Fluzone Intradermal - Age - Contain - Why give ID

- Age: 18-64 - Contain 1/2 of IM dose but give same response - ID to avoid muscle pain. - ID cause more redness and swelling

FluMist - Avoid in - Age:

- It's a live vaccine - Avoid in asthmatics, pregnant, and immuno-compromised - Age: 2-49 y.o

Influenza - Who should get it - Avoid in - Which has no egg - Adm during which months

Get it - > 50 y.o - Nursing home - Chronic respiratory, CVD, renal dysfunction, immumocompromised - Health care workers - All children age 6M to 18y.o Avoid in - Guillian-Barre Syndrome - Allergy to chicken eggs & thimerosal No egg - Flublok Adm - Oct - Nov

Pneumovax - Indication - Who should get it

- 23-valent vaccine given IM/SC - Adult pneumococcal vaccine Who should receive the vaccine - > 65 y.o - 5 yrs since last dose - Who smoke > 18y.o - Asthma - Chronic disease - Immunocompromised - Pregnant Women with high risk conditions

Prevnar - Indication - Total dose given - What to do b/4 give it

- Pneumococcal 13-valent conjugated pneumococcal vaccine Indication - Peds: 6wks - 5 y.o & > 50y.o - Give total of 4 doses to ped - Shake susp vigorously prior to adm

Hep B - Brand - Who should get it - CI - Infant born of Hep B + Mom - If diagnosed, what to do

- Engerix-B, Recombivax HB - 3 Doses total. Refrigerate Who should get it - Health care workers/Public safety workers - IV drug users - Sexually actives - Hemodialysis pts - Inmates - Adults w/ DM

Hepatitis A - Brand - Total of doses - Who should get it

- Havrix, Vaqta - Total: 2 doses at least 6M b/w Who should get it - All toddlers: age of 12 to 23M - Travel outside of U.S - Chronic liver disease - IVDA - Food handlers

Tdap - Brand - Indication

- Adacel: Adult age 11-64 y.o - Boostrix: Adult > 65y.o if close contact w/ children

Vaccinations - Brand/Generic Flashcards by Christina Marie

Influenza Virus

- Brand name

Afluria
Fluarix
FluLaval
Fluvirin
Fluzone
Flublok
FluMist

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Thimerosal -free

Thimerosal contained preservative

Thimerosal free

Fluzone
FluMist (also preservative free)

Thimerosal contained preservative (THIM)

Td
Hep B
Influenza
Meningococcal

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Flu Vaccines

Quadrivalent, live and given via nasal spray
Age:

FluMist

- Age: 2-49 y.o

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Fluzone HD

Indication
Contain

For senior > 65 y.o

- Contains 4x as much antigen as the standard adult vaccine to help boost immunity

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Fluzone Intradermal

Age
Contain
Why give ID

Age: 18-64
Contain 1/2 of IM dose but give same response
ID to avoid muscle pain.
ID cause more redness and swelling

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Ped

- Give which flu vaccines

Fluzone

Age 6-35M: 0.25mL IM repeat in 4W
Age 3-8 y.o: 0.5mL IM repeat in 4W

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FluMist

Avoid in
Age:

It’s a live vaccine
Avoid in asthmatics, pregnant, and immuno-compromised
Age: 2-49 y.o

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Influenza

Who should get it
Avoid in
Which has no egg
Adm during which months

Get it

> 50 y.o
Nursing home
Chronic respiratory, CVD, renal dysfunction, immumocompromised
Health care workers
All children age 6M to 18y.o

Avoid in

Guillian-Barre Syndrome
Allergy to chicken eggs & thimerosal

No egg
- Flublok

Adm
- Oct - Nov

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Pneumovax

Indication
Who should get it

23-valent vaccine given IM/SC
Adult pneumococcal vaccine

Who should receive the vaccine

> 65 y.o - 5 yrs since last dose
Who smoke > 18y.o
Asthma
Chronic disease
Immunocompromised
Pregnant Women with high risk conditions

