Pediatric/ Adolescent Immunizations
Diptheria Tetanus Vaccine
Abbr: DT Route: IM Schedule: 2mo, 4mo, 6mo, 15-18mo, 4-6yrs. Dose: 0.5mL Booster: N/A Age: 6 weeks to 6 years Indications: active immunity in children who cannot tolerate pertussis.
Diptheria, Tetanus, acellular Pertussis Vaccine
Abbr: DTaP Route: IM Schedule: 2mo, 4mo, 6mo, 15-18mo, 4-6 years Dose: 0.5mL Booster: N/A Age: 6 weeks- 6 years Contraindications: encephalopathy not attributed to an identifiable cause, within 7d after DTP/DTaP Precations: Events following a previous dose- temp>105F, crying>3hrs, shock-like state within 48 hrs, seizure within 3 days.
KINRIX Vaccine (Diptheria, Tetanus, acellular Pertusses- Inactivated Polio)
Abbr: DTaP- IPV Route: IM Schedule: Used for 5th dose in the DTaP immunization series and the 4th dose in the IPV immunization series in children 4-6 yrs old. Dose: 0.5mL Age: 4-6 yrs Precautions: latex allergies.
PENTACEL Vaccine: (Diptheria, Tetanus, acellular Pertussis- Inactivated Polio Vaccine- Hib)
Abbr: DTaP-IPV/Hib Route: IM Schedule: 2, 4, 6, and 15-18 months old Dose: 0.5mL Age: 6 weeks to under 5 years old.
Hepatitis A Vaccine
Abbr: Hep A Route: IM Schedule: 12 and 18 months old Dose: 0.5mL Booster: N/A Age: 12 months to 18 years
Hepatitis B Vaccine
Abbr: Hep B Route: IM Dose: 0.5mL Schedule: Newborns receive one dose before discharge, one dose at 1-2 months, and a third dose at 6-18 months. Doses 2 and 3 may be substituted with 2 doses of single-antigen vaccine or 3 doses of Comvax (2m, 4m, 12-15m) or Pediarix (2m, 4m, 6m).
Measles, Mumps, and Rubella
Abbr: MMR Route: SC Schedule: 12-15mo and 4-6 yrs Dose: 0.5mL Booster: N/A Age: 12 mo and older Contraindications: Pregnancy or possible pregnancy within 3 months. Notes: Reconstituted vaccine can stand for 8 hrs in fridge, swirl to reconstitute, DO NOT SHAKE.
Tetanus Diptheria Acellular Pertussis Vaccine
Trade Name: 1) Boostrix 2) adacel Abbr: Tdap Route: IM Schedule: Single Dose Dose: 0.5mL Booster: Single dose only (Td will be used for tetanus containing vaccine booster.) Age: 1) 10 years and older 2) 11-64 years
Influenza Vaccine (Injectable)
Trade Name: 1) Fluzone 2) Afluria Abbr: TIV (Trivalent Inactivated Vaccine, H1N1) Route: IM Schedule: Single Dose Dose: 0.5mL Booster: Annually Age: 1) 6 months and older 2) 5 years and older (CDC recommends 9+) Indications: Children who are chronically ill or living with chronically ill individuals. Notes: Ages 6 months to 8 years require 2 doses, 4 weeks apart minimum, during their first immunization season.
Human Papillomavirus Vaccine
Trade Name: 1) Gardasil 2) Cervarix Abbr: 1) HPV4 2) HPV2 Route: IM Schedule: 1) Day 0, 60, 180 2) Day 0, 30, 180 Dose: 0.5mL Booster: N/A Age: 1) 9-26 yrs 2) 9-25 yrs Indications: 1) males and females for HPV types 6, 11, 16, and 18. 2) females for HPV types 16 and 18.
Meningococcal Vaccine
Trade Name: 1) Menomune 2) Menactra 3) Menveo Abbr: 1)MPSV4 2)MCV4 3)MCV4 Route: 1) SC 2,3) IM Dose: 0.5mL Age: 1) 2 yrs and older, 2) 9 mo-55yrs 3) 2-55 yrs Notes: MPSV4 should be reserved for ages 55 yrs and older unless MCV4 is not available. Two doses of MCV4 are recommended for ages 11-18, the first dose at 11-12 with a booster at 16. Ages 11-18 with HIV need 3 doses, 2 doses 2 months apart at 11 or 12, plus a booster at 16.
