Live Vaccines
Who do we NOT give live vaccines to?
Elderly, pregnant women & immunocompromised
When do kids get their first dose of the HepB vaccine?
At birth
What is in Proquad and when do we give it?
MMR + Varicella
4-6 years
When do we give Tdap boosters?
When the kid is 11-12, then every 10 years after that (unless you had an exposure at least 5yrs after your last booster)
Does somebody who has had pertussis still get the TDaP?
Yes
Which live vaccine is contraindicated in households containing immunocompromised people?
Oral polio
How long after the first HepA dose is the second dose given?
6 Months
What is in Pediarix?
DTaP, HepB, IPV
Start at 50, get a second dose 2-6mo after
What size needle should you use to give vaccines to a small child? (gauge and length)
25 gauge, 1 inch
Do we give a live vaccine for shingles?
NO, we use Shingrix, which is NOT a live vaccine
Pediatric HepA Immunization schedule
12mo
18mo
What is in Kinrix
DTaP and IPV (inactivated polio)
Which vaccine should be administered every time during pregnancy?
Tdap
A patient is treated with Neomycin for E. coli diarrhea and has an anaphylactic reaction to the antibiotic. Which is vaccine is contraindicated in this patient?
Rotavirus
What are all the live, attenuated vaccines?
MMR, varicella, intranasal flu, oral polio, rotavirus,
Kids most commonly get their vaccinations at what intervals?
2, 4, 6, 12, 15, and 18 months and 4 years
What age is Kinrix given?
4-6 years old
How many doses of Gardasil would be given to a 17 year old?
3
Why do we have the patient sit for 15 minutes after a Gardasil administration?
High risk of syncope
What side effects can you expect to see from a child that received Proquad?
fever, redness at site, small dime sized rash at site, possible "pox" marks
6 monther comes in for a well visit - which vaccines should be administered?
Pediarix (DTaP, HepB, IPV)
Rotateq
HIB
Vaxneuvance (PCV 15)
Can we give Pediarix at birth?
NO!
What age is Menveo recommended?
Menveo is recommended to be given at 11 years old, however, it can be given to children as yound as 2 months if they are at high risk for meningitis
Koplik spots are indicative of which disease?
Measles