Paeds Immunisation Schedule

Question 1

8 weeks

Answer 1

• 6-in-1
• Men B
• Rotavirus

Question 2

12 weeks

Answer 2

• 6-in-1
• Pneumococcal
• Rotavirus

Question 3

16 weeks

Answer 3

• 6-in-1

- Men B

Question 4

1 year

Answer 4

• Hib / Men C
• Pneumococcal
• MMR
• Men B

Question 5

2 - 10 years

Answer 5

• Flu vaccine (annual)

Question 6

3 years + 4 months

Answer 6

• MMR

- 4-in-1

Question 7

12 - 13 years

Answer 7

• HPV vaccine

Question 8

14 years

Answer 8

• 3-in-1

- MenACWY

Question 9

Babies born to Hep B infected mothers

Answer 9

• Hep B at birth, 4 weeks and 1 year

Question 10

Babies born in areas of high-risk TB

Answer 10

• BCG at birth

Question 11

Infants born to parent/grandparents born in high incidence country

Answer 11

• BCG at birth

Question 12

How do you define a TB high-risk area

Answer 12

• Incidence over 40 per 100,000

Question 13

What is in the 6-in-1 vaccine?

Answer 13

• Diphtheria
• Tetanus
• Pertussis (whooping cough)
• Polio
• HiB
• Hep B

Question 14

What is in the 4-in-1 vaccine?

Answer 14

• Diphtheria
• Tetanus
• Pertussis
• Polio

Question 15

What is in the 3-in-1 vaccine?

Answer 15

• Diphtheria
• Tetanus
• Polio

Question 16

When is 6-in-1 given?

Answer 16

8 weeks, 12 weeks, 16 weeks

Question 17

When is Men B given?

Answer 17

8 weeks, 16 weeks, 1 year (booster)

Question 18

When is rotavirus given?

Answer 18

8 weeks, 12 weeks

Question 19

When is Pneumococcal given?

Answer 19

12 weeks, 1 year

Question 20

When is Hib / Men C given?

Answer 20

1 year

Question 21

When is MMR given?

Answer 21

1 year, 3 yrs + 4months

Question 22

When is the flu vaccine given?

Answer 22

Between 2 and 10 years

First dose between 2-3 yrs then annually

Question 23

When is the 4-in-1 given?

Answer 23

3 years + 4 months

Question 24

When is the HPV vaccine given?

Answer 24

12-13 yrs

Question 25

When is the 3-in-1 given?

Answer 25

14 yrs

Question 26

When is the MenACWY given?

Answer 26

14 yrs

Question 27

How might the flu vaccine be given?

Answer 27

• Can be given intranasally

- Intranasal vaccine = live, injectable = not live

Question 28

Contraindications for live flue vaccine

Answer 28

• Immunocompromised
• Aged < 2 years
• Current febrile illness or blocked nose/rhinorrhoea
• Current wheeze (e.g. ongoing viral-induced wheeze/asthma) or history of severe asthma (BTS step 4)
• Egg allergy
• Pregnancy/breastfeeding
• If the child is taking aspirin (e.g. for Kawasaki disease) due to a risk of Reye’s syndrome

Question 29

Contraindication for injectable infleunza vaccine

Answer 29

Hypersensitivity to egg protein

Question 30

SEs of live flu vaccine

Answer 30

• Blocked-nose/rhinorrhoea
• Headache
• Anorexia