1. Understanding Vaccines

2. Subcutaneous Injections
Varicella (LIVE)
1st Dose months
2nd Dose 4-6 years
Note- If Varicella and MMR are not given on the same day the doses must be separated by at least 4 weeks.
MMR (LIVE)
1st Dose months
2nd Dose 4-6 years
No longer necessary to avoid pregnant women or immunocompromised people after receiving vaccine

3. Intramuscular Injections
Dtap (Infantrix)
1st Dose 2 months
2nd Dose 4 months
3rd Dose 6 months
4th Dose months
5th Dose 4-6 years
Note- Minimum age for 1st dose 6 weeks
Hepatits A
1st Dose 12 months
2nd Dose 18 months

4. Intramuscular Injections
Hepatitis B
Hib (Haemophilus Influenzae)
1st Dose Birth
2nd Dose 1-2 months
3rd Dose 6-18 months
1st Dose 2 months
2nd Dose 4 months
3rd Dose 6 months

5. Intramuscular Injections
HPV9 (Gardisal)
MCV4 (Menactra) Meningcoccal
9-26 years of age
2 Dose Series (9-14yrs)
1st and 2nd dose separated by 6-12 months
3 Dose Series (15-26yrs of age)
-1st dose now
-2nd dose 1-2 months after 1st
-3rd dose 6 months after 1st
11 years and older -1st dose years old -2nd dose 16 years

6. Intramuscular Injections
PCV13 (Pneumococcal)
Polio-IPV
1st dose 2 months
2nd dose 4 months
3rd dose 6 months
4th dose months
1st dose 2 months
2nd dose 4 months
3rd dose 6-18 months
4th dose 4-6 years

7. Intramuscular Injections
Tdap (Adacel)
Influenza
11 years- 64years (recommended ages)
But Tdap is approved for children as young as 8 years of age
-1st dose years old
Boostrix
10years and older
Ped Dose 6month-35 months 0.25mL – if receiving first dose 2nd dose is to be administered 28 days after 1st

8. Combo Intramuscular Injections
Pediarix (Dtap-HepB-IPV) 6 weeks through 6 years Pentacel (Dtap-Hib-IPV) 6 weeks through 4 years
Kinrix (Dtap-IPV) 4 years through 6 years

9. Oral Vaccines Rotavirus (RotaTeq) 1st Dose 2months 2nd Dose 4 months
3rd Dose 6 months
*Max age for Rota virus vaccine is 8-months 0-days
Rotarix (Rotavirus) 1st Dose 2 months 2nd Dose 4 months

10. Approprite Vaccine Site
Intramuscular Injections Birth-4 years IM- Vastus lateralis Needle size IM - Birth to 5months in VL- 5/8in. Needle size IM- 6month to 4 years in VL- 1in. 4years-6years IM (depending on wt. of child)- Deltoid with needle size 5/8in. 7years and older IM (depending on wt. of child) - Deltoid with 1in. Needle Subcutaneous Injections Give in back of arms or in thighs using a TB syringe.

11. Insurance Company VFC Eligible (Birth-18years) Private
Medicaid Ins. Examples -Aetna Better Health of Ky, Passport, Ky Medicaid, Wellcare, Humana Care Source
Private
Examples- BCBS, Humana, Aetna, Tricare, Medicare, United Healthcare