Vaccinations

Question 1

Live + Live

Answer 1

Same day: yes
Separate time: space 1 month apart
- exception, no separation for PO rotavirus

Question 2

Live + Antibodies

Answer 2

MMR & Varicella vaccines require separation from antibody containing products:
- vaccine -> 2 weeks-> AB
- AB -> at least 3 months -> vaccine

Simultaneous admin recommended for PeP in Hep A&B, rabies, tetanus, etc

Question 3

Most live vaccines are withheld in children until _________

Answer 3

12 months of age

Question 4

Live + PPD

Answer 4

• give on same day
• wait 4 weeks after live vaccine for PPD
• wait for PPD result to admin vaccine

Question 5

Vaccination schedule:
Influenza

Answer 5

yearly for app patients 6 and up

Question 6

Vaccination schedule:
Tdap, Td

Answer 6

Tdap x 1 if not received previously
Td or Tdap every 10 years

Question 7

Vaccination schedule
Shingles

Answer 7

Shingrix: all adults 50 and older
- or 19 and older if immunosuppressed

2 dose series, separated by 2-6 months

Vaccinate even if hx of chickenpox, shingles, or received Zostavax

Question 8

Vaccination schedule:
HPV

Answer 8

all adults 26 or younger who did not complete the HPV series

Question 9

Vaccination schedule:
Meningococcal

Answer 9

2 types, adults need one or both:

Serogroup B vaccines (Bexsero, Trumenba)
- immunocompromised, exposure to Neisseria meningitidis

Conjugate vaccines (Menactra, Menveo, MenQuadfil)
- same groups as above plus: HIV, travelers, military recruits, dorm living, not up to date

Question 10

Vaccination schedule:
Pneumococcal

Answer 10

Age 19-64 with a specific med condition
age >/= 65 (if never received before):
- PCV20 x 1
- PCV21 x 1
- PCV15 + PPSV23 1 year later

Question 11

Vaccination schedule:
Hep B

Answer 11

All adults 19-59 and patients over 60 w/risk factors (liver disease, HIV, sexual exposure, IV drug use, incarcerated)

Give alone or w/ HepA Twinrix

Question 12

Vaccination schedule:
Hep A

Answer 12

Adults traveling to undeveloped countries
Close contacts of adoptees newly arriving from high risk areas
Liver disease
Hemophilia
MSM
IV drug use
Homeless
HIV positive

Give alone or with HepB Twinrix

Question 13

Comirnaty

Answer 13

COVID (pfizer)

Question 14

Spikevax

Answer 14

COVID (moderna)

Question 15

Pediarix

Answer 15

DTaP
Hep B
Polio (IPV)

Question 16

Daptacel, Infanrix

Answer 16

DTaP
For children under 7
5 doses
- 12-18 months
- 2 years
- 4 years
- 6 years
- 4-6 years

Question 17

Kinrix, Quadracel

Answer 17

DTaP + IPV (polio)

Question 18

Adacel, Boostrix

Answer 18

Tdap

Question 19

Tenivac, TDvax

Answer 19

Td

Question 20

ActHIB
Hiberix
PedavaxHIB

Answer 20

Haemophilus influenzae type B (Hib)
Routine childhood vaccine given between 2-15 months

ActHIB & Hiberix: 4 dose series

PedavaxHIB: 3 dose series

given to adults with asplenia

Question 21

Havrix, Vaqta

Answer 21

Hepatitis A

Children: routine 2 dose series
- 12 months
- 18-20 months

Adults: MSM, illicit drug use, chronic liver disease, homeless, HIV, travelers

Question 22

Energix-B,
Heplisav-B
Recombivax HB

Answer 22

Hepatitis B

Children: routine series 3 doses
- within 24 hrs after birth
- 1-2 months
- 6-18 months

Adults (if not previously vaxxed): all aged 19-59 and over 60 w/ risk factors (chronic liver disease, HIV, blood exposure)

Question 23

Gardasil 9

Answer 23

HPV9
prevents 90% of cervical cancers

Age 9-26 years:
- recommended age 11-12
- contraindicated with severe yeast allergy

Patient under 15 -> 2 doses separated by 6-12 months

Patients 15 & older or immunocompromised -> 3 doses (0, 1-2, and 6 months)

Question 24

FluMist

Answer 24

Live influenza

do not give to pregnant or immunocompromised patients

Question 25

Egg free flu vaccines

Answer 25

Flublok (18 and up) Flucelvax (6 and up)