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If you are giving more than one vaccine, do not use the
same syringe and do not use the same arm or leg for more than
one injection.
to
Type of Vaccine
kidney or liver
Stable neurological condition such as cerebral palsy
or Downs Syndrome
Premature or low birthweight (vaccination should not
be
postponed)
Recent or imminent surgery
Malnutrition
History of jaundice at birth
Note:
If parent strongly objects to an
immunization for a sick infant, do not give it.
Ask the mother to comeback when child is
well.
EPI Routine Schedule
Every Wednesday is designated as
immunization day and is adopted in all part of the
country
Storage Temp.
Hours of Life after
opening
Most Sensitive to
Heat
OPV
Measles
-15 to -25 C At
the freezer
8 hours
Hepa B
Most Sensitive to
Cold
Sensitive to
Sunlight and
Fluorescent light
Fluorescent light
DPT
T. Toxoid
BCG
2 to 8 C Body
of refrigerator
4 hours
EPI VACCINES
BCG (Bacille Calmette-Guerin ) Vaccine
Type of Vaccine
Form of Vaccine
Minimum Age at 1st Dose
Freeze dried
Birth or anytime at birth
st
Number of Doses to Complete 1nd dose : at birth
2 dose: school entrance
the Immunization
Reason
Special Precautions
Side Effect
Undesired Effect
Indolent ulceration
Abscess on the injection site
Enlarged lymph nodes
Note: Swollen glands or abscesses occur because an
unsterile needle or syringe was used, too much vaccine was
injected or most commonly, the vaccine was injected
incorrectly under the skin instead of its top layer.
Contraindication
Health Teaching
Hepatitis B Vaccine
Type of Vaccine
Form of Vaccine
Minimum Age at 1st Dose
Number of Doses to Complete
the Immunization
Interval
Reason
Side Effect
Contraindication
Anaphylactic reaction such as severe rashes, difficulty in
breathing and choking to a previous dose.
Health Teaching
Measles Vaccine
Type of Vaccine
Form of Vaccine
Minimum Age at 1st Dose
Freeze dried
9 months
6 months: if there is an epidemic
Contraindication
Health Teaching
6 weeks
10 weeks
14 weeks
OPV
DPT
BCG
9 months
HepB Option B
Option A
Measles
X
X
X
X
X
X
1. BCG
TARGET
Anytime at
Birth
DOSAGE
0.05ml
INTERVAL
Once
ROUTE
SITE
Intradermal (ID)
Right Deltoid
Assess for
Wheal formation
Left
Deltoid
School
Entrance
0.1ml
2. Hepa B
Anytime
at Birth
0.5ml
6 wks. Interval
from 1st dose to
2nd dose, then 8
weeks interval
From 2nd to 3rd
dose
Intramuscular
(IM)
Upper outer
Portion of the thigh
3. DPT
6 wks. Up
to 11 mos.
0.5ml
4 weeks x 3
doses
Intramuscular
(IM)
4. OPV
6 wks. Up
to 11 mos.
2 drops
4 weeks x 3
doses
Oral
Mouth
(Child must be PO
for 30 mins.)
9 months
0.5ml
Once
Subcutaneous
(SQ)
Outer
Part of the upper arm
5. Measles
(if
epidemic
crisis, 6
mos.)
Weakened toxin
Liquid vaccine
As early as possible during pregnancy
5 doses ( TeTox 1 - TeTox 5 )
TeTox 2 is the minimum required immunization during
pregnancy
10 or 20
Contraindication
Health Teaching
Minimum
Interval
Percent
Protected
Duration of Protection
As early as possible
during pregnancy
4 weeks after TeTox 1
80%
TeTox 1
TeTox 2
tetanus
95 %
99 %
99 %