Immunizations

Question 1

What ages do you receive the Hep B vaccine?

Answer 1

0, 2, 6 months

First dose is before hospital discharge

Question 2

What should be done in infants who are born to a hepatitis B antigen (HBsAg) positive mother?

Answer 2

Administer both the Hep B vaccine and 0.5 mL of hep B immune globulin (HBIG) within 12 hours of birth

Test for HBsAg and antibody to HBsAg after 3 doses of Hep B (age 9-18 months)

If the mom’s status is unknown: check status immediately, give Hep B within 12 hours after birth, if mom tests positive, given HBIG within 1 week of age

Question 3

What is the usual volume for all vaccines?

Answer 3

0.5 ml given IM or SQ, except influenza vaccine is .25 mL IM for children 6-35 months and .5 mL IM for children greater than 3 years

Question 4

Do not administer the Rotavirus vaccine after _____ weeks. Why?

Answer 4

32 weeks because infants are most at risk and after 32 weeks vaccine associated risks increase

Question 5

How many doses are in the rotavirus series and how often are they given?

Answer 5

Series of 3, starting at 6 weeks to 32 weeks
First dose should be given between 6 weeks and 14 weeks (so likely at 2 month visit) and each dose is given at 4 week intervals

Question 6

When is the DTaP vaccine given?

Answer 6

2, 4, and 6 months with boosters at 15 months and 6 years

Question 7

DTaP is not indicated for children ______ years and older.

Answer 7

7 years

Question 8

When is the Tdap vaccine given?

Answer 8

11 or 12 years old with subsequent boosters given every 10 years

Question 9

When is the Hib conjugate vaccine given?

Answer 9

2, 4, and 6 months with a booster at 12 months

** First dose can be given as early as 6 weeks

Question 10

Hib is not recommended for children _____ years and older.

Answer 10

5 years

Question 11

When is the Prevnar vaccine (PCV13) given and what does it protect against?

Answer 11

Given at 2, 4, 6 months old and 1 booster at 12 months

Protects against streptococcus pneumonia

Question 12

When should the 23PS (Pneumovax) vaccine be given and who should it be given to?

Answer 12

23 PS should be given to children between the ages of 24-59 months who received all PCV13 doses and are immunocompromised.

Also consider in Native American, African American, or Alaskan descent or in those attending day care.

Question 13

When should the Polio vaccine (IPV–injectable polio vaccine) be given?

Answer 13

2, 4, 6 months and 6 years

**Oral polio vaccine is discouraged and only possible for dose number 3 and 4

Question 14

When is the influenza vaccine given?

Answer 14

starting at 6 months annually

**Children younger than 9 years received 2 doses, 1 month apart if it is their first time getting it

Question 15

When can FluMist be given?

Answer 15

In healthy children/people ages 2- 49 years

Question 16

When is the MMR vaccine given?

Answer 16

1 year and by 12 years (series of 2)

Question 17

If exposed to measles or traveling to endemic areas, MMR can be given as early as ______.

Answer 17

6 months old—-***But the patient will need to continue the series at appropriate time.

Ex) 6 month old is going to area with endemic–give vaccine, but then give again at 1 year

Question 18

Can MMR be given simultaneously with TB testing with purified protein derivative ?

Answer 18

Yes, but prefer to postpone PPD for 4-6 weeks to avoid possible suppressive response to PPD–so either give exact same day or wait 4-6 weeks?

Question 19

When is the varicella given?

Answer 19

Series of 2 between 12 months and 12 years given a minimum of 3 months apart
Prefer to separate by 1 month from MMR vaccine

Question 20

When is the Hep A vaccine given?

Answer 20

Series of 2 given 1 to 2 years, 6 months apart

Question 21

When is the meningococcal vaccine given?

Answer 21

Series of 2 ages 11-12 years and a booster at 16 years

**Adolescents receiving the first vaccine at or after 16 years of age do not need a booster

Question 22

When is the HPV vaccine given?

Answer 22

Series of 3 starting at 11 or 12 years of age, second dose given 1 month after 1st dose, third given 6 months after initial dose

Question 23

Males can only receive the ______ HPV vaccine, but females can receive any type.

Answer 23

Quadrivalent (Gardasil) Covers types 6, 11, 16, and 18 and can be given to anyone ages 9-26 years

Question 24

IPV is contraindicated in_________.

Answer 24

Those with a history of anaphylaxis to streptomycin

Question 25

MMR should not be given to________.

Answer 25

Those who are pregnant or immunosuppressed

Question 26

Varicella is contraindicated in_________.

Answer 26

pregnant women, immunocompromised and those with a streptomycin allergy

Question 27

Influenza vaccine may be contradicted in those with______.

Answer 27

Egg allergy