Vaccine Types
Vaccines are this type of immunity
This vaccine is given at birth
What is hepatitis B vaccine?
Nirsevimab (Beyfortus, RSV-mAb) may also be given at birth but is not a vaccine
This vaccine is not recommended in NICU babies
What is Rotavirus vaccine (live virus)?
The only true contraindication to a vaccine
What is a severe allergic reaction or anaphylaxis to a previous dose or any vaccine component?
Pregnancy is a contraindication for these vaccines
A live virus vaccine
What is: MMR, Varicella, Rotavirus, Influenza (LAIV, FluMist), Yellow fever, or Small pox
A vaccine given at 2 months of age
What is DTaP, IPV, Hib, PCV, HepB, or Rotavirus?
Acceptable: Vaxelis, Pediarix, Pentacel
The name of a combination vaccine
What is Vaxelis (DTaP-HepB-Hib-IPV), Pediarix (DTaP-HepB-IPV), Pentacel (DTaP-HepB/Hib), KINRIX or Quadracel (DTaP-IPV), or ProQuad (MMRV)?
A child with SCID (Severe Combined Immunodeficiency) should not receive these vaccines
What is live virus vaccines?
This is considered a "risk condition" for severe pneumococcal disease
What are any of the following?
Alcoholism, Chronic liver/heart/lung/renal disease
Diabetes mellitus
Cochlear implant, CSF leak
Asplenia, sickle cell and other hemoglobinopathies
HIV, congenital or acquired immunodeficiencies
Malignancy, immunosuppression, solid organ transplant
An example of an mRNA vaccine
What is COVID vaccine?
(Moderna and Pfizer-BioNTech are mRNA vaccines; Novavax is a protein subunit vaccine.)
A vaccine that cannot be given before 12 months of age
What is MMR, Varicella, or HepA?
In a 4 month old who is unimmunized, these vaccines are indicated
What are DTaP, IPV, Hib, HepB, and PCV?
Rotavirus must be started before 14 weeks, 6 days.
There is a risk of this if MMRV is given at 12 months of age
What is febrile seizure?
A PPD can be placed at the same time as a live virus vaccine - true or false
What is TRUE?
Ages at which infants are eligible to be immunized against RSV
What is:
1. <8mo born during or entering their 1st RSV season
2. 8-19mo if high-risk and entering their 2nd RSV season
In an infant <2kg with an HBsAg-positive mom, the number of Hepatitis B vaccine doses required to complete the series
What is 4 doses?
For infants <2kg, the birth dose is not counted toward completion of the routine HepB series.
3 additional doses should be administered at 1, 2-3, and 6mo.
The number of months required between the 3rd and 4th doses of DTaP
What is 6 months?
A contraindication to rotavirus vaccine
What is history of intussusception?
Vaccines should wait if corticosteroid therapy exceeds this dose
What is >2mg/kg/day or >20mg/day ("high-dose")?
Also, if >2 weeks of steroids
Children with increased risk for severe pneumococcal disease are eligible for this pneumococcal vaccine
What is pneumococcal polysaccharide vaccine (PPSV, Pneumovax 23)?
PCV20 is also acceptable in some situations
For children 6-18 years old with any risk condition who have not received any dose of pneumococcal vaccine, this vaccine is recommended
What is a single dose of either PCV15 or PCV20?
The final dose of Hib and PCV vaccines must be given after this age
What is 12 months old?
A contraindication to DTaP/Tdap vaccines
What is encephalopathy within 7 days of a previous dose?
This lab parameter helps determine whether children with HIV are too immunocompromised to get vaccines
What is CD4 count?