CMN 571 Final
Study online at https://quizlet.com/_gypbdo
1. Laws related to All vaccine providers, public or private, are required by the National Vaccine
administering vac- Childhood Injury Act to give the appropriate VIS to the patient (or parent or
cines: VIS legal representative) prior to every dose of specific vaccines.
The appropriate VIS must be given prior to the vaccination, and must be given
prior to each dose of a multi-dose series. It must be given regardless of the age
of the recipient.
2. What is required to The edition date of the VIS (found on the back at the right bottom corner).
be recorded in the The date the VIS is provided (i.e., the date of the visit when the vaccine is
medical record? administered).
The office address and name and title of the person who administers the
vaccine.
The date the vaccine is administered.
The vaccine manufacturer and lot number.
3. Vaccines at birth Hep B
4. Vaccines at 4 D - Dtap
months R - Rotovirus
H - HIB
I - IPV
P - PCV
5. Vaccines at 2 B - Hep B
months D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
6. Vaccines at 6 B - Hep B
months D - Dtap
, CMN 571 Final
Study online at https://quizlet.com/_gypbdo
R - Rotovirus
H - HIB
I - IPV
P - PCV
7. Vaccines at 12-15 M - MMR
months A - HepA
D - Dtap
H - HIB
P - PCV
V- Varicella
8. Vaccines at 4-6 VERY - Varicella
years D - DTAP
I - IPV
M - MMR
9. Active immunity Resistance developed in response to infection with an agent resulting in anti-
body production. Active immunity is usually permanent. Can be either naturally
acquired through exposure and infection with the disease or artificially acquired
through immunization. Onset is 2-4 weeks and duration is years to lifetime.
10. Passive Immunity A person is given antibodies to a disease rather than producing them through
his or her own immune system. This is short term immunity through intro-
duction of antibodies to a disease. Can occur naturally as in the passage of
antibodies from the mother to the fetus during pregnancy or artificially acquired
through injection of antibodies such as gamma globulin. Onset is within 24
hours of the dose and duration is about 4-6 months.
11. Herd Immunity This occurs when a significant portion of the population is vaccinated and that
provides a portion of immunity for those that have not developed immunity.
The population (herd) helps prevent disease in the unprotected population.
, CMN 571 Final
Study online at https://quizlet.com/_gypbdo
The herd protects those who can not safely get vaccinations. Generally 90 -95%
of the population should be to be vaccinated to have effective Herd immunity.
12. Hep B Vaccine 3 dose schedule: 1st Should be given within 24 hours of birth (12 hours if
mother + or unknown HBsAg status). 2nd at 2 months and 3rd at 6 months.
Low rate of adverse events.
Contraindications: Do not give to anyone with serious allergic reaction to yeast.
Can be solo vaccine (engerix-B/Recombivax HB) or combined with Dtap & IPV
(pediarix)
13. Rotavirus Vaccine Rotavirus is the most common cause of severe gastroenteritis among young
children.
Two vaccines available - RV5 (Rotateq) and RV1 (Rotarix).
RV5 is 3 dose schedule at 2, 4, 6 months. RV1 is 2 dose schedule at 2 & 4
months.
Risks and contraindications: Risk of intussusception, should not be given to
infants with history. RV1 should not be given to infants with severe latex allergy
(package is latex). Both vaccines are contraindicated in SCID. Should be de-
ferred in infants with acute moderate to sever gastroenteritis.
14. DTaP Vaccine For prevention of diphtheria, tetanus, and pertussis (whooping cough)
Can be in combo with IPV & HepB, combo with IPV & HIB, or combo with IPV.
Should be deferred in individuals with progressive neuromuscular disorders
until neuro status is clarified and stabilized.
Moderate to severe systemic effects: fever, inconsolable crying, hypotonic-hy-
poresponsive episodes.
