Vaccine Schedule

Which vaccinations are LIVE?

MMR, OPV, Varicella, Yellow fever, Rotavirus, Nasal flu, Small pox, BCG, oral typhoid

Live vaccines can interfere with each other if they are given less than ______ apart

28 days

Which vaccines are inactivated?

Whole cell (IPV), Fractional subunit (Hep B, DTaP), Fractional polysaccharide (Hib, Prevnar), Toxoid (Td), mRNA (Pfizer or Moderna COVID-19)

Are there contraindications to simultaneous administration of routine vaccines?

nope

What are contraindications for live vaccines?

Allergic response, encephalopathy, pregnancy, immunosuppression

What are invalid contraindications to vaccines?

mild illness, live w/ pregnant or immunosuppressed individual, breastfeeding, preterm birth, FMH of rxn, multiple vaccines, etc

What kind of vaccines cannot be given to pregnant women or severely immunosuppressed pts?

Live vaccines

Can the HPV vaccine be given during pregnancy?

No

When should pregnant women get the Tdap vaccine?

between 27-36 weeks

*not dependent on previous Tdap

DTaP and DT is used for children of what age?

<7 yo

DTaP schedule

5 doses: 2 months, 4 months, 6 months, 15-18 months, 4-6 years

Tdap and Td are not meant for children <____

7 yo

Tdap/Td schedule

Age 11-12 yo (if 5 years since previous vaccination), every 10 years therafter

What are the minimum ages for Tdap?

Boostrix: 10-65+ yo

MMR schedule

2 doses: 12-15 months, 4-6 years

MMR given prior to _______ is invalid

12 months

Is MMR safe to give to a patient with egg allergies?

Yes

Can MMR & Varicella vaccines be given in the same site?

NOOOOO

Hib is not recommended for children over what age?

59 months (5 years)

Hib dose #1 should NOT be given earlier than _________

6 weeks

Varicella schedule

2 doses: 12-15 months, 4-6 years

What are contraindications to the Varicella vaccine?

allergy, pregnancy, immunosuppression

Who should you NOT begin the Rotavirus series in?

infants older than 14 weeks + 6 days

If a pt is allergic to latex, which Rotavirus vaccine should they get?

RV5 (RotaTeq)

Which Rotavirus vaccine should you be cautious using in pts w/ Spina Bifida or bladder exstrophy?

RV1 (Rotrix) only

Who is the MenB vaccine recommended for?

any pt 16-23; pts 10+ yo at inc risk

Who should receive the flu shot?

All children/teens over 6 months

Hepatitis B schedule

3 doses: Birth, 1-2 months, 6-18 months

Rotavirus schedule (RV1 vs RV5)

RV1 = 2 doses: 2 months, 4 months

RV5 = 3 doses: 2 months, 4 months, 6 months

Hib schedule for ActHIB

2 months, 4 months, 6 months, 12-15 months*

* = booster

Hib schedule for PedvaxHIB or COMVAX

2 months, 4 months, 12-15 months*

* = booster

Hepatitis A schedule

2 doses that are 6-18 months apart for patients ≥1 yo

What is the Gardisil vaccine schedule if given prior to age 15?

2 doses: 0 and 6-12 months apart

What is the Gardisil vaccine schedule if given after age 15?

3 doses: 0, 2, 6 months apart

Pediarix schedule

3 doses: 2, 4, 6 months

*NOT approved for booster doses

How old must pts be to receive Twinrix?

18+ yo

Twinrix schedule

standard: 3 doses: 0, 1, 6 months apart

accelerated: 4 doses: day 0, 7, 21-30 days + booster @ 12 months

Memorize the Vaccination schedule

:)