Memorize Immunization Schedule

Question 1

Birth Vac.

Answer 1

Hep B

Question 2

2 mo Vac.

Answer 2

Hep B 
DTAP 
Polio 
Hib (Haemophilus influenzae type b)
PCV (pneumococcal vaccine) 
RV (rotovirus)

Question 3

4 mo Vac.

Answer 3

DTAP 
Polio 
Hib 
PCV
RV

Question 4

6 mo Vac.

Answer 4

Hep B
DTAP 
Polio 
Hib 
PCV

Question 5

12 mo Vac.

Answer 5

Hib 
PCV 
Hep A
MMR
Var

Question 6

15-18 mo Vac.

Answer 6

DTaP

Hep A

Question 7

4-6 years old

Answer 7

DTaP
Polio
MMR
Var

Question 8

11-12 years old

Answer 8

Tdap
HPV
Men

Question 9

16 years old

Answer 9

Men

Question 10

Hep B

Answer 10

Birth, 2 mo, 6 mo (3rd dose can be given up to 18 months)

virus, insidious onset of malaise, anorexia, nausea, vomiting, right upper quadrant abdominal pain, fever, headache, myalgia, skin rashes, arthralgia and arthritis, and dark urine.

Question 11

DTaP (diptheria, tetanus, and pertussis)

Answer 11

2 mo, 4 mo, 6 mo
15-18 mo, 4-6 yrs

11-12 yrs TDap (every 10 years after)
*this is the 3 neg blood cultures one
BULLS NECK

Diptheria-Bacteria: Can affect any mucus membrane
Insidious onset of pharyngitis
Within 2-3 days membrane forms which can cause respiratory obstruction

Tetanus (bacteria): Trismus or lockjaw, followed by stiffness of the neck, difficulty in swallowing, and rigidity of abdominal muscles. Other symptoms include elevated temperature, sweating, elevated blood pressure, and episodic rapid heart rate. Spasms may occur frequently and last for several minutes. Spasms continue for 3-4 weeks

Pertussis (bacteria):
Onset of coryza, sneezing, low-grade fever, and a mild, occasional cough, similar to the common cold
Cough gradually becomes more severe, and after 1–2 weeks, the second, or paroxysmal stage, begins
Paroxysms, of numerous, rapid coughs, apparently due to difficulty expelling thick mucus from the tracheobronchial tree
At the end of the paroxysm, a long inspiratory effort is usually accompanied by a characteristic high-pitched whoop

Question 12

IVP Polio (inactivated polio vaccine)

Answer 12

2 mo, 4 mo, 6 mo (anywhere from 6 to 18 months)
4-6 yrs

viral; affects the legs
Up to 72% of all polio infections in children are asymptomatic
Approximately 24% of polio infections in children consist of a minor, nonspecific illness without clinical or laboratory evidence of central nervous system invasion
Nonparalytic aseptic meningitis (symptoms of stiffness of the neck, back, and/or legs), usually following several days after a prodrome similar to that of minor illness, occurs in 1%–5% of polio infections in children
Fewer than 1% of all polio infections in children result in flaccid paralysis

Question 13

Hib (Haemophilus influenzae type B)

Answer 13

2 mo, 4 mo, 12 mo (up to 18 months)

if its the 4 dose series, its 2, 4, 6, 12

bacteria; meningitis, epiglottitis, pneumonia, arthritis, and cellulitis

Question 14

PCV13 (protects against pneumococcal disease)

Answer 14

2 mo, 4 mo, 6 mo, 12 mo (can be given from 12 to 15 months)

When both PCV13 and PPSV23 are indicated, administer PCV13 first. PCV13 and PPSV23 should not be administered during the same visit, wait 8 weeks.

Chronic heart disease (particularly cyanotic congenital heart disease and cardiac failure), chronic lung disease (including asthma treated with high-dose, oral corticosteroids), diabetes mellitus:

bacteria; Abrupt onset of fever and chills or rigors. Classically there is a single rigor, and repeated shaking chills are uncommon, pleuritic chest pain

Question 15

RV (rotovirus)

Answer 15

2 mo, 4 mo

(and then 6 months for the 3 dose version)

virus
May cause self-limited watery diarrhea, or may result in severe dehydrating diarrhea with fever and vomiting. Up to one-third of infected children may have a temperature greater than 102°F

Question 16

Hep A

Answer 16

12 mo, 18 mo minimum interval between doses is 6 months

abrupt onset of fever, malaise, anorexia, nausea, abdominal discomfort, dark urine and jaundice

Question 17

MMR (measles, mumps, rubella)

Answer 17

12 mo, 4-6 years

*live attenuated vaccine!
All three of these are caused by a VIRUS

Measles:
Fever, which increases in stepwise fashion, often peaking as high as 103°F –105°F
Onset of cough, coryza (runny nose), or conjunctivitis
Koplik spots, a rash present on mucous membranes
Maculopapular eruption that usually lasts 5–6 days. It begins at the hairline, then involves the face and upper neck. During the next 3 days, the rash gradually proceeds downward and outward, reaching the hands and feet. The maculopapular lesions are generally discrete, but may become confluent, particularly on the upper body.

Mumps:
myalgia, malaise, headache, low-grade fever

Rubella:
1 to 5 day prodrome with low-grade fever, malaise, lymphadenopathy, and upper respiratory symptoms preceding the rash. The rash of rubella is maculopapular and occurs 14 to 17 days after exposure. The rash usually occurs initially on the face and then progresses from head to foot. It lasts about 3 days and is occasionally pruritic.

Question 18

Varicella (chicken pox)

Answer 18

12 mo, 4-6 years

virus; Varicella: mild prodrome may precede the onset of a rash: The rash usually appears first on the head, then on the trunk, and then the extremities; the highest concentration of lesions is on the trunk. Vesicular, 1-4mm, may rupture and crust. Form in crops. “Dewdrop on a rose petal.”
Shingles: The vesicular eruption of zoster generally occurs unilaterally in the distribution of a sensory nerve. Most often, this involves the trunk or the fifth cranial nerve. Two to four days prior to the eruption, there may be pain and paresthesia in the involved area. There are few systemic symptoms.

*live attenuated vaccine!

Question 19

HPV

Answer 19

11-12 years

• can start as early as age 9
• minimum interval between doses is 5 months

virus;
Anogenital warts, respiratory papillmatosis, cervical, anal, vaginal, vulvar and penile cancers

Question 20

Meningococcal vaccine

Answer 20

11-12 years, 16 years

bacteria; sudden onset of fever, headache, and stiff neck (nuchal rigidity), often accompanied by other symptoms, such as nausea, vomiting, photophobia (eye sensitivity to light), and altered mental status.

Question 21

Influenza (both IIV and LAIV)

Answer 21

2 doses, separated by at least 4 weeks, for children age 6 months–8 years who have received fewer than 2 influenza vaccine doses before July 1, 2019, or whose influenza vaccination history is unknown (administer dose 2 even if the child turns 9 between receipt of dose 1 and dose 2)

1 dose for children age 6 months–8 years who have received at least 2 influenza vaccine doses before July 1, 2019

***1 dose for all persons age 9 years and older (what we get every year)

NOTE: you can only start giving the live version at 2 years old