Infectious Disease Book

http://www.fpnotebook.com/

Primary Series

Aka: Primary Series, Pediatric Vaccination, Immunization Schedule in Children
  1. See Also
    1. Adult Immunization
    2. Immunization Status Unknown
    3. Immunization
  2. Technique: Decreased adverse reaction associated factors
    1. Greater depth of injection with longer needle (2.5 cm or 1 inch)
      1. Fewer injection site reactions
    2. Use 23 gauge, 25 mm needle
  3. Adverse Effects: Safety
    1. See Immunization
  4. Contraindications
    1. See Vaccination
  5. Protocol: Vaccinations
    1. Hepatitis B Vaccine (HepB Vaccine)
      1. Dose 1: Birth to age 2 months
      2. Dose 2: Age 1 to 4 months (>1 month after dose 1)
      3. Dose 3: Age 6 to 18 months (>2 months after dose 2)
    2. Hepatitis A Vaccine
      1. Dose 1: Age 12 months
      2. Dose 2: Age 18 months
    3. DiphtheriaTetanus acellular Pertusis (DTaP Vaccine)
      1. Dose 1: Age 2 months
      2. Dose 2: Age 4 months
      3. Dose 3: Age 6 months
      4. Dose 4: Age 12 to 18 months (>6 months after dose 3)
      5. Dose 5: Age 4 to 6 years
      6. Tdap Booster: Age 11 to 12 years
    4. HaemophilusInfluenzae type B (Hib Vaccine)
      1. Dose 1: Age 2 months
      2. Dose 2: Age 4 months
      3. Dose 3: Age 6 months
      4. Dose 4: Age 12 to 15 months
    5. Inactivated Polio Vaccine (EIPV)
      1. Dose 1: Age 2 months
      2. Dose 2: Age 4 months
      3. Dose 3: Age 6 to 18 months
      4. Dose 4: Age 4 to 6 years (Dose 4 not needed if third dose given after age 4 years)
    6. Pneumococcal Conjugate Vaccine (PCV, Prevnar)
      1. Dose 1: Age 2 months
      2. Dose 2: Age 4 months
      3. Dose 3: Age 6 months
      4. Dose 4: Age 12 to 15 months
    7. Measles Mumps Rubella Vaccine (MMR)
      1. Dose 1: Age 12 to 15 months
      2. Dose 2: Age 4 to 6 years (by age 12 years)
    8. Varicella Vaccine
      1. Dose 1: Age 12 to 18 months
      2. Dose 2: Age 5 years
    9. Rotavirus Vaccine
      1. Dose 1: Age 2 months
      2. Dose 2: Age 4 months
      3. Dose 3: Age 6 months (not required if Rotarix was used for Dose 1 and 2)
    10. Influenza Vaccine
      1. Annually between age 6 months and 5 years
    11. Meningococcal Conjugate Vaccine (MCV4)
      1. Administer at 11-12 years or
      2. Before age 18 years
    12. Human PapillomavirusVaccine
      1. Dose 1: Age 11-12 years in boys and girls
      2. Dose 2: 2 months after first dose
      3. Dose 3: 6 months after first dose
  6. Protocol: Vaccination Schedule Example
    1. Well Child Visit at 2 months
      1. Hep B Vaccine (1) with Hib Vaccine (1)
      2. Pneumococcal Conjugate Vaccine (1)
      3. Diphtheria Tetanus Acellular Pertussis Vaccine (1)
      4. Inactivated Polio Vaccine (1)
      5. Rotavirus Vaccine (1)
    2. Well Child Visit at 4 months
      1. Hep B Vaccine (2) with Hib Vaccine (2)
      2. Pneumococcal Conjugate Vaccine (2)
      3. Diphtheria Tetanus Acellular Pertussis Vaccine (2)
      4. Inactivated Polio Vaccine (2)
      5. Rotavirus Vaccine (2)
    3. Well Child Visit at 6 months
      1. Hep B Vaccine (3)
      2. Pneumococcal Conjugate Vaccine (3)
      3. Diphtheria Tetanus Acellular Pertussis Vaccine (3)
      4. Inactivated Polio Vaccine (3)
      5. Rotavirus Vaccine (3)
        1. Not required if Rotarix was used for first two Rotavirus Vaccines
    4. Well Child Visit at 12 months
      1. Measles Mumps Rubella Vaccine (1)
      2. Varicella Vaccine (1)
      3. Hepatitis A Vaccine (1)
    5. Well Child Visit at 15 months
      1. Pneumococcal Conjugate Vaccine (4)
      2. DTaP Vaccine (4) with Hib Vaccine (3-4)
    6. Well Child Visit at 18 months
      1. Hepatitis A Vaccine (2)
    7. Well Child Visit at 4 to 6 years
      1. Diphtheria Tetanus Acellular Pertussis Vaccine (5)
      2. Inactivated Polio Vaccine (4)
      3. Measles Mumps Rubella Vaccine (2)
      4. Varicella Vaccine (2)
  7. Protocol: Special Circumstances
    1. Prematurity: Immunize if over >1000 grams or >27 weeks
      1. Low Incidence of Hepatitis B and Hib reactions
    2. Children with HIV Infection
      1. Inactivated Polio Vaccine (EIPV) in Primary Series (avoid Oral Polio Vaccine)
      2. Influenza Vaccine
      3. Pneumococcus Vaccine at 24 months
      4. Measles-Mumps-RubellaVaccine
  8. Resources
    1. CDC ACIP Recommendations
      1. http://www.cdc.gov/nip/publications/acip-list.htm
    2. Immunization Schedule
      1. http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html
  9. References
    1. Ackerman (2015) Am Fam Physician 92(6): 460-8 [PubMed]
    2. Diggle (2000) BMJ 321:931-3 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree