Pediatric

Immunization

IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PRINCIPLES OF
IMMUNIZATION

PHILIPPINE EXPANDED
PROGRAM ON IMMUNIZATION

PHILIPPINE EXPANDED
PROGRAM ON IMMUNIZATION

PHILIPPINE EXPANDED
PROGRAM ON IMMUNIZATION

PCV
MMR

BCG

Philippine
Expanded
Program on
Immunization
Vaccines

Rotavirus
(RV)

Measles

Oral
Polio
Vaccine
(OPV)

DTwPHibHepatitis
B

Other Recommended Vaccines

Vaccines for Special Groups

BCG

Philippine EPI Vaccine

BCG

Philippine EPI Vaccine

Philippine EPI Vaccine

Philippine EPI Vaccine

DTaP
DTwP

Philippine EPI Vaccine

Hepatitis
B

Philippine EPI Vaccine

Hepatitis
B

Philippine EPI Vaccine

Hepatitis
B

Philippine EPI Vaccine

Hepatitis
B

Philippine EPI Vaccine

Hepatitis
B

Philippine EPI Vaccine

HiB

Philippine EPI Vaccine

HiB

Philippine EPI Vaccine

Measles

Philippine EPI Vaccine

MMR

Philippine EPI Vaccine

MMR

Philippine EPI Vaccine

MMR

Philippine EPI Vaccine

Oral
Polio
Vaccine
(OPV)

Philippine EPI Vaccine

Oral
Polio
Vaccine
(OPV)

Philippine EPI Vaccine

Rotavirus
(RV)

Philippine EPI Vaccine

PCV

Philippine EPI Vaccine

PCV

Philippine EPI Vaccine

RecommendedVaccines

INFLUENZA
VACCINE

RecommendedVaccines

RecommendedVaccines

MMRV

VARICELLA
VACCINE

RecommendedVaccines

POINTERS TO IMMUNIZATION

POINTERS TO IMMUNIZATION

POINTERS TO IMMUNIZATION

POINTERS TO IMMUNIZATION

POINTERS TO IMMUNIZATION

VACCINE

AGE

DOSE

No

ROUTE

SITE

INTERVAL
BETWEE
N DOSES

BCG

Birth; any 0.05mL for

time after
NB
or 6 weeks 0.1ml for
older infants

ID

Right deltoid
region

DPT

6 weeks

0.5mL

IM

Upper outer
aspect of
thigh

4 weeks

OPV

6 weeks

0.5mL

PO

Mouth

4 weeks

Hepa B

6 weeks

0.5mL

IM

Anterolateral
aspect of
thigh

4 weeks

Measles

9 months

0.5mL

SC

Outer aspect
of upper arm

School
entry

0.1mL

ID

Left deltoid

BCG 2

CONTRAINDICATIONS

CONTRAINDICATIONS

REMINDERS

REMINDERS
VACCINE

POSSIBLE REACTION

BCG

Keloid Scar, Supporative Adenitis, BCG infection

DPT

Fever, restlessness, irritability, local signs of inflammation

OPV

None

Measles

Fever and rash 5-10 days after

MMR

Fever, rash, arthralgia, lymphadenopathy, seizure

Hepatitis B

Arthalgia, neurologic reactions

Varicella

Fever, vesicular eruption

PASSIVE IMMUNIZATIONS
DISEASE
Diphtheria

VACCINE
Anti-toxin

INDICATIONS
Close contacts who cannot be
observed closely

Tetanus

Anti-toxin or
IG

Inadequately immunized with serious

wounds

Measles

IG

Within 6 days of exposure

Rabies

Anti-rabies
or IG

Immediately after exposure

Rubella

IG

Post exposure pregnant woman (1st

trimester)

Hepatitis A

IG

Within 7 days of exposure

Hepatitis B

IG

Within 12H after birth if mother

HbsAG +
After percutaneous exposure

Varicella

IG

with-in 48H post-exposure

QUIZ

1. What are the vaccines included in the

Philippine Expanded Program on
Immunization?
2. Bb boy Nicholas was born in General
Santos City and was given his first dose
of BCG shortly after birth. The family
transferred residency to Iloilo City after a
month. At 8 weeks, the patient was
brought by his mother at the WVSUMCOPD for vaccination. What EPI vaccines

3. When do you give the 4th dose of Hepa B

vaccine?
4. What are the EPI vaccines given per
orem?
5. Jane 6/F is a grade 2 student with an
induration of 7mm upon PPD. Will you
give BCG 2 vaccine?
6. What is the minimum age for giving of
Varicella vaccine?

7. Bb. Girl Lavender was born to a G1P1

mother at home via NSVD in a remote
area in the mountains of Antique. There is
no close access to any health facility
during her infancy, thus, no immunizations
were given. At 6 years old, the patient had
hematochezia and was brought to our
institution for check-up. After further workup, the patient was diagnosed with Acute
Myeloid Leukemia. How many doses of

8. At 9:00am today, the DOH declared an outbreak

of measles in Iloilo City. The following patients
came at the OPD for vaccination. Which among
them will you defer giving of measles vaccine?
a) Jonas 11mos/M, well baby
b) Jennifer 8 mos/ F, history of 2 days fever and
cough
c) Justin 6 mos/M, Seizure Disorder
d) Jasper 5mos/M, Hirshprungs Dse
e) Jane 12mos/F, history of febrile episode every
after vaccination

9. Troy, 6wks/M, came in at the OPD for

vaccination. He was given Penta-Hib and
OPV vaccines. After giving of OPV, he
vomited. Will you give another dose of
OPV?
10. True or False: Jonah, 16/F, was given
Pneumococcal vaccine last December
2014. The next dose of PCV should be
given Dec 2015.