A 6-year-old in foster care is brought to the clinic; which immunizations are recommended today based on the record provided?

A 6-year-old in foster care is brought to the clinic; which immunizations are recommended today based on the record provided?

• A. DTaP, OPV, Hib, and MMR
• B. Td and MMR
• C. DTaP, IPV, Hib, and MMR
• D. MMR and Var

Answer: (D)

The main idea is catch-up immunization for a school-age child with unclear records. By age 6, the vaccines routinely given at this visit are the second doses of measles, mumps, and rubella (MMR) and varicella. The second MMR dose is scheduled at 4–6 years, and the second varicella dose is also typically given at 4–6 years. If the record doesn’t show these doses, they should be given now, and they can be administered at the same visit. DTaP, IPV, and Hib are part of earlier childhood series and are typically completed by early childhood; they are not routinely due at age 6 unless the child’s record shows they were missed. OPV is an older polio vaccine no longer used in the United States (polio vaccine is IPV). Therefore, the combination of MMR and Var is the appropriate catch-up at this age when records are incomplete. Live vaccines like MMR and Var can be given on the same day if there are no contraindications (e.g., severe acute illness, a history of serious vaccine reaction).

The main idea is catch-up immunization for a school-age child with unclear records. By age 6, the vaccines routinely given at this visit are the second doses of measles, mumps, and rubella (MMR) and varicella. The second MMR dose is scheduled at 4–6 years, and the second varicella dose is also typically given at 4–6 years. If the record doesn’t show these doses, they should be given now, and they can be administered at the same visit.

DTaP, IPV, and Hib are part of earlier childhood series and are typically completed by early childhood; they are not routinely due at age 6 unless the child’s record shows they were missed. OPV is an older polio vaccine no longer used in the United States (polio vaccine is IPV). Therefore, the combination of MMR and Var is the appropriate catch-up at this age when records are incomplete.

Live vaccines like MMR and Var can be given on the same day if there are no contraindications (e.g., severe acute illness, a history of serious vaccine reaction).