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Prevnar

Indication
Total dose given
What to do b/4 give it

Pneumococcal 13-valent conjugated pneumococcal vaccine

Indication

Peds: 6wks - 5 y.o & > 50y.o
Give total of 4 doses to ped
Shake susp vigorously prior to adm

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Hep B

Brand
Who should get it
CI
Infant born of Hep B + Mom
If diagnosed, what to do

Engerix-B, Recombivax HB
3 Doses total. Refrigerate

Who should get it

Health care workers/Public safety workers
IV drug users
Sexually actives
Hemodialysis pts
Inmates
Adults w/ DM

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Hepatitis A

Brand
Total of doses
Who should get it

Havrix, Vaqta
Total: 2 doses at least 6M b/w

Who should get it

All toddlers: age of 12 to 23M
Travel outside of U.S
Chronic liver disease
IVDA
Food handlers

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Refrigerate

Freezer

Live Vaccines

Neomycin allergy

Gelatin allergy

Asplenia

Protect from light

Egg allergy

Refrigeration

All influenza vaccines
Hep B: Engerix-B, Recombivax HB
MMR
GARDASIL (also protect from light)
Rotavirus vaccine: RotaTeq, Rotarix
Typhoid fever: Vivotif Berna

Freezer

ProQuad
Varivax - Varicella
Zostavax

Live Vaccines - Give SQ

MMR
Varivax - Varicella
Zostavax
Rotavirus vaccine: RotaTeq & Rotarix
Typhoid fever: Vivotif Berna

Neomycin allergy

Varicella /Zostavax
MMR
ProQuad
IPOL (also contains: Streptomycin, Polymyxin B)

Gelatin allergy

Varicella
Zostavax

Asplenia
- Pneumococcal vaccine
- Meningococcal Vaccine

Protect frm light
- GARDASIL (also protect from light)

Egg

Flu vaccines except Flublok
Yellow fever vaccine

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DTaP

Brand
Age given
Total of doses

Which bacteria

Tetanus
Diphtheria
Pertussis

Daptacel

Kids: 6W - 6y.o (prior to 7th BD)
Total of 5 doses

Bacteria covers
- Tetanus: Clostridium tetani
   Rusty nail, locked jaw
- Diphtheria: corneybacteria diphtheriae
- Pertussis: Bordetella pertussis
  Whooping cough - high pitch

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Tdap

Brand
Indication

Adacel: Adult age 11-64 y.o

- Boostrix: Adult > 65y.o if close contact w/ children

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DTaP CI in kids with history of

Encephalophathy with prior DTaP
Unstable neurologic problems
Hz of sz
=> can use Tylenol or ibuprofen to min fever
Thimerosal allergy

MMR

Total dose
Age:
Give to:
CI
Strorage

2 doses
Age: 12-15M and 4-6y.o SC

Should receive

Health care workers, college students, international travelers
All women of child bearing age but not during pregnancy

Pregnancy => rubella may cause abortion
Immunocompromised: Live vaccine
Neomycin allergy => Rubella
Severe thrombocytopenia => Measles

Storage
- Refrigerate

ProQuad

What is
Storage
Diluent

MMR + varicella
Storage: freezer up to 18M
Refrigerator up to 72H b/4 reconstitution
Diluent: store at RT or fridge

Varivax

Generic
Total dose
Storage
CI

Vericella
Give 2 doses
Storage in freezer

Pregnant
Immunocompromised
Neomycin allergy
Gelatin allergy

=> Salicylates should AVOIDED 6WKS after varicella due to Reye’s syndrome

Varizag

Vericella zoster immune globin

- Give to decrease the severity of chicken pox when give within four days after exposure

IPOL

What is
Indication
Storage
Total doses
Contain

Polio vaccine => not a live virus
=> OPV: live virus: no longer available in U.S
I: Routine use in infants & children mainly. For adult only if travel to endemic area
S: refrigerator
Total doses: 4

