ST. GEORGES UNIVERSITY SCHOOL OF MEDICINE ‘STUDENT NAME, DATE. IMMUNIZATIONS You are seeing a 30 month old female new to your practice. Her family has just moved from Virginia to New Jersey. The child's medical care has been episodic for the last 18 months due to loss of insurance coverage. The child’s immunization record indicates she has received two doses each of DTaP, Prevnar, HIB, Hepatitis B and IPV; the last immunizations were given at six months of age. Physical exam is normal except for a temp of 101.2 and nasal congestion. 1. Which immunizations, if any, should you administer on this visit? 2. When should the next immunization visit be scheduled? Which immunization(s) should be administered at that time? this child had sickle cell disease? 3. What additional immunizations would you administe 4, How do you address the mother’s concern about cost of these vaccines? ‘A 14 year old male presents for clearance to play on his high school football team. He has been lost to follow-up since 9 years of age. He had received 5 doses of DTP, 4 doses of OPV and one dose of MMR prior to kindergarten, and he has received no immunizations since. He has not had chickenpox. Physical exam is normal. 5. Which immunizations, if any, should you administer on this visit? 6. When should the next immunization visit be scheduled? months Which immunization(s) should be administered at that time? PLEASE TURN OVER