TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD

& COCOY CALDERON,MD

For inquiries visit www.topnotchboardprep.com.ph or email us at
topnotchboardprep@yahoo.com

PPS Recommended Vaccines

should replace one dose preferably after 20weeks
AOG

1. BCG Influenza
2. Hep B 
Trivalent IM or SQ, Quadrivalent IM
3. DPT 
0.25ml for 6mos35mos, 0.5ml for 36mos
4. HiB 18yo
5. Polio 
For 6mos to 8yo
6. Pneumococcal
 2 doses, 4 weeks apart
7. Rotavirus
 Then yearly
8. Influenza
 If only one dose was given the
9. Measles
previous year = give 2 doses
10. Japanese Encephalitis
 If single dose has been given for 2
11. MMR
consecutive years, give annually
12. Varicella 
For 918yo – 1 dose annually
13. MMRV
14. Hepatitis A
Hepatitis A Vaccine
15. Td/Tdap

1st dose >12y.o
16. HPV

2nd dose, 612months after 1st
HPV

Bivalent 0,1,6months

Quadrivalent – 0,2,6months

Give vaccine to girls age 1112 yrs old (may

be given as early as 9 yrs old)

MMRV

1st dose – 1yo

2nd dose – 46 years

 Minimum of 3months interval from

1st
Varicella
 
Subcutaneously

1st dose – 1215months

2nd dose 46years

 3 months interval from first (for

children < 13yo)


>13 y.o without evidence of immunity

 2 doses, 4 weeks apart

Rotavirus

Monovalent (RV1)

 2dose

 Earliest 6weeks of age

 Not later than 32weeks


Pentavalent (RV5)

 3dose
Pneumococcal (PCV)

 Earliest 6weeks of age

 Min age 6weeks, Intramuscularly (IM), 4weeks apart, 3

 Not later than 32weeks

doses

May give dose #1 as early as 6 wks
 Booster 6months after 3rd dose

Give final dose no later than age 8 mos 0 days
 25yo

Do not begin series in infants older than 15
 1 dose of PCV 13 or 2 doses PCV 10 (8weeks apart)

wks 0 days
 Not recommended for > 5yo

VACCINES FOR HIGH RISK/SPECIAL GROUPS

Japanese Encephalitis Vaccine (JE)
Typhoid
 Subcutaneously

2 years old
 Min age 9months
 Every 2-
3 years
 9months to 17yo – one primary dose plus booster
Rabies
1224months after
  Pre-
exposure – IM days 0,7,21or 28
 >18yo – single dose only

ID: 0,7,21,28
Td and Tdap
Meningococcal
 Fully immunized Td boosters every 10years

Tetravalent Conjugate (MCV4D, MCV4TT,
(single dose of Tdap can be given in replacement
MCV4-
CRM) – IM
of due dose of Td)

Tetravalent Polysaccharide (MPSV4) IM or
 Fully immunized pregnant – 1 dose Tdap after
SQ
20weeks AOG

High risk : ex complement deficiency,
 UNIMMUNIZED pregnant – 3dose td

asplenia, HIV
containing vaccine (Td/Tdap) 016month. Tdap
 MCV4-
D : min age 9mos

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY
CALDERON,MD Page 1 of 2
For inquiries visit www.topnotchboardprep.com.ph or email us at
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 TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY
PUNONGBAYAN,MD & COCOY CALDERON,MD
For inquiries visit www.topnotchboardprep.com.ph or email us at
topnotchboardprep@yahoo.com

 923mos – 2 doses, 3months apart

 2yo and above – one dose
CSF FINDINGS IN BRAIN ABSCESS
 MCV4TT: 12mos and above, single dose
 MCV4CRM: 2yo and above, single dose
 Revaccinate with MCV4 every 5 years as long
as pt is high risk

MPSV4
 2yo and above as single dose
 If MPSV4 used as first dose, MCV4 should be
given 2months later
 *MCV4D and PCV13 should be given
4weeks apart

Pnuemococcal for High Risk (PCV + PPSV) SLE

 IM
 High Risk : Chronic heart, lung, kidney
disease, DM, CSF leak, cochlear implant,
sickle cell disease and other
hemoglobinopathies, anatomic and functional
asplenia, HIV and immunodeficiency
25yo
 One dose PCV 13 if incomplete PCV was
given
 2 doses of PCV 13 (8weeks apart) if
unimmunized
 One dose PCV 13 if completely immunized
with PCV 7
 PPSV at least 8 weeks after the most recent
PCV 13
618yo
 1 dose of PCV 13 then PPSV after 8weeks

 Single revaccination of PPSV after 5 years

Dengue
 Live Attenuated, SQ
 Minimum age 9yo
 Max age 45yo
 3 dose series – 0,6,12months

DENGUE

Hepatitis B Tests

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY
CALDERON,MD Page 2 of 2
For inquiries visit www.topnotchboardprep.com.ph or email us at
topnotchboardprep@yahoo.com