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when is an annual flu vax recommended “all special groups”
annually for those >6mo
Vaccinations; infants/children
3 dose hep b
RSV (if mom not vaccinated during pregnancy)
2mo: PCV15/PCV20, Dtap, Hib, polio, rotavirus
12 months; MMR, varicella
what must you avoid in children before 2 years
polysacchairde vaccine
polysaccharide vaccines
Pneumovax 23
vaccinations; health care professionals
annual influenza, hep b, varicella and MMR (or demonstrated immunity)
vaccinations; adolescents/young adults
meningococcal quadrivalent vaccin (MenACWY)- meveo or MenQuadfi. 2 doses (1 dose at 11-12yrs, 1 dose at 16yrs). First year college students if not previously vaccinated x 1dose
HPV reccomded at 11-12yrs. 2-3 doses
Tdap; first dose at 11-12 years
vaccines; pregnancy
no live vaccines; inactivated influenza vaccine in any trimerster, RSV (abryvso) administed if at weeks 32-36 during RSV seaseon, tdap x1 with each pregnancy (weeks 27-36)
vaccines; older adults
herpes zoster vaccine (shringrix) age >50 yrs, x2 doses, 2-6mo apart
Pneumococcal vaccine (age >65). PCV20 × 1 or PCV15 × 1, the PPSV23 ×1 at least 12 months later (8 weeks if immunocompromised)
vaccines; diabetes
Pneumococcal vaccine (Age 19-64); PCV20×1, or PCV15 ×1 f/b PPSV23 at least 1 year later (8 weeks if immunocompromised)
Hep B; age >60yrs if not already
vaccines; sickle cells/asplenia
H. influenzae type b (Hib)
Pneumoccocal vaccin (19-64 yrs) PCV20× 1 or PCV15 × 1, f/b PPSV23 8 weeks later
Meningococcal vaccines
Meningococcal quadrivalent vaccine (MenACWY- menveo or menquadfi) OR meningococcal serogroup B vaccin (MenB- bexsero or trumenba)
vaccines; immunodeficient
No live vaccines;
pneumococcal (age 19-64); PCV20×1 or PCV15 ×1 f/b PPSV23 8 weeks later
Herpes zoster vaccine (shringix) >19yrs; 2 doses, 2-6 months apart
vaccines; immunodefivicnet ADDITIONAL for HIV
Meningococcal quadrivalent vaccine (MenACWY- Menveo or MenQuadfi)
Hep B
Hep A
vaccines; whats considered immunodeficient
chronic renal failure/nephrotic syndrome, cancer, HIV, solid organ transplant, treatement with immunosuppressants
scheduled vax; influenza
annually, all patients
scheduled vax; shingles
Shingrix; all adults >50yrs, or >19 yrs if immunosuppressed
2 dose series (2-6 mo later, or 1-2 mo later if immunosuppresd)
vaccinate even if they had chickenpox or shingels or recieved Zostavax
scheduled vax; pneumococcal
age 19-64 wtih special medical conditions, or >65 if never received before
PCV20 ×1
PCV15 ×1 f/b PPSV23 1 year OR 8 weeks later if immunocompromised
what are the special conditions that would allow you to be eligible for the pneumococcal vaccine at 19-64yrs?
AUD, cigarette smoking, dm, chronic heart, lung or liver disease, sickle cell; HIV; cancer, solid organ tranplant, chornic renal fialure, immunsuppresiv edrugs
scheduled vax; hep b
if you havent gotten it yet as a baby;
all 19-59 yr/old
>60yrs if chornic liver disease, HIV, exposure via sexual activity, iv drug use, incarcerated, endemic area, blood exposure
hep b and hep a combo vaccine
Twinrix
scheduled vax; hep a
adults who are traveling ot enedmic area, household member/close contacts of adopted children from countries of mode/high infection risk, liver disease, hemophilia, men who have sex with men, illicit drug use, HIV
scheduled vax; meningococcal
Serogroup B (MenB) Bxsero, trumenba; give if complement componet deficieny, taking eculizumab/ravulizumab, asplenia, exposure ot Neissera meningitid, serogropu B menigococcal disease outbreak exposure
Quadrivalent conjugate (menACWY) menvero, menquadfi; same as above plus + hiv, travelers, military recrutis, first year college students, if not up to date
scheduled vax; HPV
adults <26 yrs who did not complete hpv series
may be given at 27-45 with an adequate risk discussion
scheduled vax; covid
>12 yrs (not moderately or severely immunocompromised)
naive; moderna/pfizer biontech x1 OR novavax x2 (0 and 3-8 weeks)