UNIT 4 (p3): PHARMACISTS IN IMMUNIZATION

Hepatitis B vaccine

What vaccine is given to unvaccinated individuals aged 9-18 years old?

3 doses at 0, 1, 6 months IM

What is the dosage schedule for the Hepatitis B vaccine?

Severe allergic reaction to vaccine component

What is a contraindication to the Hepatitis B vaccine?

Moderate to severe illness

What condition requires postponing the Hepatitis B vaccine?

Inactivated Hepatitis A vaccine

What vaccine is given in 2 doses with the second dose at least 6 months after the first for unvaccinated 9-18-year-olds?

2 doses, IM

How many doses and what route is used for the inactivated Hepatitis A vaccine?

Severe allergic reaction to vaccine component

What is a contraindication for both inactivated and live Hepatitis A vaccines?

Moderate to severe illness

What temporary condition postpones Hepatitis A vaccination?

Live Hepatitis A vaccine

What single-dose vaccine is given subcutaneously to unvaccinated 9-18-year-olds?

1 dose, SQ

What is the dosage and route for the live Hepatitis A vaccine?

Immunosuppression

What immune condition contraindicates live Hepatitis A vaccination?

Pregnancy

Why should live Hepatitis A vaccine not be given during pregnancy?

Recent receipt of blood products

What recent medical event is a contraindication for live Hepatitis A vaccine?

MMR vaccine

What vaccine is given in 2 doses with a 4-week interval for unvaccinated individuals aged 9-18 years?

2 doses, SC

How many doses and what route is used for the MMR vaccine?

Severe allergic reaction to vaccine component

What is a contraindication for MMR vaccination?

Moderate to severe illness

What condition may delay MMR vaccination?

Immunosuppression

Why is the MMR vaccine contraindicated in immunocompromised individuals?

Pregnancy

Why should the MMR vaccine not be administered during pregnancy?

Recent receipt of blood products

What recent medical procedure may interfere with MMR vaccination?

1 dose, SC

What is the recommendation for incompletely vaccinated 9-18-year-olds receiving their second MMR dose?

At least 4 weeks from 1st dose

What is the minimum interval required between the two MMR vaccine doses?

Varicella vaccine

What vaccine is given to unvaccinated individuals aged 9-18 years to prevent chickenpox?

3 doses, SC (9-12 years old)

How many doses and what route is used for varicella vaccination in unvaccinated 9-12-year-olds?

2 doses, SC (≥13 years old)

How many doses and what route is used for unvaccinated individuals 13 years or older?

Minimum 3 months (9-12 y/o)

What is the minimum interval between varicella doses for 9-12-year-olds?

Minimum 1 month (≥13 y/o)

What is the minimum interval between varicella doses for individuals 13 years or older?

Given anytime if incompletely vaccinated

When can the 2nd varicella dose be given to incompletely vaccinated individuals?

Severe allergic reaction to vaccine component

What is a general contraindication to the varicella vaccine?

Moderate to severe illness

What temporary condition can postpone varicella vaccination?

Immunosuppression

Why should varicella vaccine be avoided in immunocompromised individuals?

Pregnancy

Why is varicella vaccine contraindicated during pregnancy?

Recent receipt of blood products

What medical event may interfere with varicella vaccine effectiveness?

Influenza vaccine

What vaccine is given yearly to individuals aged 9-18 years?

1 dose annually, IM/SC

How often and by what route is the influenza vaccine administered?

February

When does annual influenza vaccination begin in the Philippines?

Severe allergic reaction to vaccine component

What is a contraindication for the influenza vaccine?

Moderate to severe illness

What condition may delay influenza vaccination?

Immunosuppression

Why is caution needed when administering live influenza vaccines to immunocompromised individuals?

Pregnancy

What special consideration is there for influenza vaccination during pregnancy?

Recent receipt of blood products

What medical history may affect the timing of influenza vaccination?

TD/TDAP vaccine

What vaccine protects against tetanus, diphtheria, and pertussis for 9-18-year-olds?

5 doses, IM

How many doses and what route is used for TD/TDAP primary and booster immunization?

4-week interval (1st-2nd dose)

What is the minimum interval between the 1st and 2nd doses of TD/TDAP?

6-month interval (2nd-3rd dose)

What is the minimum interval between the 2nd and 3rd TD/TDAP doses?

1 year after 3rd dose (1st booster)

When is the first TD/TDAP booster dose given?

1 year after 1st booster (2nd booster)

When is the second TD/TDAP booster dose given?

Incompletely vaccinated (4 doses)

What is the recommended schedule for those with only the 1st TD/TDAP dose?

0, 1, 2, 6 months

What is the catch-up schedule for incompletely vaccinated individuals receiving 4 TD/TDAP doses?

With 2nd doses (TD/TDAP)

What is the schedule for someone who has received 2 doses of TD/TDAP?

3 doses, 0, 1, 6 months

How many additional TD/TDAP doses and at what intervals are needed for someone with 2 prior doses?

With 3 doses (TD/TDAP)

What is the schedule for someone who has received 3 doses of TD/TDAP?

2 doses, 0, 6 months

How many additional TD/TDAP doses and at what intervals are needed for someone with 3 prior doses?

Fully vaccinated (TD/TDAP)

What is the booster recommendation for fully vaccinated individuals?

