Vaccinations

Question 1

Live Viruses

Answer 1

MMR, FluMist, Varicella, and Rotavirus

Question 2

Containdications of live virus

Answer 2

Pregancy and Severly immunocomprimised

• severe allergic reaction to vaccine component
• moderate to severe illness

Question 3

What if you do not give live immunizations together?

Answer 3

You need to wait 28 days to give the next vaccine

Question 4

Hepatitis B

Answer 4

3 vaccines
1st dose at birth [ 1-2 mo, 6-18mo]
Contr: life threatening allegry to yeast

Question 5

Diptheria, tetanus, acellular pertussis Dtap

Answer 5

5 vaccines
1st: 2mo { 4,6,15-18,4-6yrs]
Contra: encephalopathy within 7 days of a vaccine
precaution: progressive unstable neuro disorder (defer to neuro)
Cacooning with Tdap: given to 11-12yr olds and during each pregnancy to provide added to protestion to infants

Question 6

Hemophilus Influenzae type B (hib)

Answer 6

2-3 doses primary plus booster
first: 2months [ 4mo, 6mo, 12-15mo booster]
contra: <6weeks
allergic reaction to latex (only some brancds contain latex )

Question 7

Inacctivated poliovirus IPV

Answer 7

4 vaccines
first 2mo [4,6-18, 4-6yrs]
Contra: anaphylactic reaction to neomycin/streptomycin/polymyxin B

Question 8

Pneumococcal Conjugate PCV13

Answer 8

series of 4
first 2mo[ 4,6,12-15 booster]

In high risk kids Pneumococcal polysaccharide PPSV23
age> 2 and will be given in addition to PCV13

Question 9

Rotavirus

Answer 9

LIVE VIRUS
2 rotarix and 3 rotateq
1st: 2mo[4mo,6mo]
contra: immunodeficiency, in utero exposure to immunodialateing agent, severe latex allergy(rotarix), history of intrussuception

Question 10

Hepatitis A (HAV)

Answer 10

2 dose
initiate at 12-23mo and do the second 6-18mo
contra: severe allerg to prior dose or additiives
AZ: requires the vaccination before school

Question 11

Measles, Mumps, Rubella MMR

Answer 11

LIVE VIRUS 
2 doses 
1st: 12-15mo[4-6yrs]
Contra: anaphylatic reactions to neomycin or gelatin
pregnancy and immunosuppression

Question 12

Varicella

Answer 12

2 doses
LIVE VIRUS
1st: 12-15mo[4-6yrs]
Contra: anaphylatic to neomycin and gelatin, pregnancy, and immunocupression

Question 13

Quadrivalent Menigococcal Polysaccharide Vaccine (menactra and Menveo)

Answer 13

2 doses
1st: 11-12yrs and booster at 16yrs
High Risk: <11 and >18 HIV,low functioning spleen, living/traveling to hyperendemic regions (africa), military, 1st year college students, MSM

Question 14

Serogroup B Menigococcal(Men B) Bexsero, Trumenba

Answer 14

2/3 dose
16-23 yr (16-18 prefered)
>10yr who are are at ^ risk : complement deficiencies, asplenia, disease outbreak, microbiologists, college
* not universally recommended but good if high risk

Question 15

Human Papilloma Virus (HPV)

Answer 15

Routine 11-12yrs prior to sexual activity
9-26 year old females
9-21 year old males (older can be )
Prior to 15 two doses and if older than 15 they always get 3 doses (0,2,6mo apart)

Question 16

Influenza Vaccine

Answer 16

Indicated annually >6months
6-8yrs require two shots
Contra: allergic reaction to vaccine , guillain Barre syndrom within 6wks of vaccine
-egg allergy is not a contraidication.

Question 17

Live intranasal flu vaccine (FluMist)

Answer 17

> 2yrs r <49yrs LIVE VIRUS
Currently no preference for which type of flu vaccine
Contra: Hx of allergy or hypersensitivity
cocominant asprin therapy in children
immunocomprimised or thoses in contact with immunocomprimised
Pregnant
2-4yrs within wheezing episose or HX of asthma, Hx of guillan barree syndrome
or influenza antiviral meds

Question 18

Mild and common side effects

Answer 18

redness, fussiness (<3hrs), drowsiness, lowgrade fever, pain or redness at injection site, loss of eppetite, mylgias

Question 19

Uncommon adverse events

Answer 19

Serious allergic reaction (anaphylaxis) hives swelling of throat and mouth
seziures
inconsolable crying(3hrs)
high fever 105 degrees