Immunizations Flashcards

1
Q

Hepatitis B Vaccine Dosing Schedule

A

First dose: given within 24 hours of birth

Second dose: given 1-2 months after first dose

Third dose: given between 6-8months of age * last dose must be given before 8months (24weeks)

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2
Q

What does the Hepatitis B vaccine protect against?

A

Hepatitis B is a virus that can lead to the serious disease, Hepatis which causes inflammation of the liver and overtime Hepatitis B can lead to serious liver damage and liver failure and also increases the risk of getting liver cancer.

The liver is very useful for the body because it picks up and detoxifies harmful substances like cigarettes and alcohol, it helps the body to maintain normal blood glucose levels, it helps the body synthesize important proteins, stores vitamins and minerals, and converts cholesterol into bile salts.

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3
Q

How is Hepatitis B transmitted?

A

Hepatitis B virus is transmitted via bodily secretions including, blood, contaminated needles, sex, and amniotic fluid during birth as well as can cross through placental barrier.

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4
Q

What are some side effects of the HepB Vaccine?

A

Possible side effects of the hepatitis B vaccine include:
- Redness at injection site
- Soreness at injection site
- Headache
- Fatigue
- Allergic reaction

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5
Q

Immunizations given @ Birth

A

Hepatitis B (HepB) : First Dose given within 24 hours of birth

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6
Q

Immunizations given @ 2 months

A

Hepatitis B (HepB): 2nd dose (must be 4 weeks after Dose 1)

Rotavirus (RV): RV1 (2- dose series), RV5 (3- dose series) : 1st dose (must be given before 15weeks old)

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 1st dose

Haemophilus Influenzae type B (Hib): 1st dose

Pneumococcal conjugate (PCV13, PCV15): 1st dose

Inactivated poliovirus (IPV <18yrs): 1st dose

Meningococcal (MenACWY-D ≥9 mos, MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years): 1st dose ONLY FOR patients with anatomic or functional asplenia (including sickle cell disease), HIV infection, persistent complement component deficiency, complement inhibitor (e.g., eculizumab, ravulizumab) OR children traveling to countries with hyperendemic or epidemic meningococcal disease, including countries in the African meningitis belt or during the Hajj

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7
Q

What is Rotavirus?

A

Rotavirus is a virus that causes severe diarrhea, vomiting, fevers, and abdominal pain. Children who get rotavirus can become very sick and dehydrated and may lead to hospitalization or death. Rotavirus is the most common cause of the stomach flu in children under 5 years old.

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8
Q

How is Rotavirus transmitted?

A

Rotavirus is VERY contagious and transmitted via touching surfaces or ingesting contaminated water or food that has been infected with the virus.

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9
Q

Who should not get the Rotavirus vaccine?

A
  • Patients with history of intussusception
  • Patients with severe combined immunodeficiency (SCID)
  • Patients with severe latex allergy
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10
Q

Rotavirus Dosing Schedule

A

Two different types of live attenuated Rotavirus Vaccine both given by mouth:
- RotaTeq (3 dose series)
○ First dose: 2 months
○ Second dose: 4 months
○ Third dose: 6 months

- Rotarix (2 dose series)
	○ First dose: 2 months
	○ Second dose: 4 months
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11
Q

When must the first and last dose of the Rotavirus vaccine be given?

A

First dose of rotavirus must be given before a child is 15 weeks old.

Children should receive all doses or rotavirus vaccine before they turn 8 months old.

Parents much make a decision before 8 months of age because they cannot get the vaccine after

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12
Q

What is Diptheria?

A

Diphtheria is an infection that causes the release of a very dangerous toxin. The toxin attacks the bodies cells and causes inflammation in the throat that makes it very difficult for children to breathe and swallow. The toxin will continue to attack the body if not treated and can cause inflammation of the heart as well as damage the kidneys and nerves.

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13
Q

How is Diptheria transmitted?

A

Diphtheria is transmitted by coming into contact with respiratory droplets from an infected person by coughing or sneezing, or via contact to a wound infected with diphtheria.

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14
Q

What is Tetanus?

A
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15
Q

Immunizations given @ 4 months

A

Rotavirus (RV): RV1 (2- dose series), RV5 (3- dose series) : 2nd dose (must be 4 weeks after 1 dose)

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 2nd dose (must be 4 weeks after 1 dose)

Haemophilus Influenzae type B (Hib): 2nd dose (must be 4 weeks after 1 dose)

Pneumococcal conjugate (PCV13, PCV15): 2nd dose (must be 4 weeks after 1 dose)

Inactivated poliovirus (IPV <18yrs): 2nd dose (must be 4 weeks after 1 dose)

Meningococcal (MenACWY-D ≥9 mos, MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years): 2nd dose ONLY FOR patients with anatomic or functional asplenia (including sickle cell disease), HIV infection, persistent complement component deficiency, complement inhibitor (e.g., eculizumab, ravulizumab) OR children traveling to countries with hyperendemic or epidemic meningococcal disease, including countries in the African meningitis belt or during the Hajj

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16
Q

Immunizations given @ 6 months

A

Hepatitis B (HepB): 3rd dose (must be 8 weeks after 2nd and 16 weeks after 1st dose)
- Patient must be 24 weeks before getting 3rd dose

