Vaccine |
Indications |
Ages |
Primary Series |
Catch-up |
Live virus |
Comments |
Haemophilus influenza B |
All children |
>6 weeks of age |
2m, 4m, 6m, 12-15m |
Variable |
No |
Not routinely given once >5 years old |
Hepatitis A |
All children, travelers, high risk groups, post-expsure |
>1 years old |
2 doses 6 months apart |
2nd dose can be given anytime after 6 months. Repeating entire series not indicated |
No |
Antibody titers recommended to ensure protection |
Hepatitis B |
All children, travelers, high risk groups |
All |
3 doses at 0, 1 and 6 months. |
Ok to administer 6 month dose at a later interval but need to confirm antibody response |
No |
Antibody titers recommended to ensure protection, a repeat 3 shot series often needed. No indication for more than 2 vaccination series |
Herpes zoster |
Adults age >60 |
>60 |
1 dose |
NA |
Yes |
|
HPV |
Females age 11-26 |
11-12 |
0,2, 6 months |
Must be at least 24 weeks between doses #2 and #3 |
No |
|
Influenza Flumist (seasonal) |
All children 2-18 years and all high risk patients |
>2 years of age and <50 |
Yearly |
If first flu vaccine, 2nd dose required 4 weeks later |
Yes |
|
Influenza IM (seasonal) |
All children 6mos -18 years and all high risk patients |
>6 mos of age |
Yearly |
If first flu vaccine, 2nd dose required 4 weeks later |
No |
|
Influenza Flumist (H1N1) |
All children 2-18 years and all high risk patients |
>2 years of age and <50 |
NA |
If first flu vaccine, 2nd dose required 4 weeks later |
Yes |
|
Influenza IM (H1N1) |
All children 6mos -18 years and all high risk patients |
>6 mos of age |
NA |
If first flu vaccine, 2nd dose required 4 weeks later |
No |
|
MMR |
Everyone |
>12 months |
#1 12-15mos, #2 4-6 years |
Must space 2 doses at least 4 weeks apart. |
Yes |
|
Meningococcal (Menactra* or Menomune) |
Menactra age 11 or later and to unvaccinated college students |
Menomune if ages 2-10 or >55 |
1 dose |
NA |
No |
|
Pneumococcal |
All pediatrics but only high risk adults |
Conjugate (PCV) vaccine < 5 yo; polysaccharide (PPSV) vaccine >2 yo |
PCV 2m, 4m, 6m, 12-15m; PPSV at any age >2, repeat dose 5 years later |
PCV catch-up varies, 2nd dose of PPSV can be given at any interval after 5 years |
No |
|
DTaP |
Everyone |
Ages 0-10 |
5 doses; 2m, 4m, 6m, 15-18m,4-6 yrs |
|
No |
|
Tdap |
Used for DTap booster once >11 yo |
Age >11 |
Booster every 10 years |
Use Td vaccine at weeks 0, 2, 24 then every 10 years. 1 dose of Tdap during series is acceptable |
No |
|
Varicella |
Age >12 months and no history of Varicella infection |
>12 months |
Dose #1 at 12 months, #2 after age of 4. |
2nd dose can be given at any interval after first dose |
No |
|