Immunizations - Adult vaccines

48 important questions on Immunizations - Adult vaccines

Routine childhood vaccine for children younger than 7 years; 5 doses total at 2, 4, 6, 15-18 months & 4-6 yrs old.

DTaP ("D" for pediatric)

Routine booster typically given at ages 11-12 years

Tdap

Routine booster given every 10 years in adults

Td or Tdap
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In deep or dirty wounds for wound prophylaxis, if it has been more than how many years since the last Td or Tdap dose?

More than 5 years

In what adults should Hepatitis A vaccine be given?

Men who have sex with men, illicit drug use, chronic liver disease, homeless, HIV, some travelers

Routine childhood vaccine series of 2 doses given at age 12-23 months old with a minimum of 6 months between doses.

Hepatitis A

What is the purpose of the Human Papillomavirus Vaccine (HPV)?

Prevents cervical, vulvar, vaginal, penile & anal cancers, and genital warts

If the HPV vaccine is started before 15 (at the recommended age), how many doses are needed?

1st dose --> 6-12 mo --> 2nd dose

If the HPV vaccine is started after the age of 15 or if immunocompromised, how many doses are needed?

1st dose--> 1-2 mo: 2nd dose --> 6 mo: 3rd dose

Why should children <2 yrs not get Pneumovax 23?

They do not produce an adequate antibody response to polysaccharide vaccines

Routine childhood vaccine series with 4 doses given at age 2, 4, 6, 12-15 months

PCV15 or PCV20

Adults 65 and older, should receive which pneumococcal vaccines?

PCV20 1 dose
OR
PCV15 1 dose --> 12 mo --> PPSV23 1 dose

What specific medical conditions in adults 19-64 years old, indicate need for pneumococcal vaccines?

Cigarette smoking, diabetes, chronic heart, lung, or liver disease, immunocompromised, hypertension, gout

Can Pneumovax 23 (PPSV23) be given alone?

No, it must be given after another pneumococcal vax

What are the only live routine vaccines?

Rotavirus vaccines

How should the live Rotavirus vaccines be given?

Orally

What is the purpose of the RSV vaccine?

Prevents RSV associated lower respiratory tract disease during RSV season in high risk populations

What RSV vaccine is given to pregnant people at 32-36 weeks during RSV season to prevent RSV in infants <6 months old?

Abrysvo 1 dose

If the mother does not get RSV vax during pregnancy,  what needs to be given to neonates & infants <8 months old born during or entering their first RSV season?

RSV monoclonal antibody: Nirsevimab 1 dose (Beyfortus)

Which RSV monoclonal antibody is reserved for premature infants and infants at highest risk of hospitalization due to RSV infection?

Palivizumab (Synagis)

A live routine childhood vaccine series of 2 doses at 12-15 months & 4-6 years

Varivax

An adolescent or adult without evidence of immunity to varicella should be given how many doses of varicella vaccine?

2 doses

Because some antivirals can interfere with live Varivax, when should they be stopped/started around vaccination?

Stop 24 hrs before, and do not start back for 14 days

How should Varivax be stored?

In the freezer.
Diluent in fridge or room temp.

Varivax should not be given if there is a hypersensitivity to what?

Gelatin or neomycin

Is Shingrix a recombinant or live vaccine?

Recombinant

If a patient has already received Varivax or has a history of zoster infection since recurrence is possible, should they still be vaccinated for shingles?

Yes

How should Shingrix be stored?

Vaccine & adjuvant liquid in fridge (do NOT freeze)

What are the live measles, mumps, and rubella vaccines?

MMR: M-M-R II
MMRV
(MMR + varicella): ProQuad

Where should M-M-R II be stored?

Fridge or freezer

Due to the varicella component, where should the MMRV be stored?

Freezer

Where should the diluents for MMR vaccines be stored?

Fridge or room temp

How are MMR vaccines given?

SC

Routine vaccination for adolescents with a 2 dose series given at 11-12 years and 16 years old.

Meningococcal vaccines

Which MenACWY is for children 2 and older?

MenQuadfi

Which MenACWY is for ages 2 months-55 years but can be used in adults 56+?

Menveo

Which MenACWY has two vials (powder & liquid) that contains vaccine (only use the supplied liquid for admin)?

Menveo

MenB & MenABCWY can be given to which high risk people 10 years and older?

Asplenia/sickle cell disease
Lab workers with exposure to N. Meningitidis

During an outbreak

Can MenB or MenABCWY be given to someone NOT at high risk?

It is optional for patients 16-23 years who just want the vaccine

What are the MenB vaccines?

Bexsero & Trumenba

At what age should patients start to receive flu vaccine annually?

6 months

If patients ages 6 months - 8 years are not previously vaccinated, how many flu vaccine doses should they get?

2 doses (4 weeks apart)

Can patients with an egg allergy get any of the age-appropriate flu vaccines, even if severe allergy symptoms?

YES.

Which flu vaccines are egg-free?

Flublok
Flucelvax

Which flu vaccines can pregnant people get?

Any inactivated vaccines. NO LIVE.

What are the flu vaccines for 65 years and older?

Fluzone high dose, Fluad, Flublok

What are the flu vaccines approved for ages 6 months?

Afluria
Fluarix
FluLaval
Fluzone  

What is the only live flu vaccine approved for healthy people ages 2-49 years?

FluMist

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