Immunizations and Travelers

Pediarix

DTaP-HepB-IPV

Adacel

Tdap

Boostrix

Tdap

Havrix

Hepatitis A

Vaqta

Hepatitis A

Engerix-B

Hepatitis B

Heplisav-B

Hepatitis B

Recombivax HB

Hepatitis B

Gardasil 9

HPV9

Afluria

Influenza

Fluarix

Influenza

FluLaval

Influenza

Fluzone

Influenza

Flucelvax

Influenza

Fluzone High-Dose

Influenza

Fluad

Influenza

FluMist

Influenza (Live Attenuated)

M-M-R II

MMR

ProQuad

MMRV (MMR + Varicella)

MenQuadfi

MenACWY

Menveo

MenACWY

Bexsero

MenB

Trumenba

MenB

Penbraya

MenABCWY

Prevnar 20

PCV20

Capvaxive

PCV21

Vaxneuvance

PCV15

Pneumovax 23

PPSV23

Rotarix

Rotavirus 1 (RV1)

RotaTeq

Rotavirus 5 (RV5)

Abrysvo

RSV

Nirsevimab

RSV Monoclonal Antibody

Beyfortus

Nirsevimab (RSV Monoclonal Antibody)

Palivizumab

RSV Monoclonal Antibody

Synagis

Palivizumab (RSV Monoclonal Antibody)

Varivax

Varicella

Shingrix

Zoster Virus

RabAvert

Rabies

Vivotif

Oral Typhoid

Typhim Vi

Typhoid (IM)

YF-VAX

Yellow Fever

Vaxchora

Cholera

IM Only Vaccines

Most Vaccines

Subcutaneous Vaccines

Yellow Fever

IM or Subcutaneous Vaccines

M-M-R II

MMRV

Varicella

PPSV23

Intranasal Vaccines

FluMist

Oral Vaccines

Typhoid (Vivotif)

Rotavirus

IM Injection Angle

90 Degrees

IM Injection Location

Deltoid

Typical IM Needle Length

1 Inch

IM Needle Length for Males > 260 lbs or Females > 200 lbs

1.5 Inch

Subcutaneous Injection Angle

45 Degrees

Subcutaneous Injection Location

Fatty Tissue Over Triceps

Subcutaneous Needle Length

5/8 Inch

Number of Times to Document Temperature

Twice each workday

Length of Time to Keep Temperature Logs

At least 3 years

Which vaccines are stored in the freezer?

Varicella-containing vaccines (e.g., MMRV, varicella)

Where should diluents for reconstitution be stored?

Either in the refrigerator or at room temperature

Length of Time Between Receiving a Live Vaccine and Antibody-Containing Product

If vaccine first: at least 2 weeks

If antibody-containing product first: at least 3 months

Which patient populations should avoid live vaccines at all costs?

Immunosuppressed

Pregnant

Yellow Fever Vaccine Allergens

Eggs

Gelatin

Varivax DDIs

Antivirals (e.g., acyclovir, famciclovir, valacyclovir)

Management of Antivirals with Varivax

Stop antivirals 24 hours before vaccine administration. Do not administer antivirals until 14 days after.

Varivax Allergens

Gelatin

Neomycin

Healthcare Professional Vaccines

Influenza

Hepatitis B

Varicella

MMR

Adolescents & Young Adult Vaccines

MenACWY

HPV

Tdap

Sickle Cell Disease Patient Vaccines

H. Influenzae type B (Hib)

Pneumococcal

MenACWY

MenB

Asplenia Patient Vaccines

H. Influenzae type B (Hib)

Pneumococcal

MenACWY

MenB

Pregnant Patient Vaccines

Inactivated Influenza

RSV (Weeks 32-36)

Tdap (Weeks 27-36)

Immunodeficient Patient Vaccines

Pneumococcal

Herpes Zoster (Shingrix)

HIV Patient Vaccines

Pneumococcal

Herpes Zoster (Shingrix)

MenACWY

Hepatitis A

Hepatitis B

Older Adult Vaccines

Herpes Zoster (Shingrix)

Pneumococcal

RSV

Diabetic Patient Vaccines

Pneumococcal

Hepatitis B

Purpose of HPV Vaccine

Prevent cancers and genital warts

Purpose of RSV Vaccine

Prevents lower respiratory tract disease during RSV season

Management of Live Vaccines and TB Skin Test

Give live vaccine on the same day as the TST

Wait 4 weeks after a live vaccine for TST

Administer TST first, then give the live vaccine

Primary Pathogen of Travelers’ Diarrhea

E. Coli

Prophylactic Medications for Travelers’ Disease

Bismuth Subsalicylate

Rifaximin

Who should receive prophylaxis for Travelers’ Diarrhea?

Immunosuppressed

Significant comorbidities

Travel for performative reasons (e.g., athlete)

Mild Travelers’ Disease Treatment

Loperamide

Bismuth Subsalicylate

Moderate Travelers’ Disease Treatment

Loperamide

Azithromycin

Quinolone

Rifaximin

Severe Travelers’ Disease Treatment (Dysentery)

Azithromycin

Severe Travelers’ Disease Treatment (Without Dysentery)

Azithromycin

Quinolones

Rifaximin

Primary Pathogen of Typhoid Fever

Salmonella typhi

When should the oral typhoid vaccine be completed prior to travel?

At least 1 week prior

When should the IM typhoid vaccine be completed?

At least 2 weeks before expected exposure

Primary Pathogen of Cholera

Vibrio cholerae

How is meningococcal meningitis diagnosed?

Lumbar Puncture

What is Dengue characterized by?

Severe bleeding

Ixiaro

Japanese Encephalitis

Transmitter of Malaria

Anopheles mosquito

Most Common Malaria Species

Plasmodium vivax

Most Deadly Malaria Species

Plasmodium falciparum

Contraindicated Medications with Yellow Fever

Aspirin and other NSAIDs due to bleeding risk

When is the ICVP (“yellow card”) valid?

10 days after date of Yellow Fever vaccination

Prophylaxis of Zika Virus

Avoiding mosquito bites

Using condoms during sexual contact

Prophylactic Medication for Altitude Sickness

Acetazolamide

When is acetazolamide started for altitude sickness?

The day before (preferred) or the day of ascent

Adverse Effects of Acetazolamide

Polyuria

Photosensitivity

Contraindication of Acetazolamide

Sulfa Allergy