Pediatric vaccinations Flashcards
What type of vaccine: Diphtheria / Tetanus/ Pertussis
Diphtheria/Tetanus = inactivated toxin
Pertussis = inactivated acellular vaccine
Booster timing for diphtheria vaccination
every 10 years
Booster timing for tetanus
- every 10 years if no injury
- every 5 years if at risk
- severe injury = 1 year after last dose
Booster timing for pertussis
1+ booster dose following DTaP series
DTaP vaccine schedule
5 dose series:
- 2 months
- 4 months
- 6 months
- 15-18 months
- 4-6 years
Tdap vaccine schedule
1 dose at 11-12 years
1 dose recommended with every pregnancy
Diphtheria / Tetanus / Pertussis ADE
Redness, swelling, pain at injection site
fever
Diphtheria/Tetanus/Pertussis vaccine contraindications
severe allergic reaction
Hx of encephalopathy within 7 days of pertussis vaccination
What type of vaccine is the Hib vaccine?
Conjugate vaccine
Vaccination schedule for ActHib, Hiberix, Pentacel, or Vaxelis
4 dose series
- 3 primary doses at 2, 4, &6 months
- 1 booster at 12-15 months
(Vaxelis should not be used as a booster)
Vaccine schedule for PedvaxHIB
3 dose series
- 2 primary doses at 2 & 4 months
- 1 booster at 12-15 months
In which cases would the Hib vaccine recommended in patients over 12-15 months old?
chemotherapy/ radiation
immunodeficiency
asplenia (sickle-cell anemia)
Hib vaccine ADEs
swelling, redness, pain
fever
Hib vaccine contraindications
severe allergic reaction
Vaccination schedule for Havrix and Vaqta
between 12 and 23 months
2 dose series separated by at least 6 months
Twinrix vaccination schedule
for high risk patients over the age of 18
3-4 dose series
HAV vaccination prior to international travel
Infants age 6-11:
- 1 dose before departure
- revaccinate as usual at routine vaccination
Unvaccinated age 12 months or older:
- admin 1 dose as soon as travel is considered
High risk patients for HAV
chronic liver disease
clotting factor disorders
MSM
injection or non injection drug use
homelessness
work with Hep A virus
International travel
Close contact with international adoptee
HAV vaccination ADE
Injection site soreness
headache
HAV vaccination contraindications
severe allergy
What type of vaccine is the HAV vaccine
inactivated
What type of vaccine is the Hep B vaccine?
inactivated
Routine HBV immunization
3 dose series
- birth
- 1-2 months
-6-18 months
HBV vaccine ADEs
pain
fatigue / headache
low grade fever
HBV vaccine contraindications
severe allergic reaction
What type of vaccine is the HPV vaccine?
inactivated recombinant
HPV vaccine schedule 2 dose series
age 9-14 years
- 0 months
- 6-12 months
HPV vaccination schedule 3 dose series
age >/= 15 months OR immunocompromised
- 0 months
- 1-2 months
- 6 months
HPV vaccine ADE
injection site pain, swelling, erythema, pruritis
fever
syncope
HPV vaccine contraindications
hypersensitivity
pregnancy
MMR type of vaccine
live attenuated
MMR vaccination schedule
2 dose series
- 12-15 months
- 4-6 years
MMR for international travel
6-12 months: 1 dose (doesn’t count as regular series)
> 12 months: 2 doses separated by at least 4 weeks
Mumps outbreak vaccination recommendation
at risk persons can receive a 3rd dose
MMR vaccine ADE
fever
rash
febrile seizures with MMRV
MMR vaccine contraindications
severe hypersensitivity to vaccine or components (gelatin, neomycin)
pregnancy
immunosuppression
postpone 1 month following 14 days of high dose steroids
postpone several months following IVIG
Varicella vaccine type
live attenuated
Varicella vaccine schedule
age < 13
- 2 doses at least 3 months apart
age > 13
- 2 doses at least 4 weeks apart
varicella vaccine ADE
maculopapular rash
injection site reactions
fever
transmission of varicella
Varicella vaccine contraindications
severe hypersensitivity to vaccine or components (gelatin, neomycin)
pregnancy
immunosuppression
postpone 1 month following 14 days high dose corticosteroids
postpone several months following IVIG
avoid antiviral agents 48 hrs prior and 14 days after vaccination if possible
