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IMUNISASI2
IMUNISASI2
• WHO? All provider of vaccines, both public and private sector must give out VISs
• WHY ? It is a requirement of the National Childhood Vaccine Injury Act of 1986. Their
purpose is to inform vaccine recipients, or parents of children getting vaccines, about the
benefits and risks of vaccines.
• WHEN? They must be given out at the time of each vaccination — prior to administration of
the vaccine.
DTaP 6 weeks
HbCV
HbOC 6 weeks 1 mo 1 mo 2 mo and at least 12 mo
of age
PRP-T 6 weeks 1 mo 1 mo 2 mo and at least 12 mo
of age
PRP-OMP 6 weeks 1 mo 2 mo and at
least 12 mo of No dose 4
age
Vaccine Min. Age Min. Interval from Min. Interval Min. Interval
for 1st dose dose 1 to 2 from dose 2 from dose 3
to 3 to 4
Combined 6 weeks 1 mo 1 mo 6 mo
DTP/HbCV
OPV 6 weeks 6 weeks 6 weeks
IPV 6 weeks 1 mo 6 mo
Rotavirus 6 weeks 3 weeks 3 weeks
Measles or 12 mo 1 mo
MMR
Varicella 12 mo 1 mo
Special vaccines
Hep A
Havrix 2 years 6 mo
Vaqta 2 years 6 mo
1
If possible, vaccine associated with local or systemic side effects (e.g., cholera, heat phenol inactivated
parenteral typhoid, and plaque vaccines) should be administered on separate occasions to avoid
accentuated reactions.
2
The combination of cholera and yellow fever vaccine is the only exception. If the time permits, this
antigens should not be administered simultaneously, and at least 3 weeks should elapse between
administration of cholera and yellow fever vaccine.
ALGORITHM FOR TESTING AND DESENSITIZATION
FOR VACCINATING PATIENTS WITH
HYPERSENSITIVITY TO EGGS
AND EGGS PRODUCTS1
History consistent with egg allergy 2 :
Urticaria
Angioedema
Nausea and Vomiting
Diarrhea Within 2 hours of egg ingestion
Abdominal Pain
Stridor
Wheezing
Hypotension with tachycardia
Positive Negative
receive these vaccines. Person with history of anaphylactic hypersensitivity to eggs or egg
protein should not receive these vaccines.
VACCINE-PREVENTABLE
DISEASE (CDC)
•ROTAVIRUS
• ANTHRAX
•RUBELLA (GERMAN MEASLES)
• CERVICAL CANCER •SHINGLES (HERPES ZOSTER)
• DIPHTERIA •SMALLPOX
• HEPATITIS A •TETANUS
• HEPATITIS B •TUBERCULOSIS
•TYHPOID FEVER
• H. INFLUENZAE TYPE B (Hib)
•VARICELLA
• HUMAN PAPILLOMA VIRUS (HPV) •YELLOW FEVER
• INFLUENZA (FLU) •PNEUMOCOCCAL
• JAPANESE ENCEPHALITIS (JE) •POLIOMYELITIS
• LYME DISEASE •RABIES
• MEASLES
• MENINGOCOCCAL
• MONKEYPOX
• MUMPS
• PERTUSIS
VACCINES ADMINISTRATION
NAME of VACCINE TYPE OF VACCINE ADMINISTRATION
Tetanus Toxoid 0.5 ml IM
•<2 th : anterolateral
mid-thigh
•> 2 th : deltoid
Cholera Killed bacteria IM/SC
Hib Polysaccharide 0.5 ml IM
•<2 th : anterolateral
mid-thigh
•> 2 th : deltoid
Pneumococcus Polysaccharide 0.5 ml SC / IM
•<2 th : anterolateral
mid-thigh
•> 2 th : deltoid
Meningococcus Polysaccharide 0.5 ml SC sd
NAME of VACCINE TYPE OF VACCINE ADMINISTRATION