Pediatric Vaccine at Birth
HEP-B #1
Pediatric Vaccines 2-months
Hep-B #2
DTaP #1
Hib #1
Polio #1
PCV13 #1
RV #1
2 months:
Hepatitis B (2nd dose)
DTaP (diphtheria, tetanus, pertussis)….1st dose
Hib (haemophilus influenzae type B)….1st dose
Polio…1st dose
PCV (pneumococcal conjugate vaccine)….1st dose
RV (rotavirus)….1st dose
Pediatric Vaccines 4 months
DTaP #2
Hib #2
Polio #2
PCV13 #2
RV #2
DTaP (diphtheria, tetanus, pertussis)….2nd dose
Hib (haemophilus influenzae type B)….2nd dose
Polio…2nd dose
PCV (pneumococcal conjugate vaccine)….2nd dose
RV (rotavirus)….2nd dose
Pediatric Vaccines 6 months
Hep B #3
DTaP #3
Hib #3
Polio #3
PCV13 #3
RV #3
Yearly Influenza
Mnemonic: “Two 6-month-old pediatric policies discussed rejecting his HepB at 4 months.”
Two 6-month-old: age category
Pediatric: pneumococcal conjugate vaccine (PCV)
Policies: Polio
Discussed: diphtheria, tetanus, pertussis (DTaP)
Rejecting: Rotavirus (RV)
His: haemophilus influenzae type b (HIB vaccine)
HepB: Hepatitis B vaccine
Last part of the mnemonic lets you know that the HepB is included at 2 and 6 months BUT is rejected at 4 months!
Pediatric Vaccines 12-18 mo
DTaP #4
Polio #4
MMR #1
Varicella #1
Yearly Influenza
Mnemonic: “His 12-18 dispatched mump vaccinations helped people.
His: haemophilus influenzae type b (HIB vaccine)
12-18: age category
Dispatched: diphtheria, tetanus, pertussis (DTaP)
Mump: measles, mumps, rubella (MMR)
Vaccinations: Varicella
Helped: Hepatitis A
People: pneumococcal conjugate vaccine (PCV)
Child Vaccines 4-6 yrs
DTaP #5
Polio #5
MMR #2
Varicella #2
Yearly Influenza
Mnemonic: “Police dispatched 4-6 -year-old mump vaccinations.”
Police: Polio
Dispatched: DTaP (diphtheria, tetanus, pertussis)
4-6-year-old: age category
Mump: MMR
Vaccinations: Varicella
Vaccine NCLEX Tips/Mnemonics
-DIHHPeR (2, 4, 6 months): DTaP, IPV, HepB, Hib, PCV, Rotavirus.
-12 Month Milestone: MMR and Varicella are usually given together at 12-15 months.
-Influenza: Recommended annually for all individuals 6 months or older
-HPV Vaccine: Recommended at age 11-12 years (can start at 9).
-Tdap: Given at 11-12 years, also recommended during each pregnancy.
-Infant IM Location: Vastus lateralis (anterolateral thigh).
Vaccine Safety
Contraindications: Live vaccines should not be given to pregnant patients or those with severe immunosuppression.
MMR & Varicella: These are typically not given before 12 months of age.
Administration: Multiple live vaccines should be given on the same day or separated by 4 weeks.
NCLEX Live Vaccines
MMR (Measles, Mumps, Rubella): Frequently tested, especially regarding pregnancy contraindications.
Varicella (Chickenpox): A live virus vaccine.
Nasal Spray Influenza (LAIV): Note that the injectable flu shot is inactivated, but the nasal spray is live.
Rotavirus: Common pediatric vaccine.
Shingles (Zoster): Specifically the Zostavax version (note: Shingrix is inactivated, but Zostavax is a known live example).
BCG (TB Vaccine): Not commonly given in the US but listed as live in some sources.
Yellow Fever: A live attenuated vaccine
Live Vaccine Considerations
NOT GIVEN: Pregnancy, Immunocomprimised
Given at the same time OR 4-weeks apart
When is Hep-B given?
Birth, 2, 6 months
When is DTaP given?
2, 4, 6, 12-18 months, 4-6yrs
When is Hib given?
2, 4, 6, 12-18 months
When is Polio (IPV) given?
2, 4, 6 months, 4-6 yrs
When is PCV13 given?
2, 4, 6, 12-18 months
When is RV given?
2, 4, 6 months
When is MMR given?
12-18 months, 4-6 yrs
When is Varicella given?
12-18 months, 4-6 yrs
When is Hep-A given?
12-18 months
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NCLEX Meds50
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Insulins for NCLEX32
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Lab Values NCLEX57
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Herbal Supplements14
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Medication Suffixes56
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Antidotes13
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Psychosocial/Stages of Development22
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Pregnancy/Childbirth0
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Infectious Diseases/Precautions0
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Immunization Schedule19
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EKG Interpretation0
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Delegation to LPN/HCA9
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Clinical Diseases13
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Cranial Nerves14
