Immunizations - Specific conditions/populations

19 important questions on Immunizations - Specific conditions/populations

Infant vaccine started at birth

Hepatitis B 3-dose series

Infant live vaccines started at >/= 12 months

MMR
Varicella

In infants & children, polysaccharide vaccines cannot be given before what age?

2 years
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In adolescents ages 11-12 yrs, what vaccines are recommended?

1. Tdap first dose
2. HPV (2 doses) preferred start 
3. MenACWY first dose, and second dose at 16 yrs

In first year college students in residential housing, if not previously vaccinated, what should be given?

MenACWY 1 dose

What is indicated in older adults >/= 50 years old?

Herpes zoster vaccine (Shingrix)
1st dose --> 2-6 mo --> 2nd dose

What is indicated in older adults >/= 65 years old?

PCV20 1 dose
OR
PCV15 1 dose --> 12 mo --> PPSV23 1 dose
if immunocompromised: PCV15 --> 8 weeks --> PPSV23 1 dose

What is required of healthcare professionals?

Annual flu vaccine

For healthcare professionals, if no immunity is demonstrated, what is needed?

Hep B
Varicella
MMR

In pregnancy, what flu vaccine can be given and when?

Inactivated flu vaccine, in any trimester

What vaccine is needed if pregnant at 32-36 weeks during RSV season?

RSV vaccine (Abrysvo)

What vaccine is given with each pregnancy, typically at 27-36 weeks?

Tdap

Along with giving Tdap in each pregnancy, who else needs a Tdap vaccine to protect the infant from pertussis (if not up to datet)?

Those in close contact with the infant (dad, grandparents, baby sitter)

What vaccines are needed in sickle cell disease & other causes of asplenia (damaged/missing spleen)?

Hib
MenACWY (Menveo or MenQuadfi)
MenB (Bexsero or Trumenba)

What vaccine is needed in adults 19-64 yes old, with sickle cell disease & asplenia (damaged/missing spleen)?

PCV20 1 dose
OR
PCV15 1 dose --> 8 weeks --> PPSV23 1 dose

What vaccines are recommended for adults >/= 19 years old & immunocompromised?

Herpes zoster (Shingrix) 1 dose --> 2-6 mo --> 1 dose
If 19-64 yrs: PCV20 1 dose OR PCV15 1 dose --> 8 weeks --> PPSV23 1 dose

What all vaccines are recommended for HIV immunocompromised patients?

[Shingrix, Pneuomo]
MenACWY (Menveo or MenQuadfi)
Hep A
Hep B   

What vaccines are recommended in diabetes patients ages 19-64 years?

PCV20 1 dose
OR
PCV15 1 dose --> 12 mo --> PPSV23 1 dose
if immunocompromised: 8 weeks later

What vaccine is recommended in diabetes patients >/= 60 years old and not previously vaccinated?

Hep B

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