Special Circumstance
What is the role of adjuvants in vaccines?
They help the body produce a more robust immune response to the vaccine antigen than the antigen alone leading to longer lasting immunity
TRUE or FALSE: You may administer Flumist (LAIV3) to pregnant patients
False
TRUE or FALSE: The minimum age that the DTaP vaccine can be administered is 6 weeks?
TRUE or FALSE: A person born prior to 1957 is considered to have immunity against measles?
True
What is the best resource for information on vaccines with the most up-to-date vaccine schedule recommendations?
The CDC Vaccine and Immunization website, The ACIP MMWR reports, other resources include Immunize.org.
WB recieved their Boostrix vaccination at the pharmacy today and asks the pharmacist when is he due for the next Boostrix vaccination? What is the Current recommended schedule for this vaccination?
10 years
According to the CDC, when is the Tdap vaccine recommened during pregnancy?
During weeks 27-36 of each pregnancy
The parents of TK are concerned about the current outbreak of measles and would like more information about the measles vaccine. TK is currently 10 months of age. What is the appropriate schedule for the MMR vaccine?
2 dose series at 12-15 months then at age 4-6
RC is a 76-year-old male presenting to the pharmacy for their RSV vaccine. After receiving the Arexvy vaccine, they asked when they should return for their next dose. What is the current recommendation for the Arexvy vaccine?
Currently only 1 dose is recommended for both RSV vaccines (Arexvy and Abrysvo)
JM presents to the pharmacy requesting the following: Influenza and COVID-19 vaccines. When filling out their screening form they indicated they have an allergy to eggs. Which vaccine is a non-egg based vaccine that could be administered for JM's influenza vaccination?
Recombinant influenza (Flublok) or cell culture based (Flucelvax)
AM is a years old woman presenting to the pharmacy. She states that their doctor recommended they get the Hepatitis B vaccine due to their recent diagnosis of diabetes. They have never had a HepB vaccine previously. The pharmacy only has Heplisav-B in stock. What is the recommended number of doses for this vaccine and what is the schedule?
2 dose series at 0,1 month
A pregnant patient presents to the pharmacy in October requesting the following vaccinations: Spikevax, Flucelvax, Abrysvo, and MMR. The patients states they are 34 weeks pregnant. Which one of the requested vaccines is contraindicated for this patient at this time?
MMR is a live vaccine and is not recommended during pregnancy
PR's parents are at the pediatricians office requesting information about the rotavirus vaccine. PR is currently 11 months of age and hoas not received any previous doses of the vaccine. What information can be provided to PR's parents?
PR is not eligible for the vaccine - maximum age to administer the first dose is 14 weeks and 6 days.
High dose (Fluzone-HD) or Recombinant (Flublok) or Adjuvanted (Fluad) if none of these are available the ACIP reccommends any influenza vaccine available.
DP is a patient living with HIV, presenting to the pharmacy asking if they can receive the varicella vaccine. Per the CDC, what is the recommendation for the varicella vaccine and this patient?
It is currently not recommended to administer live vaccines to those living with immunocompromising conditions such as HIV.
LT is a 68-year-old female presenting to the pharmacy for a pneumococcal vaccine. They previously received the PCV13 vaccine 2 years ago. They want to know which vaccine they should recieve today. Per the CDC guidelines, which vaccine should be recommended for this patient today?
1 dose of PCV20 or 1 dose of PCV21
MR is currently 34 weeks pregnant presenting to the pharmacy requesting information about the RSV vaccine, what information can the pharmacist provide to MR about the vaccine?
Can receive 1 dose of Abrysvo (approvded for 32 weeks - 36 weeks and 6 days) between the months of September - January in most parts of the country
KF is a 17 year-old immunocompetent female requesting information about the HPV vaccine. She wants to know how many vaccinations she needs to complete the series. Given KF's age and immune status, what is the recommended dosing schedule for the HPV vaccine per the CDC guidelines?
Ages 15 or older at initial vaccination should receive 3 dose series at 0,1-2 and 6 months
HP presents to the pharmacy requesting information about the Shingrix vaccine. HP is a 55-year-old male with current PMH of HTN. Is he a candidate for this vaccine, if yes, what is the recommended vaccine schedule?
Yes, it is recommended for those 50 years and older. The current schedule is: 2 doses separated by 2-6 months. it is also recommended for those 19-49 that are immunosuppressed or immunodeficient.
For which vaccine is shared clinical decision making utilized for those individuals aged 27-45, to protect against certain types of cancer?
Gardasil 9 - HPV