ROUTINE vaccines

Covid vaccines; mRNA

comirnaty (pfizer) or spikevax (moderna)

covid vaccines; protein subunit vaccine

Novavax covid 19

difference between DTap AND Tdap

childrens version (upper case D) have 3-5x more diphtheria content

DTap dosing

routine childhood; 5 doses given at age 2, 4, 6, 15, 18 months and 4-6 years. For children younger than 7 years old

DTaP

daptacel, infanrix

DTaP-IPV

kinrix, quadracel

DTaP-HepB-IPV

Pediarix

DTaP-IPV- HiB

Pentacel

DTaP-IPV-Hib-HepB

vaxelix

Td

Tenivac, TDVax

Tdap

adacel, boostrix

Td/Tdap scheduled dosing

Tdap at 11-12 years, with booster every 10 yrs

Td/Tdap special situations where youd wanna give it early than schedule

1) pregnanct patients in third trimester

2) clsoe contact of infants <12mo if you arent up to date

3) healthcare provider if not up to date

4) wound prophylaxis; for dirty wounds when last dose was more than 5 years ago

Hib

ActHIB, hiberix, PedvaxHIB

Hib schedule

routine vax between 2-15mo

ActHIB/Hiberix (4 doses)

PedvaxHib (3 doses)

Hep A vaccines

Havrix, Vaqta

Hepatitis A schedule

children; routine vacine. 2 doses at 12-23 months, 6 months apart.

Adults; men who have sex with men, drug use, chronic liver disease, HIV, areas wtih hepA

Hep B

Engerix-B Heplisav-B, Recombivax HB, preHevbrio

Hep B schedule

children; routine started within 24 hrs of birth. 3 doses given at age 0, 1-2, and 6-18 months

Adults (if not previously vaccinated)- all 19-59 yrs, or >60 if risk factors

Engerix-B, Recombivax HB, PreHEvbrio dosing

3 dose seriss at months 0, 1, and 6 (can be done at 4months if needed, but may need booster at 1 yr)

which hep b vaccine is for >18 only and not in preganncy

prehebvrio and heplisav-b

HeplisavB dose

2 dose series given at 0 and 1 months

HepA/Hep B (twinrix) dosing

3 dose series given at months 0,1, and 6

HPV9 (9 valent)

gardasil 9

HPV9 scheudle

age 9-26

given 11-12 yrs

if <15; 2 doses (month 0, month 6-12)

if >15, 3 doses (mont 0, 1-2, 6)

Quadrivalent inactivated influenzae vaccine (IIV4) for >6 months

Afluria, Fluarix, FluLaval, Fluzone - quadrivalent

Quadrivalent inactivated influenzae vaccine (IIV4) for >6 months and EGG FREE

Flucelvax Quadrivalent

Quadrivalent inactivated influenzae vaccine (IIV4) for >18yrs, EGG FREE

Flubok Quadrivalent

Quadrivalent inactivated influenzae vaccine (IIV4) for >65yrs

Fluzone HD quadrivalent, FLuad Quadrivalent

Quadrivalent LIVE influenzae vaccine (IIV4) for 2-49 yrs

Flumist

which flu strands to the quadrivalent vaccines

influenzae A and B

dosing for flu vaccines 6 mo-8yrs who have never had a flu vaccine before

2 doses, 8 weeks aparat

flu; safe for egg allergies

Flucelvax, flublok

flu; preferred for old people

fluzone hd, fluad, flublok

how to give flumist

0.2ml divided between two nostrils

MMR

M-M-R-II, priorix

MMRV (MMR +varicella)

Proquad

MMR schedule

children routine; 2 doses at 12-15months, and 4-6 yaers

Proquad is indicated fo 12mo-12yrs

adults born befor 1957 are considred immmune to what

measles and mups

Priorix must be given

SQ

MMR II storage

refridgerator or freezer

MMRV storage

FREEZER

MenACWY

MenQuadfi (ages >2yrs) Menvero (2mo-55yrs)

MenACWY schedule

2 dose series at ages 11-12 and 16yrs

people wiht ongoing risk should be revaxed every 5 years

Menveo counseling

both the powder/liquid vials contain vaccine; use only the supplied liquid for reconstitution

MenB

bexsero, trumenba

MenABCWY

Penbraya

MenB schedule

>10 yrs old at high risk (asplenia, eculizumab or ravulizuma, complement compoentn deficients, outbreak

Bexero, Penbraya; 2 doses 1 month apart

Trumenba; 2 doses 6 month apart

MenABCWY counseling

for ages 10-25 yrs when you want both MenB/ACWY at the same time

prefilled syringe (B) AND vial (ACWY) have vaccine. Need to use both

PCV20

prevnar 20

PCV15

Vaxneuvance

PPSV23

pneumovax 23

pneumococcal scheudle

children; 4 doses PCV15/PCV20 at 2, 4, 6, and 12-15 months

Adults (if not vaccinated); PCV20 X 1 or PCV15 × 1 f/b PPSV23 at 1 year OR 8 weeks if immunocompromised

PPSV23 how to give

IM or SC

IPV (inactivate polio virus)

IPOL

IPV schedule

routine childhood; 4 doses at age 2, 4, 6-18 mo, and 4-6 years.

IPV; how to give

IM or SQ

Rotavirus vaccines (live attenuated); RV1

Rotarix

rotavrisu vaccine (live attenuated); RV5

Rotateq

Rotaviurs vaccines; cousneling

give orally, store in fridge, do not initiate after 15 weeks

RV1/Rotarix and RV1/RotaTeq schedule

Rotarix; 2 doses at age 2 and 4 months

Rotateq; 3 doses at age 2, 4, and 6 months

RSV vaccines

Abryvsvo, Arexxy

RSV; abryvso/arexxy dosing

pregnant patiestn 32-36 weeks gestation during RSV seaseon (sept-jan); x1 dose to prevent RSV in baby <6 months

Adults >6o yrs at increasd risk; may x1 dose either

RSV monoclonal antibodies

Nirsevimab, palivixumab

Nirsevimab

beyfortus

palivizumab

synagis

RSV mabs schedule

neonates and infants <8 months born during/etnering first RSV season. x 1 dose beyfortus (if mom wasnt vaccinated)

Palivizumab/synagis reserved for premmies and hospitalized babies at risk

Varicella virus vaccine

Varivax

Varicella/Varivax schedule

routine childhood vaccine; x2 doses, given at age 12-15 months and 4-6 doses

may give 2 doses to anyone without evidence of immunity

Zoster/shngrix schdule

adultts >50 yrs OR adults >19 yrs who are immuno suppressed

2 doses at months 0 and 2-6 (second dose given 2-6 months later, may be given at months 1-2 if immunocopromised)

varivax counseling

avoid acyclovir, valacyclovir, famciclovir 24 hrs before and 14 days after vaccine

store in freezer (dilutent in fridge or room temp)

reconstitude immeiately upon removal from freezer, adn admin within 30 minuts

SQ or IM