MMR vaccine

Question 1

Contraindication for MMR?

Answer 1

severe allergic rxn after previous dose or vaccine component
pregnancy
known immune deficiency

Question 2

MMR precautions?

Answer 2

Recent <11months receipt of antibody-containing blood product
hx of thrombocytopenia/TTP
need for TB skin test
moderate or severe acute illness with/without fever

Question 3

Can pt receive MMR if he’s had a positive skin test or had simultaneous skin test?

Answer 3

YES; TB test if to be done must be postpone at least 4 wks after vaccine, since vaccine suppress tuberculin reactivity temporarily

Question 4

can breast feeding women get MMR vaccine?

Answer 4

YES

Question 5

Can asymptomatic or mildly asymptomatic HIV pt receive MMR vaccine?

Answer 5

YES

Question 6

What is the recommended schedule for MMR-1?

Answer 6

12-15 month

3-5 yrs for the booster dose

Question 7

What’s the recommended schedule for MMR 2

Answer 7

4-6 yrs old, min age = 13 month; no booster needed

Question 8

Contraindications of varicella vaccine?

Answer 8

severe rxn to after previous dose
known immune deficiency
PREGNANCY

Question 9

precautions for varicella vaccine?

Answer 9

Recent receipt of antibody-containing blood product (<11months)

moderate or severe acute illness with/without fever

Question 10

Can people with humoral immunodeficiency receive varicella vaccine?

Answer 10

YES

Question 11

What is one concern with combination vaccine of MMR and varicella?

Answer 11

children 12-23 mnths seizures