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6 Cards in this Set

  • Front
  • Back
MMR vaccine
Composition
Schedule
Adverse Effects
Contraindications
Indications
Efficacy
Post exposure treatment
Composition = live attentuated
Schedule = 1 yr, 4 yrs, 12 yrs, before 12 months don't count
Adverse effects = fever, local allergic reaction, transient thrombocytopenia
Rare: encephalopathy, anaphylaxis
Contraindications = Immunosupression, 1st trimester
Indications = everyone 12 month and older
Efficacy = 95%
Post exposure = 6-12 monovalent measles vaccine, Ig within 6 days (delay vaccines)
Chickenpox
Composition
Schedule
Adverse Effects
Contraindications
Indications
Efficacy
Composition = live attentuated
Schedule = 1 yr, 4 yrs, 12 yrs, before 12 months don't count
Adverse effects = Soreness, swelling at site, fever, mild rash, seizures
Rare: cerebral ataxia, pneumonia
Contraindications = Allergy to gelatin, neomycin or previous dose
Indications = everyone
Efficacy = 90% for 20 yrs
Influenza
Composition
Schedule
Adverse Effects
Contraindications
Indications
Efficacy
Composition = Inactivated vaccine, 2 A and 1 B serotype
Schedule = annual, 2 doses for children 1 month apart
Adverse Effects = soreness, fever, malaise allergy
Contraindications = Allergy to eggs or acute febrile illness
Indications = Everyone
Efficacy = variable
Flu Mist
Composition
Schedule
Adverse Effects
Contraindications
Indications
Efficacy
Composition = Live-attenuated intranasal vaccine

Others same as inactivated vaccine except:
Better at producing broad mucosal and systemic immunity

Contraindications = must be 5-50 y/o
No Immunodeficiency
No Asthma
No underlying medical condition
Pregnant women
Stay away from immunocompromised others
Antiviral agents
Efficacy
Side effects
Efficacy = reduce duration of influenza 1 day
No prevention of compications
No effect in persons at high risk for complications
Side effects = GI and CNS (mostly amantadine)
Zanamivir (respiratory funciton deterioration, diarrhea, nausea, sinusitis, dizziness etc.)
Osletamivir (nausea and vomiting)
Hep B vaccine
Composition
Schedule
Adverse Effects
Contraindications
Indications
Efficacy
Post Exposure prophylaxis
Composition = subunit vaccine, produced in yeast
Schedule = 1 month, 4 month, 12 months for children
Adults = one and six months after the first dose
Adverse effects = pain at site, fever
Contraindications =Allergy to a previous dose
Indications =Everybody
Efficacy = 90% adults, 95% children
Post-exposure prophylaxis = Hep B immune globulin to prevent 70% of infections
Indications = Infants with HBV + monthers
Percutaneous exposure

Side effects = Local pain, urticaria, anaphylaxis (also eliminates HIV or HCV)