Routine Vaccines

Shake before use = turquois

COVID-19 (mRNA or protein-based)

One dose unless > 65 y/o, which require 2 doses.

Age 2-18 years receive based on risk assessment.

DTaP for less than 7 y/o

5 doses at age 2, 4, 6, 15-18 months, and 4-6 years

Td or Tdap

Booster at age 11-12 years and then, every 10 years.

Other:

• 3rd trimester of each pregnancy and for close contacts of infants

• wound prophylaxis - if deep/dirty wound and > 5 years since last dose (*TIG may be required).

Hib

3-4 doses at ages 2-15 months

Other: Adults with asplenia.

Hepatitis A

2 doses (6 months apart) at age 12-23 months

Other: men who have sex with men, illicit drug use, chronic liver disease, homelessness, HIV infection, and travelers to an endemic area.

Hepatitis B

3 doses at age 0 (within 24 hours after birth), 1-2, and 6-18 months.

If not previously vaccinated: age 19-59 yrs or > 60 yrs with risk factors

Hepatitis A and B

If needed prior to travel to high-risk areas.

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

HPV

Prevents cervical cancers and genital warts.

Recommended to start at age 9-12 years.

• 2 doses at months 0 and 6-12 if started before age of 15

• 3 doses at months 0, 1-2, and 6 if started after age of 15.

MMR

2 doses at age 12-15 months and 4-6 years

Other: 1-2 doses in adults if…

• no evidence of immunity

• healthcare worker

• HIV infection w/ CD4 count > 200 cell/mm3 for at least 6 months

• household contact of immunocompromised person

• student in post-secondary education

MenACWY

2 doses at ages 11-12 and 16 years

Ongoing risk = revaccinate every 5 years

• travelers to certain countries

• age > 2 months w/ sickle cell/asplenia or HIV infection

• lab workers

• 1st year college students living in residential housing

• military recruits

MenB or MenABCWY

High risk pts age > 10 yrs: asplenia, sickle cell disease, lab workers, and during an outbreak

• Revaccinate every 2-3 yrs if ongoing risk

No risk pts age 16-23 yrs: optional 2 doses

Pneumococcal vaccines

4 doses of PCV15 or PCV20 at ages 2, 4, 6, and 12-25 months

Adults > 50 w/ no prior vaccination or 19-49 yrs w/ certain med conditions (AUD, smoking, chronic heart/lung/liver disease, diabetes, immunocompromised state):

• PCV20, PCV21, or PCV15* ×1

*Must be followed by PPSV23 ×1 > 12 months laters (or > 8 wks if immunocompromised)

IPV:IPOL

4 doses at ages 2, 4, 6-18 months, and 4-6 years

Rotavirus vaccines

Rotarix: 2 doses at ages 2 and 4 months

RotaTeq: 3 doses at ages 2, 4, and 6 months

RSV vaccines and antibodies

RSV vaccine

• pregnant people at 32-36 wks of gestation during RSV season (Sep-Jan): 1 dose of Abrysvo

• adults > 75 yrs or 54-74 yrs at increased risk (COPD, asthma, HF, diabetes, LTCF, etc): 1 lifetime dose

RSV monoclonal antibody

• infants age < 8 month in their 1st RSV season: 1 dose if mother not vaccinated during pregnancy or vaccinated < 14 days prior to delivery.

Varicella vaccine

2 doses at ages 12-15 months and 4-6 years

adolescents/adults without immunity: 2 doses

*Stop antivirals 24 hrs before admin and don’t take for 14 days after.

*CI if allergy to gelatin or neomycin.

Zoster vaccine

2 doses at months 0 and 2-6 for adults age > 50 or > 19 yrs who are or will be immunocompromised

*2nd dose at month 1-2 if immunocompromised

*Vaccinate even if previously received Varivax or Zostavax, or has hx of zoster infection