Pediatric Immunizations

Question 1

Live Vaccines

Answer 1

MMR (Measles, Mumps, Rubella)
Varicella (Chickenpox)
Zoster (Shingles)
Nasal-Spray Flu Vaccine
*Can't use in newborns

Question 2

Hepatitis B Vaccine Schedule

Answer 2

Babies normally get 3 doses of hepatitis B vaccine:
1st Dose: Birth
2nd Dose: 6-8 weeks of age
3rd Dose: 4-18 months of age

Question 3

Pneumococcal conjugate vaccine ( PCV13 or Prevnar) Schedule

Answer 3

1st Dose: 6-8 weeks of age
2nd Dose: 4 months
3rd Dose: 6 months
Booster: 12-15 Months

Question 4

Haemophilus influenzae type b Vaccine (HIB)

Answer 4

Not routinely given to children age 5 years and older

2,4,6 months and booster 15-18 months

Question 5

IPV (Inactivated Polio Virus)

Answer 5

1st Dose: 6-8 weeks of age
2nd Dose: 4 months
3rd Dose: 6 months
Booster: 4-6 years

Question 6

DTaP Vaccine(Diphtheria, Tetanus, acellular Pertussis)

Answer 6

Schedule:  Five primary doses + Booster every 10 years
1st Dose: 6-8 weeks of age 
2nd Dose: 4 months 
3rd Dose: 6 months
4th Dose: 12-15 Months
5th: 4-6 years

Question 7

Rotavirus Vaccine (rotateq, rotarix)

Answer 7

ORAL-Live attenuated vaccine
First Dose: 6-8 weeks of age
Second Dose: 4 months of age
Third Dose: 6 months of age (only for RotaTeq)

Question 8

Influenza (“flu shot”)

Answer 8

Recommended for all children annually aged 6 mos to 18 yrs and close contacts of all children 0-59 mos.
For children aged 6 mos to 8 yrs require 2 doses (separated by at least 4 weeks) to children who are receiving influenza vaccine for the first time

Question 9

Hepatitis A Vaccine Schedule

Answer 9

1st dose 12 months

2nd dose 24 months

Question 10

Measles, Mump, Rubella Vaccine (MMR)

Answer 10

First dose of MMR at 12-18 months

Second dose of MMR at 4-6 years

Question 11

Varicella vaccine (Varivax)

Answer 11

1st dose at 12-15 months of age
2nd dose at 4-6 yrs
Live, attenuated virus

Question 12

Meningococcal Vaccine (MCV4)

Answer 12

Two doses of MCV4 are recommended for adolescents 11-18 yrs of age:
the first dose at 11 or 12 years of age, with a booster dose at age 16.

Question 13

HPV Vaccine (gardisil)

Answer 13

routine vaccination of all adolescents 11-12 years of age

Routine schedule is 0, 2, 6 months

Question 14

Pediarix

Answer 14

DTaP – Hep B – IPV combination
Minimum age 6 weeks
Approved for 3 doses at 2, 4 and 6 months
Can only use up to 7 years old

Question 15

With the new vaccine combos, a typical vaccination schedule may look like this:

Answer 15

Birth: Hepatitis B 
2 Months:  Prevnar, Hib, Pediarix 
4 Months:  Prevnar, Hib, Pediarix 
6 Months:  Prevnar, Hib, Pediarix 
9 Months: Nothing
12 Months: Prevnar, Hib, HepA 
15-18 Months: DTaP, ProQuad (MMRV)
18-24 Months: HepA 
4-6 Years: Kinrix (DTaP-IPV) and ProQuad (MMRV)

Question 16

Routine Vaccination at WCC

Answer 16

Birth: Hep B
6 Weeks: PCV13, Hib, IPV, DTaP, Hep B, Rotavirus
4 Months: PCV13, Hib, IPV, DTaP, Hep B, Rotavirus
6 Months: PCV13, Hib, IPV, DTaP, Rotavirus , Influenza
9 Months: Nothing
12 Months: PCV13, Hib, HepA
15 Months: DTaP , MMR, Varicella
18-24 Months: HepA
4-6 Years: DTaP, IPV, MMR, Varicella
12 Years: Tdap (booster), HPV, Meningococcal
16-18 Years: Meningococcal (booster)