Rotavirus (RV): RV1 (2- dose series), RV5 (3- dose series) : 3rd dose if doing RV5 (RotaTeq)
- 3rd dose must be given before 8 months

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 3rd dose

Haemophilus Influenzae type B (Hib): 3rd dose if doing 3 dose series of ActHIB, Hiberix, Pentacel, or Vaxelis
- 3rd dose must be given 4 weeks after 2nd dose of Hib vaccine

Pneumococcal conjugate (PCV13, PCV15): 3rd dose (must be 4 weeks after last PCV dose)

Inactivated poliovirus (IPV <18yrs): 3rd dose (must be 4 weeks after last IPV dose)

COVID- 19 (1vCOV-mRNA, 2vCOV-mRNA, 1vCOV-aPS): 1st dose of bivalent vaccine

Influenza: 1st dose

Meningococcal (MenACWY-D ≥9 mos, MenACWY-CRM ≥2 mos, MenACWY-TT ≥2years): 3rd dose ONLY FOR patients with anatomic or functional asplenia (including sickle cell disease), HIV infection, persistent complement component deficiency, complement inhibitor (e.g., eculizumab, ravulizumab) OR children traveling to countries with hyperendemic or epidemic meningococcal disease, including countries in the African meningitis belt or during the Hajj

17
Q

Immunizations @ 9 months old

A

Hepatitis B (HepB): 3rd dose (if patient has not gotten yet)

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 3rd dose (if patient has not gotten yet)

Haemophilus Influenzae type B (Hib): 3rd dose if doing 3 dose series of ActHIB, Hiberix, Pentacel, or Vaxelis (if patient has not gotten yet)
- 3rd dose must be given 4 weeks after 2nd dose of Hib vaccine

Pneumococcal conjugate (PCV13, PCV15): 3rd dose (must be 4 weeks after last PCV dose) (if patient has not gotten yet)

Inactivated poliovirus (IPV <18yrs): 3rd dose (must be 4 weeks after last IPV dose) (if patient has not gotten yet)

COVID 19: 2nd dose of bivalent vaccine (must be 4-8 weeks after 1st dose)

Influenza: 2nd dose (must be 4 weeks after 1st dose)

18
Q

Immunizations @ 12 months

A

Hepatitis B (HepB): 3rd dose (if patient has not gotten yet)

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 3rd dose (if patient has not gotten yet)

Haemophilus Influenzae type B (Hib): 4th dose (booster, should not use Vaxelis) (must be given 8 weeks after 3rd dose)

Pneumococcal conjugate (PCV13, PCV15): 4th dose (must be given 8 weeks after 3rd dose)

Inactivated poliovirus (IPV <18yrs): 3rd dose (must be 4 weeks after last IPV dose) (if patient has not gotten yet)

COVID 19: 2nd dose of bivalent vaccine (must be 4-8 weeks after 1st dose) (if patient has not gotten yet)

Influenza: 2nd dose (must be 4 weeks after 1st dose) (if patient has not gotten yet)

Measles, mumps, rubella (MMR): 1st dose

Varicella (VAR): 1st dose

Hepatitis A (HepA): 1st dose

19
Q

Immunizations @ 15 months

A

Hepatitis B (HepB): 3rd dose (if patient has not gotten yet)

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 4th dose

Haemophilus Influenzae type B (Hib): 4th dose (booster, should not use Vaxelis) (must be given 8 weeks after 3rd dose) (if patient has not gotten yet)

Pneumococcal conjugate (PCV13, PCV15): 4th dose (must be given 8 weeks after 3rd dose)(if patient has not gotten yet)

Inactivated poliovirus (IPV <18yrs): 3rd dose (must be 4 weeks after last IPV dose) (if patient has not gotten yet)

COVID 19: 2nd dose of bivalent vaccine (must be 4-8 weeks after 1st dose) (if patient has not gotten yet)

Influenza: 2nd dose (must be 4 weeks after 1st dose) (if patient has not gotten yet)

Measles, mumps, rubella (MMR): 1st dose (if patient has not gotten yet)

Varicella (VAR): 1st dose (if patient has not gotten yet)

Hepatitis A (HepA): 1st dose (if patient has not gotten yet)

20
Q

Immunizations @ 18 months

A

Hepatitis B (HepB): 3rd dose (if patient has not gotten yet)

Diphtheria, tetanus, acellular pertussis (DTaP < 7yrs): 4th dose (if patient has not gotten yet)

Inactivated poliovirus (IPV <18yrs): 3rd dose (must be 4 weeks after last IPV dose) (if patient has not gotten yet)

COVID 19: 2nd dose of bivalent vaccine (must be 4-8 weeks after 1st dose) (if patient has not gotten yet)

Influenza: 2nd dose (must be 4 weeks after 1st dose) (if patient has not gotten yet)

Measles, mumps, rubella (MMR): 1st dose (if patient has not gotten yet)

Varicella (VAR): 1st dose (if patient has not gotten yet)

Hepatitis A (HepA): 2nd dose (must be 6 months after the 1st dose)