1 dose every 10 years

How often should a fully vaccinated person receive a TD or Tdap booster?

Bivalent HPV vaccine (2vHPV)

What HPV vaccine is given to females aged 15-18 in 3 doses at 0, 1-2, and 6 months?

3 doses, IM (0, 1-2, 6 months)

What is the dosing schedule and route for the bivalent HPV vaccine?

Quadrivalent or Nonavalent HPV vaccine (4vHPV/9vHPV)

What HPV vaccines are given to both males and females aged 15-18 years in 3 doses?

3 doses, IM (0, 2, 6 months)

What is the schedule for quadrivalent or nonavalent HPV vaccines for adolescents aged 15-18?

HPV vaccine for 9-14 years old

What is the dose schedule for HPV vaccination in younger adolescents?

2 doses, IM (0, 6-12 months)

How many doses and at what interval are HPV vaccines given to children aged 9-14?

Inactivated Influenza Vaccine (IIV)

What type of influenza vaccine is administered intramuscularly and includes preparations like Flucelvax, Flublok, Fluzone, and Afluria?

Flucelvax

Which IIV is egg-free and approved for individuals 6 months and older?

Flublok

What recombinant trivalent influenza vaccine is approved for ages 18-49 and is produced without using live virus?

Fluzone Intradermal

Which inactivated influenza vaccine is formulated for intradermal use in adults 18-64 years old?

Fluzone High Dose

What IIV is designed for individuals aged 65 and older and contains four times the amount of hemagglutinin?

Afluria

What IIV offers both a needle-free jet injector for ages 18-64 and traditional needle and syringe administration for 6 months and older?

Soreness, erythema, induration

What are common local adverse effects of inactivated influenza vaccines?

Egg allergy (epinephrine preparation)

What allergy is a concern with many influenza vaccines?

Live Attenuated Influenza Vaccine (LAIV)

What influenza vaccine is given intranasally and is approved for non-pregnant individuals aged 2-49?

FluMist

Which LAIV is delivered through a single dose sprayer that splits the dose between both nostrils?

Increased cough, runny nose, nasal congestion, sore throat, chills

What are common adverse reactions to FluMist?

Pneumococcal Polysaccharide Vaccine (PPSV)

What type of pneumococcal vaccine is indicated for individuals ≥50 years old and those ≥2 years at increased risk?

Pneumovax 23

What PPSV is not approved for use in children under 2 years and contains phenol?

Single-dose or 5-dose vial, IM or SQ

What are the administration forms and routes for Pneumovax 23?

Decreased response

What effect can immunodeficiency and chronic illness have on PPSV effectiveness?

Pain, swelling, erythema

What are common local adverse reactions to Pneumovax 23?

Pneumococcal Conjugate Vaccine (PCV)

What type of pneumococcal vaccine is suitable for individuals aged 6 weeks and older?

Prevnar 13

What PCV is administered intramuscularly and approved for infants starting at 6 weeks of age?

Tetanus toxoid

What vaccine contains tetanus toxin inactivated by formaldehyde?

Pediatric diphtheria-tetanus toxoid (DT)

What vaccine is given to children to protect against diphtheria and tetanus?

Adult tetanus-diphtheria toxoid (Td)

What vaccine is given to adults for protection against diphtheria and tetanus?

Severe allergic reaction or encephalopathy within 7 days

What is a contraindication for tetanus toxoid vaccination?

Fever, collapse/shock, inconsolable crying, seizure

What are possible adverse effects of tetanus toxoid vaccination?

Diphtheria toxoid

What vaccine is included in both pediatric DT and adult Td vaccines?

Acellular pertussis vaccine

What type of pertussis vaccine contains purified, inactivated components of Bordetella pertussis?

DTaP / Tdap

What vaccines combine diphtheria, tetanus toxoids, and acellular pertussis components?

Infanrix and Daptacel

What are two DTaP vaccines for children aged 6 weeks to 6 years?

Boostrix and Adacel

What Tdap vaccines are recommended for people 10 years and older, including pregnant women?

Pediarix

What combination vaccine contains DTaP, hepatitis B (recombinant), and inactivated poliovirus for infants 6 weeks to 6 years?

Pentacel

What vaccine combines DTaP, IPV, and Haemophilus influenzae type b conjugate for children 6 weeks to 4 years?

Kinrix

What vaccine is used for the 5th dose of DTaP or 4th dose of IPV in children aged 4-6 years?

M-M-R II

What is the live attenuated vaccine given for measles, mumps, and rubella starting at 12 months of age?

2 doses

How many doses of MMR vaccine are administered for effective immunization?

Varivax

What is the live attenuated varicella vaccine given to individuals 12 months and older?

ProQuad (MMRV)

Which combined vaccine includes measles, mumps, rubella, and varicella for children aged 12 months to 12 years?

Zostavax

What vaccine contains a higher titer of varicella-zoster virus and is given to patients 50 years and older?

Herpes Zoster (Shingles)

What disease results from the reactivation of the varicella-zoster virus (VZV)?

Zostavax

Which herpes zoster vaccine contains a higher titer of VZV and is given to patients 50 years and older?

HAVRIX (12 months to adult), VAQTA (12 months to adult)

Which inactivated hepatitis A vaccines require two doses given 6 to 18 months apart?