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1.4 Pre-vaccination Checklist
The pre-vaccination checklist that follows (Table
1.4.1) can be photocopied and given to parents or the person to be
vaccinated, just prior to vaccination. The pre-vaccination checklist can
also be photocopied and displayed in the clinic for easy reference to help
the immunisation provider assess a person’s suitability for vaccination.
Table 1.4.1: Pre-vaccination checklist for a person
to be vaccinated or that person’s parent/caregiver
|
The following information is needed
to assess whether a person/child can be vaccinated, and which
vaccines they may require. Please tell the immunisation provider
if any of the following apply: |
|
The person to be vaccinated: |
- is unwell today;
- has a disease which
lowers immunity (eg. leukaemia, cancer, HIV/AIDS) or is having
treatment which lowers immunity (eg. oral steroid medicines such
as cortisone and prednisone, radiotherapy, chemotherapy);
- lives with someone who
has a disease which lowers immunity, or lives with someone who
is having treatment which lowers immunity;
- has had a severe
reaction following any vaccine;
- has
any severe allergies (to
anything);
- has had a live vaccine
within the last month (this includes measles-mumps-rubella
vaccine, oral poliomyelitis vaccine, varicella (chickenpox)
vaccine, yellow fever vaccine);
- has had an injection
of immunoglobulin, or a whole blood transfusion within the last
3 months;
- is pregnant;
- is living with someone
who is not vaccinated;
- identifies as an
Aboriginal or Torres Strait Islander person.
|
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Note: If you have any questions
about this information or any other matter relating to
vaccination, please ask the immunisation provider before the
vaccine is given. |
|
Before any vaccination takes place,
the immunisation provider will ask you: |
- Did you understand the
information provided to you about immunisation?
- Do you need more
information to decide whether to proceed?
- Did you bring
your/your child’s vaccination record card with you?
|
|
It is important for you to receive
a personal record of you or your child’s injections. If you don’t
have a record card, ask your immunisation provider to give you
one. Bring this record with you every time you bring your child
for his/her injections. Make sure your immunisation provider
records all vaccinations on it. Your child may need this card to
enter day-care, kindergarten or school. |
|
Table 1.4.2: Pre-vaccination assessment of conditions
that may preclude vaccination
| Immunisation
providers can use this chart as a quick guide to assess the
patient before vaccination. Please refer to the appropriate
section about the specific vaccines within the Handbook for more
detailed information. |
|
NB. Only vaccines recommended on
the Australian Standard Vaccination Schedule are included. For
information on other specific vaccines (such as those used for
travel), please refer to relevant vaccine chapters. |
|
Assessment |
Defer vaccine until condition
resolved (or discuss with the appropriate health professional) |
Seek further advice (a) |
|
Conditions |
| Acute febrile illness
(current T ≥ 38.5°C) |
All vaccines |
NA |
| Diarrhoea and vomiting |
OPV |
|
| Immunosuppressive illness |
|
MMR, R, VZV, OPV |
|
Allergies to vaccine components
(b) |
| Streptomycin |
NA |
IPV (IPOL); DTPa-IPV-Hib
(Pediacel) |
| Neomycin |
NA |
OPV, IPV (IPOL), MMR,
Influenza (Fluvax, Vaxigrip, Fluvirin), VZV, DTPa-IPV (Infanrix
IPV, Quadracel), DTPa-hepB-IPV (Infanrix Penta), DTPa-IPV-Hib
(Pediacel), DTPa-IPV/Hib (Poliacel), DTPa-hepB-IPV-Hib (Infanrix
Hexa) |
| Polymyxin |
NA |
IPV (IPOL), Influenza
(Fluvirin, Fluvax), DTPa-IPV (Infanrix IPV, Quadracel),
DTPa-hepB-IPV (Infanrix Penta), DTPa-IPV-Hib (Pediacel),
DTPa-IPV/Hib (Poliacel), DTPa-hepB-IPV-Hib (Infanrix Hexa) |
| Gentamicin |
NA |
Influenza (Fluvax, Fluarix) |
| Yeast protein |
NA |
All monovalent and
combination hepatitis B vaccines |
| Egg protein |
NA |
All influenza vaccines |
| Gelatin |
NA |
MMR (M-M-R II only), R, VZV
(Varivax Refrigerated only) |
| Thiomersal |
NA |
Hepatitis B (Engerix B only);
Influenza (Fluarix, Influvac), dT (ADT), CDT |
| Phenoxyethanol |
NA |
DTPa (Tripacel, Infanrix);
DTPa-hepB (Infanrix HepB), DTPa-IPV (Infanrix IPV, Quadracel),
DTPa-hepB-IPV (Infanrix Penta), DTPa-IPV-Hib (Pediacel),
DTPa-IPV/Hib (Poliacel), DTPa-hepB-IPV-Hib (Infanrix Hexa), dTpa
(Boostrix), 23vPPV (Pneumovax) |
|
Drugs |
| Immunosuppressants |
MMR, R, VZV, OPV |
NA |
| Live virus vaccine (other
than OPV) in last 4 weeks |
MMR, R, VZV |
NA |
| Whole blood transfusion in
last 3 months |
MMR, R |
NA |
| IM immunoglobulin in last 3
months |
MMR, R, VZV |
NA |
| IV immunoglobulin in last 9
months |
MMR, R, VZV |
NA |
|
Other |
| Previous severe local and/or
systemic adverse event |
NA |
All vaccines |
| Pregnancy |
MMR, R, VZV, OPV |
NA |
|
Note: |
- Seek further advice from a medical practitioner,
paediatrician or public health physician with expertise in
vaccination; contact the immunisation section within your State
or Territory Heath authority or your local Public Health Unit.
- Omit only if a patient has an anaphylactic
sensitivity to a vaccine component.
|
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Abbreviations
| DTPa |
diptheria-tetanus-acellular
pertussis vaccine
|
| hepB |
hepatitis B vaccine |
| Hib |
Haemophilus influenzae
type b vaccine |
| IM |
intramuscular |
| IPV |
inactivated poliomyelitis
vaccine |
| IV |
intravenous |
| 7vPCV |
7-valent pneumococcal
conjugate vaccine
|
| 23vPPV |
23-valent pneumococcal
polysaccharide vaccine
|
| MMR |
measles-mumps-rubella vaccine
|
| OPV |
oral poliomyelitis vaccine
|
| R |
rubella vaccine (monovalent)
|
| VZV |
varicella-zoster vaccine
|
| NA |
not applicable |
|
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