15. HIB Vaccine Haemophilus influenzae type B - causes a wide spectrum of serious infections
bacterial illnesses, particularly in young children, including meningitis, epiglot-
titis, pneumonia, septic arthritis, and cellulitis. Can be solo vaccine or combo
with Dtap and IPV. Given as series of 3 or 4 doses (depending on formula) OMP
is 3 - T is 4.
Not recommended in children over 5 yrs
, CMN 571 Final
Study online at https://quizlet.com/_gypbdo
Should not be given to infants under 6 weeks
Adverse effects are uncommon.
16. Pneumococcal Streptococcus pneumoniae - leading cause of invasive bacterial disease in chil-
vaccine dren, causes febrile bacteremia, bacterial sepsis, meningitis, and pneumonia.
Also a common cause of otitis media and sinusitis. Two vaccines in use: PCV13
and PCV23 (only 2yrs and older).
PCV13 given in 4 doses.
Both vaccines should be deferred during moderate or severe acute illness with
or without fever.
Adverse effects: fever, injection site reactions, irritabilit, and increased or de-
creased sleep.
Not proven - when given in conjunction with flu vaccine increased risk of febrile
seizures.
17. Poliomyelitis Polioviruses cause acute flaccid paralysis via destruction of the motor neurons.
IPV only vaccine available in the US, CANNOT cause polio.
Can be combined wth Dtap, Hep B, or HIB.
4 Dose series
Contraindications/Precautions: Should be deferred during moderate to severe
illnesses with or without fever. Pregnancy is a precaution.
No serious adverse reactions described.
18. Influenza Occurs each winter-early spring, often associated with significant morbidity and
mortality in certain high risk groups.
Annual vaccination is recommended for all persons over 6 months.
Fluzone for over 6 months. (fluvirin >4yrs and fluarix >3yrs, and afluria >9yrs)
Intranasal not currently recommened
Optimal time to vaccinate is as soon as the vaccine is available in early fall.
Two doses are recommended for children under 9yrs who did not recieve two
doses in the past.
Non type 1 egg allergies can still recieve the vaccine, type 1 egg allergies may
Study online at https://quizlet.com/_gypbdo
1. Laws related to All vaccine providers, public or private, are required by the National Vaccine
administering vac- Childhood Injury Act to give the appropriate VIS to the patient (or parent or
cines: VIS legal representative) prior to every dose of specific vaccines.
The appropriate VIS must be given prior to the vaccination, and must be given
prior to each dose of a multi-dose series. It must be given regardless of the age
of the recipient.
2. What is required to The edition date of the VIS (found on the back at the right bottom corner).
be recorded in the The date the VIS is provided (i.e., the date of the visit when the vaccine is
medical record? administered).
The office address and name and title of the person who administers the
vaccine.
The date the vaccine is administered.
The vaccine manufacturer and lot number.
3. Vaccines at birth Hep B
4. Vaccines at 4 D - Dtap
months R - Rotovirus
H - HIB
I - IPV
P - PCV
5. Vaccines at 2 B - Hep B
months D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
6. Vaccines at 6 B - Hep B
months D - Dtap
, CMN 571 Final
Study online at https://quizlet.com/_gypbdo
R - Rotovirus
H - HIB
I - IPV
P - PCV
7. Vaccines at 12-15 M - MMR
months A - HepA
D - Dtap
H - HIB
P - PCV
V- Varicella
8. Vaccines at 4-6 VERY - Varicella
years D - DTAP
I - IPV
M - MMR
9. Active immunity Resistance developed in response to infection with an agent resulting in anti-
body production. Active immunity is usually permanent. Can be either naturally
acquired through exposure and infection with the disease or artificially acquired
through immunization. Onset is 2-4 weeks and duration is years to lifetime.
10. Passive Immunity A person is given antibodies to a disease rather than producing them through
his or her own immune system. This is short term immunity through intro-
duction of antibodies to a disease. Can occur naturally as in the passage of
antibodies from the mother to the fetus during pregnancy or artificially acquired
through injection of antibodies such as gamma globulin. Onset is within 24
hours of the dose and duration is about 4-6 months.
