The 3 currently available pneumococcal vaccines.

We are live vaccines (total 6; name 2 and you get the points!)

The three diseases addressed by the Tdap vaccine.

Common type of Hepatitis without a preventative vaccine.

Clinical contraindications to Paxlovid (ritonavir-nirmatrelvir)

James is a 68 yo male. He has never received any pneumococcal vaccines. His PMH includes seasonal allergies, GERD, and hypertension. He should receive ____ (pneumococcal vaccine).

The national organization to notify if a patient has an adverse reaction to a vaccine.

I am the next step in the following scenario:

Patient was seen in the ED for a laceration two years prior. You have access to his ED records .His immunization status for tetanus was uncertain so he was given Tdap at that time and a booster of Td when he came for a check up 4 weeks later.

Melissa is a 67yo female. She is a nurse educator in a large, academic health-system in a low-income neighborhood. She has asthma, takes Taltz for psoriatic arthritis, is an expectant grandmother to a newborn, and is traveling to Cameroon as part of a healthcare brigade.

Why is Melissa eligible for the Hepatitis B vaccine if she has not already been vaccinated?

Current oral alternative to Paxlovid in patients with a contraindication

Austin is a 23 yo male living with HIV. He received PPSV23 after he was diagnosed with HIV 9 months ago. He should receive ____ pneumococcal vaccine in another 3 months.

We are two vaccinations indicated in:

It is June and an 18 year old male is seeing you after being transferred from Pediatrics to Adult Medicine. He needs papers completed for his pre-college exam. He will be living in a college dormitory.

He is up to date on all immunization. His records show that he received a MenACWY (Menactra) vaccine at age 15.

We are two vaccinations indicated in pregnancy.

Patient population requiring a higher than typical dose of Hepatitis B vaccine

Kathy is a 34 yo female living with UC managed on Entyvio. She is new to your office and upon intake is identified to have received 2 monovalent doses of Pfizer COVID vaccine. She is due for _______.

**DAILY DOUBLE**

Kelly is a 54 yo female. She has a history of a renal transplant (17 years ago). She has received PCV13 and 2 doses of PPSV23 as an adult. She may benefit from the __________ pneumococcal vaccine.

We are 3 vaccinations indicated:

A 57 year old woman recently diagnosed with Type 2 Diabetes. It is October and she is seeing you for a health maintenance update. She received MMR vaccine in the past and has a history of Varicella as a child. She received her Tdap 5 years ago. She received Shingrix one year ago.

I am the next step in the following scenario:

A patient in the ED who required sutures after a laceration to her hand after she fell from her bike onto the pavement. The wound is cleaned and sutured. Her last tetanus booster was 7 years ago. She is not sure if it was Td or Tdap.

According the CDC, the following groups are at higher risk of Hepatitis A (name 3).

**DAILY DOUBLE**

Michael is a 49 yo male. He is on HIV PrEP and has no other PMH. He received 2 doses of Moderna monovalent vaccine and 1 dose of Moderna bivalent. He is due for ____.

Pneumococcal vaccine that can be administered IM or subQ

I am the reason why this patient needs a Hepatitis B vaccine series in the following patient:

Maria is a 67 yo RN working as a nurse educator; she no longer has direct patient contact. She has well-controlled high blood pressure and uncontrolled asthma. She volunteers once a year for a mission trip to Africa. Of note, her Hepatitis B titers are negative and her PCP recommends she gets re-vaccinated.

The CDC recommends that if this syndrome occurred less than 6 weeks after receiving a tetanus vaccine –this wound be a precaution against the subsequent administration of the tetanus toxoid vaccine.

We are the vaccines that should be given now:

It is June 2023 and you are seeing a 26 yo male with a new diagnosis of HIV and CD4 counts <200. He is up to date on childhood vaccines and received a Tdap booster last year. You are seeing him for a visit today.

COVID vaccine that is no longer available in the US.