Vaccine Flashcards
Vaccines that are live
- Rotavirus
- Influenza = Nasal (flu mist)
- Measles-Mumps-Rubella
- Varicella
Contraindications of Influenza
- anaphylaxis with egg
- pregnancy
- immunodeficiency
- chronic disease (asthma, renal, cardiac)
Contraindications of MMR
- pregnancy
- immunodeficiency
Contraindications of Varicella
- pregnancy
- immunodeficiency
Common side effects of Influenza
- 5% myalgia, malaise, fever
- Guillain-Barre Syndrome
Guillain-Barre Syndrome
- rate 1 case: 1 million adult vaccinations
- rate 4-7 cases: 100,000 adults with influenza
Measles-Mumps-Rubella Vaccine Common Side Effects
-none in >80% most common -local swelling/tenderness -mild fever/rash -joint discomfort
Common side effects of Varicella
chicken-pox like lesions at injection site or elsewhere 1 to 3 weeks after dose
Common side effects of HPV
local pain and dizziness
Which vaccine has the side effect of hypotonia
pertussis
Most common reactions associated with vaccine administration
erythema, tenderness at injection site, low-grade fever, fussiness
How do you administer multiple vaccines and what accommodations to provide for multiple vaccines
- inject in different sides of the body
- use combination vaccines when you can
Common administration sites for children less than 3 years old
- intramuscular in thigh
- subcutaneous shot in upper arm or fatty area of thigh
Common administration sites for children greater than 3 years old
- intramuscular in deltoid muscle
- subcutaneous shot on the back of the upper arm
Influenza vaccination preferred doses and times
Inactivated influenza vaccine
-greater than 6 months
Live attenuated influenza vaccine
-between ages 2 and 50 years
