kids, 2 doses @ 12-15 mo and 4-6 yrs
<1957/HCW/women of child bearing age - 1-2 dose
Hib
age 12-15 months
ActHIB/Hiberix - 3 dose
PedavaxHIB - 2 dose
Meningococcal
2 dose (11-12 yo, 16 yo)
1 dose MenACWY (after 16 to 21, military)
Best resource regarding up to date vaccine recommendations
ACIP
Advisory Committee on Immunization Practices
What is the website to report adverse reactions in vaccines?
VAERS
Vaccine Adverse Event Reporting System
Resource to report vaccine errors
VERP
Vaccine Errors Reporting Program
How do you fight adverse reactions
epinephrine (for anaphylaxis shock) , anti-histamine, acetaminophen
