Vaccine/Toxoid /Biological |
Primary Schedule & Boosters |
Indications |
Major Precautions & Contraindications Other Than Primary Allergies | Special Considerations |
|---|---|---|---|---|
| Tetanus-Diphtheria Toxoid | 2 doses (IM) 4 weeks apart with 3rd dose (booster) 6-12 months then a booster every 10 years. | All adults | Consider Human Tetanus Immune Globulin (TIG) for dirty wounds in patients with incomplete immunizations. | |
| Measles, Mumps, Rubella (MMR) Vaccine | 1 dose (SC); booster for measles are necessary for certain adults. | Measles/Mumps for adults born after 1/1/57 who lack a vaccine history for measles and mumps since their 1st birthday OR serological proof of immunity OR a physician validated statement of Measles/Mumps illness. 2 doses of measles vaccine are recommended for persons at high risk of exposure (e.g. medical personnel). Rubella for any adult who lacks documentation for rubella vaccine since the 1st birthday OR serological proof of immunity. | Pregnancy; immuno-compromised hypersensitivity to neomycin and/or eggs | Persons vaccinated with killed measles vaccine (1963-1967) should be revaccinated with live measles vaccine; MMR is the vaccine of choice if the person is likely to be susceptible to more than 1 agent |
| Hepatitis B Vaccine | 2 doses (IM) 4 weeks apart; 3rd dose 5 months after 2nd. | Adults at increased risk of occupational, Environmental, social, or family exposure | ||
| Influenza Vaccine (Split or Whole Vaccine) | 1 dose annually (IM) | Adults with high-risk conditions; adults > or = 65 years old; health care workers | Hypersensitivity to eggs; may be given during pregnancy to high-risk patients | |
| Pneumo-Coccal Polysaccharide Vaccine (23 Valent) | 1 dose (IM or SC); boosters after 6 years indicated for certain | Underlying health conditions; adults 65 years old and older; adults with anatomic or functional asplemia | Pregnancy | Immune response is better if vaccinated prior to splenectomy |
ALERT!! MEASLES (aka. rubella, Red Measles, Hard Measles, 10-day Measles) Measles is a highly contagious viral disease. Antibiotics are NOT available to treat persons infected with this organism. Recent outbreaks of this illness have included many hospitalizations and several deaths among college-aged persons, for these reasons it is strongly recommended that students of Institutions of Higher Education have two doses of the vaccine prior to beginning classes. Most young adults have had only one dose. The measles vaccine is most often given in combination with the vaccines for mumps and rubella which are also caused by viruses. TETANUS (aka. Lockjaw) The illness caused by tetanus results from the poison produced by a bacteria. Again this is a very difficult illness to treat once it occurs and prevention is the most appropriate choice. The vaccine is effective for about 10 years and needs to be boosted at that interval. It is now common for older adults to develop Tetanus in the United States as many adults do not receive the recommended 10 year boosters. The Tetanus vaccine should be given in combination with the diphtheria vaccine. POLIOMYELITIS In the United States, polio immunization is not routinely recommended for persons 18 years of age or older. However, if travel to other parts of the world is planned, a physician should be contacted for specific recommendations. SECTION 2.09 AND 2.09A TEX. EDU. CODE The campus health centers have information regarding local providers of immunization services. Check with the health center for specific local information. |