Vaccines

Question 1

Hepatitis B

Answer 1

0, 2, 6-18 months
Have to be 6 months+ for 3rd dose

Question 2

When MOB is Hep B +

Answer 2

Hep B and HBIG (Hepatitis B immune globulin) within 12 hours of life
Test for HBsAg and antibody after Hep B vaccine series (9-12 months of age)
Additional HBIG doses at 1-2 months, 6 months

Question 3

DTaP

Answer 3

2, 4, 6, 15-18 months, 4-6 years

Question 4

Tdap

Answer 4

11-12 years, then every 10 years
1 dose during each pregnancy

Question 5

Wound Management

Answer 5

<7 years old: clean/minor wounds, no intervention; all other wounds administer DTaP if more than 5 years since last dose
7+ years old: clean/minor wounds and more than 10 years since last dose, give Tdap; all other wounds administer Tdap if more than 5 years since last dose

Question 6

IPV

Answer 6

2, 4, 6-18 months, 4-6 years
Final dose on or after 4th birthday and at least 6 months after previous dose

Question 7

Rotavirus

Answer 7

Live virus vaccine, oral
Rotarix: 2, 4 months
RotaTeq: 2, 4, 6 months
Do not start series on/after 15 weeks, 0 days
Maximum age for final dose is 8 months, 0 days (32 weeks)

Question 8

Pneumococcal (PCV 13)

Answer 8

2, 4, 6, 12-15 months
Use separate syringe and injection site from other vaccines
Local reactions in up to 1/2 of recipients

Question 9

Pneumococcal Polysaccharide (PPSV23)

Answer 9

Begins at 2 years after completing PCV 13 series
For certain conditions: hemoglobinopathies, splenic dysfunction, asplenia, HIV, renal failure, nephrotic syndrome, chronic pulmonary disease, chronic cardiac disease, diabetes, congenital immunodeficiencies

Question 10

Haemophilus influenzae type b (Hib)

Answer 10

2, 4, 6, 12-15 months
Don’t give after the age of 5

Question 11

Inactivated Influenza (IIV)

Answer 11

For age 6 months+
If 6 months-8 years and first time getting flu, need 2 doses separated by 4 weeks
9 years: 1 dose

Question 12

Live Attenuated Influenza (LAIV4)

Answer 12

Live vaccine
For ages 2+
Don’t give if pregnant or immunosuppressed
More side effects, like a mild flu

Question 13

MMR

Answer 13

Live vaccine
12 months, 4-6 years
Contraindications/Precautions: moderate/severe acute illness, pregnancy, immunosuppression, recent blood product, family history of seizures if getting MMRV
Can be given at same time as PPD, but best practice is to wait 4-6 weeks for PPD
Can get mild rash

Question 14

Varicella

Answer 14

12 months, 4-6 years
Separate MMR and Varicella vaccines by 28 days if not administered at same visit
Maximum age for MMRV is 12 years
Can get maculopapular rash

Question 15

Hepatitis A

Answer 15

12 months, 18 months
Need to be at least 6 months apart

Question 16

HPV

Answer 16

<15 years: 2 doses at 0, 6-12 months
15+ or immunocompromised: 0, 1-2 months, 6 months
Fainting may occur after vaccination so need to be observed for 15 minutes

Question 17

Meningococcal

Answer 17

11-12 years, 16 years

Type B vaccine that isn’t routine but is recommended, at 16 years, 6 months later
Have to give same brand for both shots
Can give both types of meningococcal at 16

Question 18

If live virus vaccines are not given on the same day, what is the interval required between doses?

Answer 18

28 days

Question 19

Give live virus vaccines __ weeks prior to receiving antibody product.

Answer 19

2

Question 20

How long after receiving an antibody product must you wait before giving a live virus vaccine?

Answer 20

At least 3-11 months

Question 21

Vaccine doses administered </= __ days before the minimum interval are considered valid.

Answer 21

4