Immunizations and Vaccines Flashcards
6 cards from real Pharmacy practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Immunizations and Vaccines flashcards as text
The National Vaccine Injury Compensation Program (VICP) is funded by an excise tax on vaccines and covers injuries from which vaccines?
Answer: All vaccines recommended by ACIP for routine administration, including adult vaccines
VICP covers all vaccines on the Vaccine Injury Table, which includes many ACIP-recommended vaccines for both children and adults. It provides a no-fault compensation process.
Post-exposure prophylaxis (PEP) for hepatitis B includes:
Answer: HBIG and initiation of hepatitis B vaccine series simultaneously at different sites
Unvaccinated persons exposed to hepatitis B should receive HBIG (provides immediate passive immunity) and begin the hepatitis B vaccine series simultaneously at different injection sites.
When documenting vaccine administration, which information is required under federal law (NCVIA)?
Answer: The vaccine manufacturer, lot number, site/route, date, and the VIS edition date given
NCVIA requires documentation of: vaccine name/manufacturer, lot number, date given, name/address of administering provider, and the edition date of the VIS provided — all in the patient's permanent medical record.
A patient with egg allergy asks about receiving the influenza vaccine. Current ACIP guidance states:
Answer: Patients with egg allergy may receive any licensed flu vaccine appropriate for their age — standard observation period applies
ACIP removed special precautions for egg-allergic patients receiving influenza vaccine. Any licensed flu vaccine appropriate for age can be administered with the standard post-vaccination observation period (15 minutes).
Meningococcal B vaccination (MenB) differs from MenACWY in that ACIP recommends MenB as:
Answer: An individualized clinical decision for persons 16–23 years old (shared clinical decision-making)
MenACWY is routinely recommended at 11–12 with booster at 16. MenB is a 'shared clinical decision' recommendation for healthy adolescents 16–23 (preferably 16–18), not universally routine, given after weighing risks.
What is the recommended action if a vaccine is exposed to temperatures outside the cold chain (e.g., inadvertent freezing of a refrigerated vaccine)?
Answer: Quarantine the vaccine, contact the manufacturer or state health department for guidance, document the excursion, and do not administer until clearance
Cold chain excursions require quarantining affected vaccines, documenting the event, and contacting the manufacturer and/or state immunization program. Administering potentially compromised vaccines may result in vaccine failure.