test 3 Flashcards
dtap vs Tdap
Dtap < age 7 - vaccine
Tdap > age 7 - vaccine booster
yearly flu shot starts at what age?
6 months
Will the immune system be overwhelmed by so many shots at one time?
The immune system will NOT be overwhelmed, your child comes in contact with more antigens daily than in the current vaccine schedule.
, MMR vaccine should not be administered to
severely immunocompromised
persons (1). However, certain conditions are commonly misperceived as
contraindications (i.e., are not valid reasons to defer vaccination).
Severely immunocompromised persons generally should not receive live vaccines
Pt experienced encephalopathy within 7 days after administration of a previous dose of
pertussis. What needs to happen for future vaccines?
containing vaccine not attributable to another identifiable cause should
not receive additional doses of a vaccine that contains pertussis
Severe Combined Immunodeficiency (SCID) disease and a history of intussusception
are both contraindications to the receipt of
rotavirus vaccines
The presence of a moderate or severe acute illness with or without a fever is a _______ to administering vaccinations
precaution. delay for moderate or severe illness
A personal or family history of seizures is a precaution for
MMRV vaccination; this is
because a recent study found an increased risk for febrile seizures in children 12-23
months who receive MMRV compared with MMR and varicella vaccine
LAIV vaccine has what contraindications
- Severe allergic reaction
(e. g., anaphylaxis)
-Concomitant use of
aspirin or aspirincontaining medication in
children and adolescents
-should not be administered to persons who have taken oseltamivir or zanamivir within the previous 48 hours, peramivir within the previous 5 days, or baloxavir within the previous 17 days.(e)
-pregnancy
-Children aged 2 through 4 years who have received a diagnosis of asthma or whose parents or caregivers report that a health care provider has told them during the preceding 12 months that their child had wheezing or asthma
-Persons with active
cerebrospinal
fluid/oropharyngeal
communications/leaks.
-Close contacts and caregivers of severely immunosuppressed persons who require a protected environment
-Persons with cochlear
implants
-Altered
Immunocompetence
-Anatomic or functional
asplenia (e.g. sickle cell
disease
Rotavirus should not be given after what age?
15 weeks
vaccine manufacturers voluntarily changed production methods to produce vaccines free of
thimerosal
Contraindications to the rotavirus vaccine
SCID and intussusception
MMR, Varicella zoster, influenza, Hep B, meningococcal,
and tetanus-containing vaccines are linked to
anaphylaxis
Vaccine injections can cause
syncope, fainting, deltoid
bursitis, shoulder pain, and loss of shoulder motion
ofebrile seizures (benign and without
sequelae) and measles inclusion body encephalitis (rare) in
immunocompromised c hildren can occur within a year of
vaccination
After MMR,
ofebrile seizures (benign and without
sequelae) and measles inclusion body encephalitis (rare) in
immunocompromised c hildren can occur within a year of
vaccination
Varicella zoster vaccine has a causal relationship to some
adverse events
Chickenpox rash, pneumonia, meningitis, hepatitis
in children with immunodeficiencies
Viral reactivation leading to meningitis or
encephalitis
vaccines are thimerosal-free or contain
trace amounts with two exceptions
Multidose vials of inactivated flu vaccine
o Multidose vials of one meningococcal vaccine that
contains thimerosal
