Immunizations

Question 0

Rotateq

Answer 0

Rotavirus (live)
2 months (3)
Contraindications: weak immune, recent blood transfusion, major GI illness, Hx of intussusception, pregnancy

Question 1

HBV

Answer 1

Hepatitis B
Birth (3)
Contraindications: life threatening reaction to bakers yeast, anaphylaxis to previous dose

Question 2

DTaP

Answer 2

Diptheria, Tetanus, Pertussis
2 months (5)
Contraindications: seizure, encephalopathy, life threatening allergy to latex, anaphylaxis to previous dose

Question 3

HIB

Answer 3

Haemophilus Influenza type B
2 months (3-4 depending on brand)
Contraindications: anaphylaxis to previous dose

Question 4

PCV 13

Answer 4

Pneumococcal
2 months (4)
Contraindications: anaphylaxis to previous dose (?)

Give PPSV23 to HIGH risk kids > 2yo

Question 5

IPV

Answer 5

Polio virus
2 months (4)
Contraindications: neomycin/streptomycin/polymyxin b

Question 6

Flu shot

Answer 6

Influenza
6 months [yearly: 2 doses first time (4 wks apart) if <9 yrs]
Contraindications: eggs or chicken allergy
Recommended for: pregnant women, weak immune, asthma, healthcare providers, very young/very old, if in contact w/ very young/very old

Question 7

MMR

Answer 7

Measles, Mumps, Rubella (live)
12-15 mos (2)
Contraindications: life threatening reaction to neomycin/gelatin, immune weak, pregnancy

Question 8

Varivax

Answer 8

Varicella (live)
12-15 mos (2)
Contraindications: life threatening allergy to neomycin/gelatin, immune weak, pregnancy

Question 9

HAV

Answer 9

Hepatitis A
12-15 mos (2)
Contraindications: Hx of anaphylaxis or reaction to vaccine components

Question 10

Tdap booster

Answer 10

Tetanus, Diptheria, Pertussis
11-12 years (1)
Contraindications: anaphylaxis to previous dose (?)

Question 11

Gardasil or Cervarix

Answer 11

Human Papilloma Virus (HPV)
11-12 years (3) 2nd dose: 2 mos after 1st; 3rd dose: 6 mos after 1st
Contraindications: anaphylaxis to previous dose (?)

Question 12

MCV4

Answer 12

Meningitis
11-12 years (2)
Contraindications: Latex allergy, life threatening reaction to diptheria toxoid, hx of Guillain-Barre Syndrome

Give to: high risk kids 2-10 yrs; all college freshmen living in dorms

Question 13

Flu mist

Answer 13

Influenza (live)
2 yo-49 yo healthy (yearly: 2 doses first time (4 wks apart) if < 9yrs
Contraindications: Serious reaction to eggs, asthma, if taking aspirin, weak immune, pregnancy, hx of Guillain-Barre Syndrome

Question 14

Synagis

Answer 14

RSV immunoprophylaxis
not a vaccine!
immunoglobulin injections
high risk children <2 yo (monthly)

Question 15

Vaccine Abnormal Reactions

Answer 15

Inconsolable crying for > 3h; high fever (>104-105); seizure; neurological abnormalities; anaphylactic reaction (facial/oral swelling, dyspnea)

Question 16

Vaccine Side Affects (Normal)

Answer 16

Fussiness; tiredness; low grade fever (< 101.5); pain at site of injection; redness at site of injection; swelling at site of injection