ADULT IMMUNIZATIONS

A century ago the leading cause of death was communicable disease. Without COVID vaccination, this would currently be the leading cause of death. We have collaborated together as a community for immunity.

RECOMMENDATIONS

COVID-19 COrona VIrus Disease 2019 (#1 cause of death from infection, primarily Severe Acute Respiratory Syndrome): when to get a booster
flu * inFLUenza (#2 cause of death from viral pneumonia): annual (new vaccine each autumn)
TDaP: Tetanus/Diphtheria/acellularPertussis 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 zoster (chicken pox): if no history of disease and never vaccinated (adults born before 1980 considered immune)
RZV: Recombinant non-live Zoster Varicella (shingles): age 50+ x 2 (2-6 months apart), newly updated CDC recommendation (>90% effective for preventing herpes zoster and post herpetic neuralgia)
pneumococcal streptococcus pneumoniae (#1 cause of death from bacterial pneumonia) 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, if PPSV23 received then PCV 20 or PCV 15 after 1+ year, newly updated CDC recommendation
HepB: hepatitis B (transmitted via needlestick, blood product, sexual contact, maternal-child): if
HPV: Human Papilloma Virus: age 11-26
RSV: age 60+ especially for chronic medical conditions, pregnant week 32-36, infants (discuss with doctor)

* CONTRAINDICATIONS

DO NOT TAKE WHAT IS CROSSED OUT BELOW

PREGNANT: live flu LAIV4, MMR, Var, HPV

IMMUNOCOMPROMISED or ON IMMUNOSUPPRESSANT Rx: live flu LAIV4, MMR, Var

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)

ADDITIONAL VACCINES FOR SPECIFIC POPULATIONS

PEDIATRIC

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: Var, RZV age 50+

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

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

CDC ADULT IMMUNIZATION GUIDELINES