Vaccines

mNEXSPIKE (Moderna) for COVID-19

For 65+ years of age

or for 12-64 years of age at high risk

0.2 mL dose (will take 2 seconds to inject)

mRNA

Prefilled Syringes

Twist lock cap off

Attach a needle

Can get two per year ( wait 8 weeks - 3 months) to get 2nd shot

under 65 only need 1 dose, over 65 need two

Approved for use in 12+ years old

contains 1/5th of original strength covid shot

Fluad (Seqirus) Influenza Vaccine Adjuvanted [aIIV3]

For 65 + years of age

0.5 mL prefilled syringes (will take 5 seconds to inject)

Twist lock cap off

Attach a needle

(don’t worry about air bubbles, can get rid of if you want)

Only need one per season

can take a couple weeks before it takes affect

Flucelvax (Seqirus) Influenza Vaccine [ccIIV3]

6 months & up age

0.5 mL prefilled syringes (will take up to 5 seconds to inject)

Twist lock cap off

(don’t worry about air bubbles)

Attach a needle

Give while pregnant

Can take a couple weeks before it takes affect

Shingrix (GSK) for Shingles Zoster Vaccine Recombinant Adjuvanted (RZV)

For 50 + years age

0.5 mL prefilled syringes (will take up to 5 seconds to inject)

Twist lock cap off

(don’t worry about air bubbles)

Attach a needle

Give 2nd dose 2-6 months after initial dose

• It is fine to give 2nd dose after 6 months from initial dose

Boostrix [Tdap] (GSK) Tetanus Toxoid, Reduced Diphtheria, and Acellular Pertussis Vaccine Adsorbed

For any age 12+ basically

Every 10 years (or close to it) or if recent exposure to possible tetanus

Given during pregnancy

0.5 mL prefilled syringes (will take up to 5 seconds to inject)

Twist lock cap off

(don’t worry about air bubbles)

Attach a needle

MMR if born _____ year or later

If born in 1957 of later get MMR

If born before 1957 they are considered immune and don’t need it

If they want to get it they still can though

Varicella if born in ______ or later

Get Varicella if born in 1980 or later

If born before 1980 then they are considered immune and don’t need it

If they want to get it they still can though

SpikeVax (Moderna) COVID-19 Spikevax mRNA

For 65+ years of age

or for 6 months to 64 years of age at high risk

0.5 mL dose (will take 5 seconds to inject)

mRNA

Prefilled Syringes

Twist lock cap off

Attach a needle

Can get two per year ( wait 8 weeks - 3 months) to get 2nd shot

Approved for 6+ months old (more broad range, normal strength)

Born in 1975

50 + 1 years old in 2026

so 51 years old

Born in 1960

65 +1 years old in 2026

so 66 years old

IPV Catchup schedule

Should be completed by childhood

If Not:

Dose 1

Dose 2 1-2 months after

Dose 3 6-12 months after

HPV Catchup Schedule

under 45 (for the most part)

Age 9-14 years old

Dose 1

Dose 2 at 6-12 months later

Age 15 +

Dose 1

Dose 2 at 1-2 months later

Dose 3 at 6 months later

Shingrix for Shingles (RZV)

50+ years old

Dose 1

Dose 2 at 2-6 months later

Meningococcal ACWY

Dose 1 at 11-12 years old

Dose 2 at 16 years old

COVID-19 Vaccine

Mainly for 65+ years of age

Younger age “at risk can get it”

younger people have a higher risk of myocarditis (inflammation of the heart muscle) with vaccination, however the risk of getting myocarditis is equivalent/greater when contracting COVID-19

Dose 1

Dose 2: 6th months after

[2 Doses a year for the older folks]

[1 Dose is sufficient for the younger folks]

RSV Vaccine

75 + years of age

50 - 75 years old at “high risk” ex: diabetes, obese, COPD, weakened immune system

Or during 1st Pregnancy

Only need 1 shot during your life time

Recombinant

PCV Vaccine

Anyone can get

PCV 20 = 1 dose

PCV 21 = 1 dose

PCV 15 then PPSV 23 (wait 1 year betwen doses, unless severe immunocompromised then can do 8 weeks)

Hib Vaccine

Give to children 5 yrs and under

After 5 years old the risk decreases and it is not really needed

Pfizer Comirnaty for COVID-19

0.3 mL

Ages 12 - 64 years old

mRNA

Pfizer Comirnaty for COVID-19 (5-11)

0.3 mL

Ages 5 - 11 years old

mRNA

What vaccines need to be kept in Freezer?

