Spot the Shot: Injection Sites
Name the site of this skin test that involves injecting a small amount of purified protein derivative (PPD) into the skin to determine if someone has been exposed to tuberculosis.
The inner forearm
A 58-year-old patient with chronic lung disease and no prior RSV vaccination presents to the clinic requesting the RSV vaccine. Is the patient eligible to receive it?
YES
These two live vaccines can be given on the same day, but if not, you must wait at least this long between doses.
MMR & Varicella. 4 weeks apart.
Adults of what age should receive a single dose of the Zoster vaccine to prevent shingles?
50 years and older
What is the recommended tetanus-containing vaccine schedule for an adult with no prior vaccination history?
What is 3 doses total: TDAP now, Td or TDAP at least 4 weeks later, and Td or TDAP 6–12 months after dose #2.
What is site for giving epi pen injection?
Outer thigh
A healthy 17-year-old asks for MenB vaccine before college. What schedule options are allowed?
2 doses (0, 6 months) OR 3 doses (0, 1–2, 6 months)?
Adults born after 1957 with no evidence of immunity may need this vaccine.
MMR
What age group is eligible to receive FluMist?
2- 49 years
A microbiologist completed MenB last year and still works in the lab. What is needed now?
Booster dose 1 year after primary series
Which two sites are commonly used for the subcutaneous administration of Eligard?
Upper buttocks or Abdomen
For adults aged 50 yrs and older who received PCV20 one year before, what is the recommended series of pneumococcal vaccine they should receive?
None, series completed
Adults with no prior pneumococcal vaccines may receive this one dose instead of multiple shots.
PCV20
Adults in this age group with self-identified high-risk conditions may receive RSV vaccine.
50 through74 years old.
What is the minimum interval for a patient aged 65 and older or immunocompromised who has received one dose of the COVID vaccine to receive an additional dose?
2 months
What is the typical intramuscular (IM) injection site for a Kenalog (triamcinolone) injection?
Gluteal Muscle
A patient received 2 HPV doses before age 15, spaced at least 5 months apart. What is recommended now?
No further doses needed.
This vaccine, typically given in childhood, is recommended for certain adults with specific health conditions, such as those with asplenia, sickle cell disease, post BMT or immunocompromised conditions.
Hib
For which age group is the 20 mcg/1 mL dose of Hepatitis B vaccine recommended?
Aged 20 years or older.
What is the accelerated Twinrix series
0, 7, and 21--30 days, followed by a dose at 12 months
SIRVA (Shoulder Injury Related to Vaccine Administration) can occur if a vaccine is injected improperly into this muscle, causing pain or injury.
Deltoid muscle
A 25-year-old eligible patient receives dose #1 of JYNNEOS today. When is the earliest dose #2 should be scheduled?
Minimum interval of 28 days.
Name one complement inhibitor medication that makes a patient high risk to receive Men B vaccine
Eculizumab [Soliris], ravulizumab [Ultomiris], or sutimlimab (Enjaymo])
At what age are adults eligible for the HPV vaccine, according to the KP Santa Clara standing order?
Adults age 26 years or younger, and adults age 27-45 years based on shared clinical decision making.
If a patient received their first dose of the HPV vaccine at age 15 or older, what is the recommended interval for the second and third doses?
Give the 2nd dose 1–2 months (minimum of 4 weeks) after dose #1, then give the 3rd dose 6 months after dose 1 (minimum of 12 weeks after dose #2 and at least 5 months after dose #1).