SUN HEALTH MEDICAL CLINIC

ADULT IMMUNIZATIONS

A century ago the leading cause of death was communicable disease.

Special thanks to everyone who has been vaccinated..

*CONTRAINDICATIONSdo NOT get these if:

   PREGNANT: live flu LAIV4, MMR, Var, HPV (so do NOT get these)

   IMMUNOCOMPROMISED or ON IMMUNOSUPPRESSANT Rx: live flu LAIV4, MMR, Var (so do NOT get these)

   live flu precaution: asplenia, kidney/heart/lung/liver/diabetes

   EGG ALLERGY MORE THAN HIVES: consult doctor

   SEVERE ALLERGIC REACTION: avoid vaccine that preceded reaction (0.0001% overall risk of anaphylactic reaction 1.3 per 1 million)

STANDARD RECOMMENDATIONS

  • COVID (#1 cause death from pneumonia): when to get a booster
  • flu * (#2 cause of death from viral pneumonia, influenza): annual (new vaccine each autumn)
  • TDaP: Tetanus/Diphtheria/Pertussis or Td every 10 years, also for moderate/severe contaminated wound, if pregnant see below
  • MMR * Measles/Mumps/Rubella:  if never vaccinated (pediatric vaccination began 1971) AND born on or after 1957
  • VAR * varicella (chicken pox): if no history of disease and never vaccinated (pediatric vaccination began 1995)
  • RZV: varicella zoster recombinant (shingles): age 50+ x 2 (2-6 months apart), newly updated CDC recommendation
  • pneumococcal (#1 cause of death from bacterial pneumonia, Streptococcus pneumoniae) if age 65+ or immunocompromised or on immunosuppressant Rx or asplenia or end stage renal disease or heart/lung disease or alcoholism or chronic liver disease or diabetes AND no history of any pneumococcal vaccination (pediatric vaccination began 2000), PCV 15 or PCV 20, if PCV15 then need a subsequent dose PCV23, newly updated CDC recommendation
  • HepB: hepatitis B (transmitted via needlestick, blood product, sexual contact, maternal-child): if <age60 and never vaccinated (pediatric vaccination began 1982), newly updated CDC recommendation

ADDITIONAL VACCINES FOR SPECIFIC POPULATIONS

PREGNANT: 1 TDaP each pregnancy week 27-36

IMMUNOCOMPROMISED or ON IMMUNOSUPPRESSANT Rx: COVID 2nd booster, RZV x 2 (2-6 months apart), pneumococcal PCY15 then 8+ weeks later PCV23 OR only PCV20 one time, if Hematopoietic Stem Cell Transplant then HiB x 3

HIV: consult doctor, depends on CD4 count

ASPLENIA: RZV age 50+, pneumococcal, meningitis, HiB

END STAGE RENAL DISEASE: RZV age 50+, pneumococcal

HEART/LUNG DISEASE or ALCOHOLISM: RZV age 50+ pneumococcal

CHRONIC LIVER DISASE: RZV age 50+, pneumococcal, hepA

DIABETES: RZV age 50+, pneumococcal

HEALTHCARE PERSONNEL: RZV age 50+

MEN WHO HAVE SEX WITH MEN: RZV age 50+, HPV <=age26


EGG ALLERGY non-severe: recombinant flu RIV4 preferred by doctor

MONKEYPOX: limited vaccines available for those who have had recent/suspected exposure within 14 days, higher risk in Men who have Sex with Men, may sign up for vaccine: https://myturn.ca.gov/

VACCINES MAY BE OBTAINED AT THE PHARMACY