Immunizations

Question 1

PCV13 and ProQUAD

Answer 1

First two years: giving vaccines between every 2-4 months

PCV13: good for kids without cochlear implants, but if they do need something extra (PCV 23)

ProQUAD: only in kids 2 and older because can cause febrile seizures in younger patients

Question 2

Vaccine Adverse Effects

Answer 2

Pain 
Redness	
Swelling at injection site
Headache
Fever
Fatigue

Question 3

Specific Vaccine Adverse Effects

Answer 3

HPV- syncope

MCV4- syncope

Tdap- syncope, GI distress, sore joints, and body aches

Live attenuated influenza vaccination (LAIV)- rhinorrhea, nasal congestion, and sore throat

MMR- rash and lymphadenopathy

Varicella- rash

Question 4

Vaccine Specific Contraindications

Answer 4

HPV- hypersensitivity to yeast
MVC4- reaction to diphtheria toxoid or latex allergy

Tdap- latex allergy
Boostrix- latex
Adacel- no latex

Trivalent influenza vaccine (TIV)- eggs
LAIV- eggs, chronic conditions, aspirin therapy or immunodeficiency

MMR- anaphylaxis to gelatin or neomycin, immunodeficiency or pregnancy
Varicella- anaphylaxis to gelatin or neomycin, immunodeficiency or pregnancy
IPV- taking streptomycin, neomycin, or polymyxin B

Question 5

Immunosuppression

Answer 5

Medical:
Leukemia
Lymphoma
HIV

Medications:
High-dose corticosteroids (prednisone)
Anti-metabolites
Transplant-related immunosuppressive drugs

Question 6

Symptomatic HIV or Severe Non-HIV Immunocompromised Persons

Answer 6

Cannot give live-virus vaccine.

May require additional vaccines when compared with healthy persons.

May receive decreased protection from some/all vaccines administered.