11. Herd Immunity This occurs when a significant portion of the population is vaccinated and that
provides a portion of immunity for those that have not developed immunity.
The population (herd) helps prevent disease in the unprotected population.
, CMN 571 Final
Study online at https://quizlet.com/_gypbdo
The herd protects those who can not safely get vaccinations. Generally 90 -95%
of the population should be to be vaccinated to have effective Herd immunity.
12. Hep B Vaccine 3 dose schedule: 1st Should be given within 24 hours of birth (12 hours if
mother + or unknown HBsAg status). 2nd at 2 months and 3rd at 6 months.
Low rate of adverse events.
Contraindications: Do not give to anyone with serious allergic reaction to yeast.
Can be solo vaccine (engerix-B/Recombivax HB) or combined with Dtap & IPV
(pediarix)
13. Rotavirus Vaccine Rotavirus is the most common cause of severe gastroenteritis among young
children.
Two vaccines available - RV5 (Rotateq) and RV1 (Rotarix).
RV5 is 3 dose schedule at 2, 4, 6 months. RV1 is 2 dose schedule at 2 & 4
months.
Risks and contraindications: Risk of intussusception, should not be given to
infants with history. RV1 should not be given to infants with severe latex allergy
(package is latex). Both vaccines are contraindicated in SCID. Should be de-
ferred in infants with acute moderate to sever gastroenteritis.
14. DTaP Vaccine For prevention of diphtheria, tetanus, and pertussis (whooping cough)
Can be in combo with IPV & HepB, combo with IPV & HIB, or combo with IPV.
Should be deferred in individuals with progressive neuromuscular disorders
until neuro status is clarified and stabilized.
Moderate to severe systemic effects: fever, inconsolable crying, hypotonic-hy-
poresponsive episodes.
15. HIB Vaccine Haemophilus influenzae type B - causes a wide spectrum of serious infections
bacterial illnesses, particularly in young children, including meningitis, epiglot-
titis, pneumonia, septic arthritis, and cellulitis. Can be solo vaccine or combo
with Dtap and IPV. Given as series of 3 or 4 doses (depending on formula) OMP
is 3 - T is 4.
Not recommended in children over 5 yrs
, CMN 571 Final
Study online at https://quizlet.com/_gypbdo
Should not be given to infants under 6 weeks
Adverse effects are uncommon.
16. Pneumococcal Streptococcus pneumoniae - leading cause of invasive bacterial disease in chil-
vaccine dren, causes febrile bacteremia, bacterial sepsis, meningitis, and pneumonia.
Also a common cause of otitis media and sinusitis. Two vaccines in use: PCV13
and PCV23 (only 2yrs and older).
PCV13 given in 4 doses.
Both vaccines should be deferred during moderate or severe acute illness with
or without fever.
Adverse effects: fever, injection site reactions, irritabilit, and increased or de-
creased sleep.
Not proven - when given in conjunction with flu vaccine increased risk of febrile
seizures.
17. Poliomyelitis Polioviruses cause acute flaccid paralysis via destruction of the motor neurons.
IPV only vaccine available in the US, CANNOT cause polio.
Can be combined wth Dtap, Hep B, or HIB.
4 Dose series
Contraindications/Precautions: Should be deferred during moderate to severe
illnesses with or without fever. Pregnancy is a precaution.
No serious adverse reactions described.
18. Influenza Occurs each winter-early spring, often associated with significant morbidity and
mortality in certain high risk groups.
Annual vaccination is recommended for all persons over 6 months.
Fluzone for over 6 months. (fluvirin >4yrs and fluarix >3yrs, and afluria >9yrs)
Intranasal not currently recommened
Optimal time to vaccinate is as soon as the vaccine is available in early fall.
Two doses are recommended for children under 9yrs who did not recieve two
doses in the past.
Non type 1 egg allergies can still recieve the vaccine, type 1 egg allergies may