Contain

Streptomycin
Neomycin
Polymyxin B

Hib

Brands
Total doses
Not give after ? age
Give as young as ? age

ActiHIB, HibTITER, PedvaxHIB
4 doses total
Not give after 5 y.o
Give as young as 2M

Gardasil

What is?
Indication
Gender
Age
Cover against HPV?
Which is genital & cervical cancer
How to give
Storage

GARDASIL is a recombinant Quadrivalent give IM
Indication: genital warts, anal cancer, cervical cancer
For men and women
Age: 9-26 y.o
Cover: 6, 11, 16, and 18
Genital: 6 and 11
Cervical: 16 and 18

Give

Total of 3 doses IM in deltoid
1st dose: select a date
2nd dose: 2M from 1st dose
3rd dose: 6M from 1st dose

Storage

Refrigerate
Protect from light

Cervarix

What is?
Gender/Indication
Age
How to give

For HPV bivalent type 16 and 18
Prevention of cervical cancer in females
Age 10-25 y.o

Give

Total of 3 doses
1st dose: select a date
2nd dose: 2M from 1st dose
3rd dose: 6M from 1st dose

Rotavirus vaccine - How it's given - #s of doses - Must give by what age? - Indication - Storage

RotaTeq - PO - Live vaccine squeeze ready to use tubes into infants inner cheek. If spits it out, replacement dose is not rec. - Total 3 doses: 2, 4, and 6M. Rotarix - PO - Live vaccine - Total 2 doses: Start 6W then 2nd dose 1M later. => MUST give by 6M - Indication: prevent gastroenteritis in young children - Storage: fridge

Ixiaro/JE-Vax - What is - How to give

- Japanese encephalitis vaccine - 2 doses IM 28 days apart - Age > 1y.o

Typhoid vaccines - Brand - Inactivate/activate - Age - Revaccine - When to give - How to give - Storage - Cause by

Typhim Vi - Inactivated IM - 2 years old or older - Revaccine Q2Y - Give 2W prior to exposure - IM - Storage: RT Vivotif Berna - LIVE - Activated give PO - 6 yrs or older - Revaccine Q5Y - Give 1W prior to exposure - PO: 4 doses QOD 1H prior to meal with cold/warm drink - Refrigerator => Capsules should be in the foil blister pack in the refrigerator until pt is ready to take them - Caused by: Salmonella Typhi

Yellow Fever - Type of vaccine: live/inactivate - Route of given - Age to give - CI

=> to prevent from mosquitoes - Live - SC - Age: >/= 9M CI - Age - Pregnant - Thymus disease or removal

Rabies vaccines - Brands - Post-exposure prophylaxis

- RabAvert, Imovax rabies, BioRab Post exposure prophylaxis - 1st Give human rabies immunoglobulin: HRIG on the day of the bite - Then give IM vaccines on day 0, 3, 7, 17, and 28 - Total of 5 doses

Comvax

- Haemophilus b + Hepatitis B

TriHibit

- Haemophilus b + DTaP | - only use for the 4th dose

TwinRix

Hepatitis A inactivated + Hepatitis B recombinant

Menhibrix

- Neisseria meningitidis serogroups C & Y - Haemophilus influenzae type B 4 doses

Menactra/Menveo - Age

Meningococcal vaccine conjugate vaccine IM - Age: 2-55 y.o

Menomune - Age

Meningococcal vaccine conjugate vaccine IM - Age: > 9mo can use> 55 y.o - Suitable for short term protection. Not as booster

Meningococcal polysaccharide vaccine | - Who should receive it

- College freshmen living in dorms - Lab personnel who are exposed - U.S military - Anyone traveling to endemic area - Damaged sleen or splenectomy - Ppl who might have been exposed to meningitis during an outbreak - Preg Cat C - Avoid in thimerosal allergy

Zostavax - Indication - Storage

Zoster live vaccine - Indication: for the prevention of shingles in individuals > 50 y.o - Storage: freezer. Diluent store in fridge or RT