MMRV must be frozen

(MMR can be in fridge or freezer)

Varicella

Spikevax frozen until thawed, then stored in fridge

NEVER freeze diluents

Pfizer’s ABRYSVO Vaccine for RSV

60 + years old

18 - 59 years old at increased risk (ex: COPD)

For Pregnant Women (32 - 36 weeks gestation) HAS TO BE WITHIN THIS PERIOD

Pfizer has two different mechanisms of reconstitution

Recombinant protein

GSK’s Arexvy for RSV

60 + years old

18 - 59 years old at increased risk (ex: COPD)

Do NOT use in pregnancy use the other one (Abrysvo)

Reconstitute

Recombinant protein

Gardasil 9 (Merck) for HPV

protects against 9 strains (genital warts and cancer-causing viruses)
Ages 9 - 14 years: 2 doses (at least 5 months apart)

Ages 9 - 14 years: 1 additional dose if doses 1-2 were less than 5 months apart

Age 15+ years: 3 doses (0 months, 1-2 months, 6 months)

Ages 27 - 45 years: if initiated in 9-14 years old and completing in this age group, then one additional dose, if initiated 15 + years then 3 doses (0 months, 1-2 months, 6 months)

Ages 27 - 45 based on clinically shared decision

Special situations:
Immunocompromising conditions, including HIV infection: complete 3-dose series, even for those who initiate vaccination at age 9 through 14 years.

Pregnancy: Pregnancy testing is not needed before vaccination. HPV vaccination is not recommended until after pregnancy. No intervention needed if inadvertently vaccinated while pregnant.

M-M-R II (Merck & Co.) Live Attenuated vaccine for MMR (measles, mumps, rubella)

SubQ or IM injection

requires reconstitution

Dose 1 at 12-15 months old

Dose 2 at 4-6 years old

Dose 1 must be at least 4 weeks after 1st dose

1 dose good 2 dose is better (for those at high risk, ex: healthcare)

do not give to immunocompromised or pregnant

6-11 months can get a dose if traveling internationally, but it doesn’t count towards two dose series

if born in 1957 or prior (probably don’t need it- immunity assumed)

does are interchangeable with Priorix ex: dose 1 mmr ii then dose 2 priorix

catchup interval between doses (age 19+) is 28 days

Priorix (GSK) Live Attenuated vaccine for MMR (measles, mumps, rubella)

*** SubQ ONLY ***

requires reconstitution

Dose 1 at 12-15 months old

Dose 2 at 4-6 years old

Dose 1 must be at least 4 weeks after 1st dose

1 dose good 2 dose is better (for those at high risk, ex: healthcare)

do not give to immunocompromised or pregnant

6-11 months can get a dose if traveling internationally, but it doesn’t count towards two dose series

if born in 1957 or prior (probably don’t need it- immunity assumed)

does are interchangeable with M-M-R II ex: dose 1 mmr ii then dose 2 priorix

ProQuad (Merck & Co.) for MMRV (measles, mumps, rubella, and varicella)

SubQ or IM

12 months - 12 years ONLY

Keep in freezer (powder only), keep diluent (liquid in fridge)

requires reconstitution

can be moved to a fridge for 72 hours, after that you must get rid of it (can’t put it back into the freezer)
try to get varicella and MMR single vaccines for 1st dose, then use ProQuad as 2nd dose (wait at least 3 months between doses)

not really the first/best choice