Vaccination Advice August 2022
Summary
| Type | Vaccine | When | information | Pearls |
| SAFE (dead or attenuated) |
flu, injectable | annually | ||
| Pneumovax PCV13 | once | give > 1yr after PCV23 if not had before | prevention of Pneumococcal pneumonia. High risk with aging, immune suppression, or splenectomy. | |
| Pneumovax PCV23 | every 5-10 years | give 8-10 wks after PCV13 then every 5-10 years | ||
| Tetanus, Diptheria, Pertussis (whooping cough) | every 5-10 years | |||
| Shingles: Shingrix | 2 doses separated by 2-6 months | Prevention of shingles. available since 2017, preferred over zostavax | ||
| SAFE (mRNA) | CoVid-19 | as recommended | ||
| CAUTION (live vaccines) | Shingles:Zostavax | no longer recommended as the Shingrix provides better protection. | If any of these required, must do BEFORE starting on immune suppressive therapy. As well as TB skin tests…+/or coccidiomycosis (fungal infection in SW USA). Skin tests before starting Rx. | |
| measles/mumps/rubella | ||||
| yellow fever | ||||
| oral polio | ||||
| salmonella | ||||
| nasal flu shot | ||||
| Special circumstances | Hepatitis A | everyone has as a child. | If traveling to high risk country. | |
| Hepatitis B | for those at high risk of exchange of bodily uids, (incl blood) Some travel destinations. | |||
| Human Papilloma Virus | girls and boys before sexual activity or if you are at high risk of multiple sexual partners. | 3 injections over a 6 month period. |
Recommended for immunocompromised people or adults > 65
| ..to protect against | Name | Comment |
| annual influenza | flu shot | advised to have annually before the flu season |
| pneumonia | PVC13 | given one time |
| PVC23 | 8-10 weeks after PCV 13 and then every 5-10 years | |
| shingles | Shingrix | 2 doses separated by 2-6 month |
| Tetanus, diphtheria, pertussis (whooping cough) | Tdp | every 5-10 years |
| CoVid 19 | Covid | as recommended |
|
Take control. Try to find an application that will help you keep track! The CANImmunize app for Canadians is an example. You can set reminders for when your next vaccine is due! To see the features Click HERE The Australian Government also has an app where all your immunizations are recorded. |
||
|
If you are stable, consider (discuss) the benefits of “holding” your auto- To read more Click HERE |
||
| ref. re pneumococcal | To read more Click HERE | |
| ref. re. shingrix | To read more Click HERE | |
|
The American College of Rheumatology has recently published an immunization guide for immunocompromised people including advice about “holding” medications: To download the PDF Click HERE |
