Pediatrics - Vaccine Background Flashcards
Which vaccines are live-attenuated? (7)
measles, mumps, rubella, varicella, influenza (LAIV), polio (OPV), rotavirus
Which vaccines are toxoid-derived? (2)
diphtheria, tetanus
Which vaccines are inactivated? (4)
hepatitis A, influenza (IIV), pertussis, polio (IPV)
Which vaccines are inactivated/recombinant? (4)
hepatitis B, HPV, RSV, zoster (RZV)
Which vaccines are conjugated/polysaccharide? (3)
Hib, meningococcal, pneumococcal
Which vaccines are mRNA-derived? (2)
COVID-19 Pfizer-BioNTech and Moderna
Which vaccines are protein subunit-derived?
COVID-19 Novavax
Why is maintaining high vaccination rates beneficial? (4)
reduces likelihood of disease outbreaks, protects people who cannot be vaccinated due to medical reasons, children who are too young to be fully vaccinated, and those who have blunted immune responses to vaccines
Which vaccines have DTaP + IPV? (2)
Kinrix, Quadracel
Which vaccine has DTaP + IPV + Hib?
Pentacel
Which vaccine has DTaP + IPV + Hep B?
Pediarix
Which vaccine has DTaP + IPV + Hib + Hep B?
Vaxelis
Which vaccine has MMR + Varicella?
ProQuad
Which vaccine has Hep A + Hep B?
Twinrix
Which vaccine combination has a 28-day minimum interval?
ONLY 2 or more live vaccines IF not administered simultaneously
Which vaccines should be administered during a pregnancy to the mother? (4)
Tdap, RSV, IIV, COVID-19
What is the recommendation for live vaccines in patients receiving chemo/radiation?
vaccinate 2 weeks before or 3 months after treatment
What is the recommendation for live vaccines in patients receiving high-dose systemic corticosteroids?
2 or more mg/kg/day OR 20 mg/day prednisone for 14 or more days vaccinate 1 or more months after treatment
What is the recommendation for IVIG administration following live vaccines?
must wait 14 days after immunization, otherwise vaccine must be readministered
What is the recommendation for TB skin tests following live vaccines?
must wait 4-6 weeks to place PPD
Which vaccines can be administered subcutaneously? (3)
MMRV, PPV23, polio
Where should subcutaneous vaccines be administered in <12 months and 12 or more?
<12 = thigh, 12 or more = triceps
Where should intramuscular vaccines be administered in <18 months and 36 or more?
<18 = thigh, 36 or more = deltoid
Which vaccines can be administered orally? (2)
oral poliovirus (OPV), rotavirus
What are the vaccine myths? (4)
the diseases they prevent are not serious, we are not (no longer) at risk for the diseases they present, they are not safe, they are not effective
