Which Vaccines Do I Need Today?

Transcript

1 / / / / today’s date your name date of birth month day year month day year ✔ Which V Need Today? accines Do I Vaccines are an important part of helping you stay healthy. Which of these recommended vaccines do you need? Check the boxes that apply to you, and then talk this over with your healthcare provider. Influenza (“flu”) vaccine (early fall through late spring) . n I have not had my flu vaccine yet this season ] Pneumovax 23 [PPSV23 Pneumococcal polysaccharide vaccine – ) I am age 65 or older and: n I have never received any Pneumovax 23 vaccine (or I don’t r emember if I have). I received 1 or 2 doses of Pneumovax 23 vaccine before I turned 65, and it’s now been more than 5 years n since I received my last dose. younger than age 65 and: I am I have never received any Pneumovax 23 vaccine AND at least on e of the following applies to me: n • I smoke cigarettes and I am age 19 years or older. • I have a chronic disease of the heart, lung (including asthma, if I am age 19 years or older), liver, or kidneys, or I have sickle cell disease. • I have diabetes or alcoholism. • I have a weakened immune system due to cancer, Hodgkin’s disease, leukemia, lymphoma, multiple or receiving radiation therapy or taking a medicine that affects my myeloma, kidney failure, HIV/AIDS immune system and I have not had 2 doses. I have had an organ or bone marrow transplant and I have not ha d 2 doses. n n I have had my spleen removed or have had a cochlear (inner ear) implant or have been told by a healthcare provider that I have leaking spinal fluid and I have not had 2 doses. Prevnar 1 3 [PCV 1 3] Pneumococcal conjugate vaccines [ I am age 65 or older and: n I have never received Prevnar 13 vaccine (or I don’t remember i f I have) I am younger than age 65 and: I have never received any Prevnar 13 vaccine AND at least one o f the following applies to me: n • I have a weakened immune system due to cancer, Hodgkin’s disease, leukemia, lymphoma, multiple receiving radiation therapy or taking a medicine that affects my myeloma, kidney failure, HIV/AIDS or immune system. I have had an organ or bone marrow transplant. n n or have had a cochlear (inner ear) implant or have been told by a healthcare I have had my spleen removed provider that I have leaking spinal fluid. etanus, diphtheria, and pertussis (“whooping cough”)-containing vaccine (e.g., DTP, D ) aP, T dap, or Td T T I have never received T dap vaccine (or I don’t remember if I have.) n n I have not received at least 3 tetanus- and diphtheria-containi ng shots. n I have received at least 3 tetanus- and diphtheria-containing s hots in my lifetime, but I think it’s been more than 10 years since I received the last one. n I am pregnant (and I am in the second or third trimester of my pregnancy) and have not had a dose T of dap vaccine during this pregnancy. continued on next page ▶ echnical content reviewed by the Centers for Disease Control and Prevention T - - • • • www.vaccineinformation.org 6 47 Paul, Minnesota 9009 Saint www.immunize.org ition 651 tion Action Coal Immuniza www.immunize.org/catg.d/p 4 036.pdf • Item #P 4 036 (1/19)

2 Which Vaccines Do I Need Today? (continued) page 2 of 4 Measles, mumps, rubella (MMR) vaccine I am a woman thinking about a future pregnancy and don’t know i n f I’m immune to rubella. ember if I have received more than 1), and I am a healthcare worker. I have received 1 MMR (or I don’t rem n I do not have a lab-confirmed report showing that I am immune to measles, mumps, and/or rubella. I was born in 1 95 7 or later and: n I have never received MMR vaccine (or I don’t remember if I hav e). I have received only 1 MMR and n n I am entering college or another type of school after high scho ol. 1 n I am planning on traveling outside the U.S. Varicella (“chickenpox”) vaccine I was born before 0 and I am a healthcare worker or foreign-born and I don’t remember if I’ve ever had 19 n 8 chickenpox disease. I was born in 19 8 0 or later and I have never had chickenpox disease or received the vaccine (or I don’t n remember if I have). I have received one dose of varicella vaccine, but I’m not sur e if I have received more than one dose. n Human papillomavirus (HPV) vaccination have not completed a series I of HPV shots and n I am a woman age 26 or younger. I am a man or younger. n age 21 age 22 through 26 and at least one of the following applies to me: n • I want to be protected from HPV. • ), disease, or medications. I have a weakened immune system due to infection (including HIV • I have sex with men. I am now older than age 26 and have not completed the HPV vaccine series I began when I was age 26 or younger. n Hepatitis A vaccine n I want to be vaccinated to avoid getting hepatitis A and spread ing it to others. n 2 weeks. I might have been exposed to hepatitis A virus within the past n I received 1 dose of hepatitis A vaccine in the past, but I hav e not received the second dose (or I don’t remember if I have). remember if I have) and at least one of the n I have not received hepatitis A vaccine in the past (or I don’t following applies to me: • • I travel (or plan to travel) in countries where I am homeless 1, 2 hepatitis A is common. • I have chronic liver disease. • I have (or will have) contact with a child within • I have a blood clotting factor disorder. 60 days of the child’s adoption from a country • - I work with hepatitis A virus in a research labo 2 where hepatitis A is common. ratory or with primates infected with hepatitis • I am a man who has sex with men. A virus. • I use street drugs. continued on next page ▶ - - • • • • 9009 www.vaccineinformation.org 651 Paul, Minnesota Saint Immunization Action Coalition www.immunize.org 6 47 • 4 Item # 036 (1/ 19) 036.pdf 4 P www.immunize.org/catg.d/p