Rotavirus Vaccine
Trade Name: 1) Rota Teq 2) Rotarix Route: PO Schedule: 1) 2, 4, 6mo 2) 2 and 4 mo Dose: 1) 2.0mL 2) 1.0mL Age: 1) 32 weeks 2) 6 weeks to 24 weeks Indications: 1) prevention of rotavirus gastoenteritis caused by the G1, G2, G3, and G4 serotypes. 2) prevention of rotavirus gastroenteritis caused by G1 and non-G1 types (G3, G4, G9)
COMVAX Vaccine (Haemophilus Influenza Type B- Hepatitis B)
Trade Name: COMVAX Abbr: Hib-Hep B Route: IM Schedule: 2 mo, 4 mo, and 12-15 mos. Dose: 0.5mL Booster: N/A Age: 6 weeks to 15 months Indications: Infants of HBsAg negative mothers.
Influenza Vaccine (Intranasal)
Trade Name: Flumist Route: IN Dose: 0.2mL Booster: Annually Age: 2-49 years Contraindications: Pregnancy Notes: Each sprayer must be divided between both nostrils. Children 6-8 yrs require 2 doses of flumist, at least 4 weeks apart, during their first immunization.
Polio Vaccine
Trade Name: Ipol Abbr: IPV Route: IM or SC Dose: 0.5mL Schedule: 2m, 4m, 6-18m, 4-6yrs Booster: Recommended for adults at greater risk of exposure. Notes: If the final doseshould be given on or after the 4th birthday and 6m after previous dose. If dose #3 is after 4th birthday and 6m after previous dose, dose #4 is not needed.
Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine
Trade Name: MenHibrix Abbr: Hib-MenCY Route: IM Schedule: 2, 4, 6, and 12-15 months Dose: 0.5mL Booster: N/A Age: 6 wks- 18 months Notes: Protect vials from light and discard if ever frozen.
Diphtheria-Hepatitis B-Inactivated Polio Vaccine
Trade Name: Pediarix Abbr: DTaP-Hep B-IPV Route: IM Schedule: 2, 4, 6 months Dose: 0.5mL Age: 6 weeks- 6 years
Pneumococcal Conjugate Vaccine
Trade Name: Prevnar 13 Abbr: PCV13 Route: IM Schedule: 2m, 4m, 6m, 12-15m Dose: 0.5mL Age: 6wks- 5yrs Indications: active immunity against pneumonia
Measles Mumps Rubella and Varicella
Trade Name: ProQuad Abbr: MMRV Route: SC Schedule: Days 0 and 28 Dose: 0.5mL Booster: N/A Age: 12-12 years Contraindications: Pregnancy or possible pregnancy within 3 months. Notes: Swirl to reconstitute, do not shake. MMRV has a shelf life of 30 minutes after reconstitution.
Diphtheria, Tetanus, (acellular) pertussis, and HibVaccine
Trade Name: TriHibit Abbr: DTaP-Hib Route: IM Schedule: Used for 4th dose of Hib and DTaP only. Dose: 0.5mL Booster: 0.5mL Age: 15-18mo
Varicella Vaccine
Trade Name: Varivax Abbr: VAR Route: SC Schedule: 12 mo and 4-6 years Dose: 0.5mL Age: 12 months and older
Haemophilus Influenzae Vaccine type b
Trade Names: 1) PedvaxHIB 2) ActHIB 3) Hiberix Abbr: Hib Route: IM Schedule: 1) PedvaxHIB- 2, 4, 12-15 months 2) ActHIB- 2, 4, 6, 12-15 months 3) Hiberix- one dose at 15-18 months Dose: 0.5mL Age: 1) 6 weeks- 71 months 2) 2-18 months 3) 15 months- 4 years Notes: Hib vaccines are interchangeable.
