Vaccines- overview

Common live vaccines acronym

MICRO-VY

Common live vaccines

MICRO-VY

MMR

Intransal influensa

Cholera

Rotavirus

Oral typhoid

Varicella

Yellow Fever

how long until babies can get live vaccines

12 mo

exception to no live vaccines for baby rule

rotavirus

when do inactivated vaccines start for baby

2mo

TST vs live vaccine procedure to reduce false negative

give live vaccine on same day as TST; wait 4 weeks after live vaccine to perfrom TST; admin TST first, wait 24 hrs, and then give live vaccine

MMR/Varicella separation form IVIG products/blood products procedure

Vaccine, wait 2 weeks, then antibody product

anti body product, at least 3 months, vaccines

what is the timeline for mild systemic reactions after the live vaccine

3-21 days

dose of epi in allergic reactions

1:1000 dilution- 0.01mg/kg, max 0.5mg

is illness a reasonable reason to delay a vaccine?

only if it is moder/severe (mild illness or just on antibiotics doesnt count)

CI to a vaccine: diphteria, tetanus, pertussis

encephalopathy folliwng within a week of a previous pertussis containg vaccine

Precautions fo vaccine: diphteria, tetanus, pertussis

Guillain Barre syndrome wthin 6 weeks of previous diphtheria/tetanus/pertussis vaccine

Dtap/Tdap; infantile spasms, uncontrolled seizures

CI to vaccines; Hep B and HPV

hypersensitivity to yeast

CI to vaccines; influenza

LAIV4: pregnancy, immunosuppression, use of aspiring containing products (children), recent use of influenza antivirals (oseltamivir, zanamivir, peramivir, baloxavir), children 2-4 with ashtma/wheezing episode in 12 months, close contact with immunosuppresed person

Precautions with vaccine; influenza

All flu vaccines; Hx GBS wthin 6 weeks of previous flu vac

LAIV4; asthma in patient >5, comorbids that might be at higher risk for flu complications

Precaution with vaccines; RZV

pregnancy, breastfeeding; consider delaying vaccine

CI to vaccine; varicella

hx severe reaction to gelatin or neomycin

precautions to vaccine; varicella

use of acyclovir, famciclovir, valacyclovir in 24 hrs previous to vac; avoid them 14 days after vax too

CI to vaccine; rotavirus

hx intussusception

precaution to vaccine; rotavirus

chornic gi disease

ci to vaccine; yellow fever

severe reaction to eggs

which vaccines can be stored in freezer

varicella, MMRV, MMRII

IM vaccines

most vaccines

SQ only vaccines

yellow fever, dengue, small pox, monkey pox

IM or SQ vaccines

MMRII, MMRV, varicella, PPSV23, IPV

Intranasla vaccines

Flumist quadrivalent

PO vaccines

Typhoid (vivotif) capsules

Oral solution for cholera and rotavirus

IM needle needs

22-25 gauge, 1 (most) -1.5in (males>260lbs, females >200lbs)

SQ needle needs

23-25 gauge, 5/8 in