3 Which Vaccines Do I Need Today? (continued) page 3 of 4 Hepatitis B vaccine ing it to others. n I want to be vaccinated to avoid getting hepatitis B and spread 18 or younger and I have not begun or completed the series of hepatitis B shots (or I don’t I am age n remember if I have). ut I have not completed the series of hepatitis n I have received at least one dose of hepatitis B in the past, b B shots (or I don’t remember if I have). I have not received or completed the series of hepatitis B shot s (or I don’t remember if I have) and at least n one of the following applies to me: • • I inject street drugs. I am sexually active and I am not in a long-term, mutually monogamous relationship. • I have chronic liver disease. • I am a man who has sex with men. • I am or will be on kidney dialysis. • I am an immigrant (or my parents are immi - • I am younger than age 6 0 years and have diabetes grants) from an area of the world where hepati- and/or receive assisted glucose monitoring. 3,4 tis B is common (so I need testing and • I am a healthcare or public safety worker who may need vaccination.) is exposed to blood or other body fluids. • I live with or have sex with a person infected • I provide direct services to people with develop - with hepatitis B. mental disabilities. • 1,3 I have been diagnosed with a sexually transmit - • I am planning on traveling outside the U.S. ted disease (“STD”). • I have been diagnosed with HIV. Meningococcal (“meningitis”) type A, C, Y vaccine (MenACWY) W, . I am age 18 or younger and have never received any meningococcal vaccines (or I don’t remember if I have) n I am age 21 or younger and n • I have not had a meningococcal shot (MenACWY) since before my 1 6th birthday and I am (or will be) a college student living in a residence hall. • I have not had a meningococcal shot (MenACWY) in the past 5 years and I am entering college. I have s ickle cell disease. n My spleen isn’t working or has been removed. n n I have a persistent complement component deficiency or I am being treated with eculizumab (brand name Soliris). I have HIV infection. n I have a risk of exposure due to an outbreak caused by serogroup A, C, W, or Y. n . n I am a microbiologist who is routinely exposed to isolates of Neisseria meningitidis 1 I was vaccinated more than 5 years ago I continue to be at risk due to travel, n illness, or occupation. and Meningococcal (“meningitis”) type B vaccine (MenB) e protected from this disease. I am age 16–23 with no specific risk factor and would like to b n I am age 10 years or older and n I have a risk of exposure due to an outbreak caused by serogrou p B. n I have sickle cell disease. n My spleen isn’t working or has been removed. n I have a persistent complement component deficiency or I am being treated with eculizumab (brand name Soliris). continued on next page ▶ - - • • • • www.vaccineinformation.org 9009 Immunization Action Coalition 6 47 651 Paul, Minnesota Saint www.immunize.org • 4 www.immunize.org/catg.d/p 4 036.pdf Item # P 036 (1/19)

4 page 4 of 4 (continued) Which Vaccines Do I Need Today? Zoster (“shingles”) vaccine n e (or I don’t know if I have). I am age 50 or older and have never received a shingles vaccin n I previously received the 1-dose Zostavax vaccine and now would like the 2-dose Shingrix vaccine. n I previously received only 1 dose of the Shingrix vaccine and n ow need the second dose. Haemophilus influenzae type b (“Hib”) vaccine n My spleen has been removed, or I am scheduled to have it removed (“splenectomy”). I have received a stem cell transplant. n ravel vaccines T 1,2,3 n (Discuss this with your provider.) I am planning on traveling outside the U.S. footnotes 3. Areas with high rates of hepatitis B include Africa, 1. Call your local travel clinic to find out if additional Most adults from moderate- or high-risk areas of 4. vaccines are recommended. China, Korea, Southeast Asia including Indonesia the world do not know their hepatitis B status. All and the Philippines, South and Western Pacific patients from these areas need hepatitis B blood Countries where hepatitis A is common include 2. Islands, interior Amazon Basin, certain parts of the tests to determine if they have been previously all countries other than the U.S., Canada, Japan, Caribbean (i.e., Haiti and the Dominican Republic), infected. The first hepatitis B shot can be given dur- Australia, New Zealand, and some (but not all) in and the Middle East except Israel. Areas with moder- ing the same visit as the blood tests but only after Western Europe. ate rates include South Central and Southwest Asia, the blood is drawn. Israel, Japan, Eastern and Southern Europe, Russia, and most of Central and South America. - - • • • • Immunization Action Coalition 651 www.vaccineinformation.org www.immunize.org Saint 9009 Paul, Minnesota 6 47 • www.immunize.org/catg.d/p 4 036.pdf Item # P 4 036 (1/ 19)

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