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Inactivated H1N1 vaccine

The Inactivated H1N1 vaccine is indicated for individuals aged 6 months to 24 years, caregivers of infants, healthcare personnel, pregnant women, and adults 25-64 with chronic conditions. Contraindications include allergies to vaccine components, fever, and history of Guillain-Barre syndrome. It is supplied in pre-filled syringes or multi-dose vials and can be given with other vaccines. Dosing varies by age, and the administration procedure involves careful verification, site selection, and technique to ensure effective vaccination while monitoring for potential reactions.

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Inactivated H1N1 vaccine

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  1. InactivatedH1N1 vaccine

  2. Indications • 6 months to 24 years old • Those who • Live with or care for infants younger than 6 months • Health care or emergency medical personnel • Pregnant women • 25-64 years with chronic medical conditions or weakened immune system • As available healthy adults 25-64 and those older than 65

  3. Contraindications • Allergy to: • Previous influenza vaccine • Eggs, egg products, thimerosal, gentamicin, polymyxin, neomycin, gelatin, latex • Fever or acute illness • Age less than 6 months • History Guillain-Barre syndrome

  4. Contraindications • All not absolute • Discuss with nurse or physician • Allergies different depending on manufacturer

  5. Vaccine Considerations • Supplied in pre-filled unit-dose syringes or multi-dose vials • Storage: 35-46° F (2-8° C) • Can be administered at same time as any other vaccine

  6. Dosing • Age 6-35 months: 0.25 mL • Age 3 and older: 0.5 mL • Age 6 mo-9 yr: 2 doses 3-4 weeks apart • Age 10 and older: 1 dose sufficient • NOTE: different manufacturers have different age approvals

  7. Procedure • Obtain and verify vaccine • Colorless to pale yellow • Clear to slightly cloudy • Ensure proper dose • Select appropriate pre-filled syringe • Draw appropriate volume from multi-dose vial • Cleanse top with alcohol pad prior to drawing up • Ensure VAR complete

  8. Procedure • Identify appropriate muscle • Deltoid • Lateral thigh for small children • Cleanse area with alcohol or similar • 21-25 gauge needle • 1-1½ inches • ⅝-¾ inch for those less than 60kg

  9. Procedure • Insert needle 90° into appropriate muscle • Consider aspiration • If attempted and get blood on aspiration, stop, withdraw, and discard without administering vaccine and start over • Inject vaccine into muscle in one quick, steady manner • Remove needle & syringe disposing in sharps container • Bandage as needed

  10. Considerations • Possible reactions • Fever, chills, malaise, myalgia • Soreness, redness, or induration at site of injection

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