• Pediatric Immunizations (CDC)
o Know vaccine schedule (birth to 6 years)
o Encourage vaccines as part of preventive care
o COVID vaccine is based on shared decision making
▪ 6 months to 17 years
o Influenza vaccine
▪ 6 months and older
o RSV vaccine
▪ Maternal or Infant October through March
▪ Baby can receive within first week of life if born through those
months
▪ Nirsevimab (RSV Vaccine)
• Age <8 months
o 50mg if <5kg; 100mg if > 5kg
• Age 8-19 months
o 200mg, administered as 2 100mg injections
▪ Can be administered during routine childhood vaccines. NO
interval between live vaccines and RSV is necessary.
▪ Effectiveness
• 80-90% effective in preventing hospitalizations
o VIS Information
▪ Must provide a copy of VIS sheet and explain to patient before
giving vaccine
▪ Document the vaccine given, where it was given, who gave it, the lot
#, and manufacturer #
• Vaccine Contraindications
o Sick children, bad reactions, seizures
o Low grade temp or mild illness is NOT a reason to delay
• Active Immunity
o Permanent.
o Acquired though exposure and infection with the disease or artificially
acquired through vaccines.
• Passive Immunity
o Given antibodies rather than producing their own. Short term immunity.
Example is Mother to Baby.
• Herd Immunity
o Vaccinated population helps provide immunity to those not vaccinated or
not developed immunity. Needs to be 90-95% population. But varies
depending on illness.
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