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Hep A Vaccine - 🧠 ANSWER ✔✔- Routine immunization schedule for
children at minimum age 1 yr
- 2 doses at least 6m apart
Hep B Vaccine - 🧠 ANSWER ✔✔- 3 dose series
- #1: 0m
- #2: 1-2m
- #3: 6-18m after #1
DTaP Vaccine - 🧠 ANSWER ✔✔- <7 yrs of age
,- 5 dose series:
#1: 2m (minimum age 6 wks)
#2: 4m
#3: 6m
#4: 15-18m (6m after #3)
#5: 4-6y (final dose >4y)
Tdap - 🧠 ANSWER ✔✔- >7 yrs
- 11-12 yrs: Tdap booster- contains tetanus, diphtheria, and acellular
pertussis
- Tdap can be administered regardless of last interval since the last
tetanus- and diptheria-toxoid- containing vaccine
- After Tdap, pts should receive Td booster 10y (routine)
Pregnancy and Tdap - 🧠 ANSWER ✔✔1 dose Tdap during each
pregnancy, preferably in early part of gestational weeks 27-36
Hib (Haemophilus influenzae Type B) - 🧠 ANSWER ✔✔- #1: 2m
- #2: 4m
,- #3: 6m
- #4: 12-15m
- Unvaccinated at 15-59m: 1 dose
Pneumococcal conjugate vaccine (PCV) - 🧠 ANSWER ✔✔- 4 dose series
- given at 2, 4, 6, and 12-15 mo
- minimum age 6 wks (PCV13), 2 yrs (PPSV23)
Rotavirus Vaccination - 🧠 ANSWER ✔✔- Rotarix: 2-dose series at 2, 4mo
- RotaTeq: 3-dose series at 2, 4, 6 mo
- Do NOT start series on or after age 15 wks, 0 days
- Do NOT continue series after 8mo, 0 days
Polio (IPV only) - 🧠 ANSWER ✔✔- 4-dose series at ages 2, 4, 6-18mo, 4-6
yrs
- administer final dose on or after 4th bday and at least 6m after previous
dose
- IPV is not routinely recommended for US residents 18 yrs and older
- Oral polio no longer given in US
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, MMR or MMRV - 🧠 ANSWER ✔✔- 2 dose series
- #1: 12-15m
#2: 4-6 yrs
- second dose of MMR may be given at any time, provided at least 1mo
has elapsed since 1st dose and both doses are given at age 12m or older
- Contraindicated if allergic to neomycin or gelatin
Immunity with Live Attenuated Vaccines - 🧠 ANSWER ✔✔- Live attenuated
vaccines must replicate to produce immunity
- Fever, rash after live or attenuated immunizations represent a reaction to
viral replication, not the vaccine
- MMR and varicella are examples
- Give them on the same day or at least 4 wks apart
Live Attenuated Vaccines - 🧠 ANSWER ✔✔- Never give to children < 1 yr,
pregnant women, or immunocompromised pts
Varicella vaccine - 🧠 ANSWER ✔✔- Given at age 12-18m, booster 4-6yrs
OR age 11-12yrs if child lacks a reliable hx of chickenpox infection
- If given at age 13 yrs or later, 2 doses are required, at least 1mo apart