Portage County Emergency Medical Services
State of Wisconsin
Emergency Medical Services
Medical Guidelines and Procedures
|Seasonal Influenza |
|Vaccination Administration |
|– INJECTABLE Inactivated – |
Note: This information is based upon the most recent recommendations by the Centers for Disease Control and Prevention (CDC) and disseminated by the Wisconsin Department of Health Services.
Immunization Recommendations: All persons aged ≥6 months should be vaccinated annually.
|EMERGENCY MEDICAL RESPONDER (EMR) |
• Emergency Medical Responders (EMR) are NOT allowed to administer the Influenza vaccination.
|EMERGENCY MEDICAL TECHNICIAN (EMT) / ADVANCED EMT (AEMT) |
|INTERMEDIATE / PARAMEDIC |
Precautions
• Providers should use universal precautions
Contraindications
• History of Guillian-Barre
• Serious allergic reaction to a previous dose of Influenza vaccine (intranasal or intramuscular)
• Allergic reaction to egg or egg products
• Any acute illness more severe than the common cold
Reactions
• Pain, redness and or swelling at the injection site and mild fever.
Schedule
• One dose if vaccinated for the seasonal flu in any previous year
• Children 6 months through 8 years of age: Two doses separated by at least 21-28 days if they have never received a seasonal flu vaccination in the past, or if their first seasonal flu vaccine was last year and they only received one dose
• See Attachment I for doses recommended for children
Site of Administration
• Intramuscular into the anterolateral aspect of the upper thigh for young children or in the deltoid for older children and adults.
Cleansing Agent
• Alcohol pad or equivalent
Influenza vaccines for different age groups --- United States, 2010--11 season
|Vaccine |Trade name |Manufacturer |Presentation |Mercury content (mcg Hg/0.5 mL | Dose |Age group |
| | | | |dose) | | |
|TIV |Fluzone |sanofi pasteur |0.25 mL prefilled syringe|0.0 |0.25 mL |6--35 mos |
| | | |0.5 mL prefilled syringe |0.0 |0.5 mL |≥36 mos |
| | | |0.5 mL vial |0.0 |0.5 mL |≥36 mos |
| | | |5.0 mL multidose vial |25.0 |0.25 mL |6-35 mos |
| | | |5.0 mL multidose vial |25.0 |0.5 mL |≥36 mos |
|TIV High Dose |Fluzone High-Dose |sanofi pasteur |0.5 mL prefilled syringe |0.0 |0.5 mL |≥65 yrs |
|TIV |Fluvirin |Novartis Vaccine |5.0 mL multidose vial |24.5 |0.5 mL |≥4 yrs |
| | | |0.5 mL prefilled syringe | ................
................
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