Immunization Toolkit: Adult, Military and Childhood Immunizations, Ninth Edition 2019

Immunization Toolkit: Adult, Military and Childhood Immunizations, Ninth Edition 2019
Immunization Toolkit: Adult, Military and Childhood Immunizations, Ninth Edition 2019
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The Ninth Edition of the Immunization Tool Kit (ITK). The ITK provides you a practical reference which facilitates and enhances the global delivery of quality immunization healthcare to Department of Defense (DoD) beneficiaries and employees. It is produced to serve the adult, military and childhood immunization needs of the DoD community by presenting to the military community information about vaccine efficacy, safety, and, acceptability.

The Immunization Toolkit provides an extensive list of tables, charts, illustrations, and maps that explain in-depth the content of vaccines, methods of injections, check lists for contradictions to vaccines for specific age groups, names of worldwide immunization options, adverse effects, and more.



Table of Contents

Page Project Development, Message from the Chief & Foreword  ii-iv

Additional Resources viii-ix

Risk Communication 1-1

Standards for Military Immunization 1-2

Vaccines and Their True and Untrue Contraindications and Precautions 1-5

Vaccination of Persons with Primary and Secondary Immune Deficiencies  1-7

Vaccine Excipient and Media Summary 1-10

Vaccine Products Licensed for Use in the United States 1-17

How to Administer Intramuscular (IM) Injections 1-20

How to Administer Subcutaneous (SC) Injections 1-21

Sample Screening Questionnaire (Pediatric) 1-22

Sample Screening Questionnaire (Adult) 1-24

Worldwide Names of Immunizations 1-26

Anaphylaxis 1-44

Adverse Events Following Immunization 1-48

Medical Exemptions  1-49

Administrative Exemptions  1-49

National Vaccine Injury Compensation Program  1-50  

ADULT & MILITARY IMMUNIZATIONS Page Adult Immunization Schedule  2-2

Adenovirus  2-8

Anthrax  2-10

Cholera 2-12

Hepatitis A, B, and Combination A/B Vaccines 2-14

Haemophilus influenzae type b (Hib) 2-18 

Human Papillomavirus (HPV) 2-19

Injectable Influenza  2-20

Intranasal Influenza  2-22

Japanese Encephalitis 2-24

Measles, Mumps and Rubella (MMR)  2-25

Meningococcal (A, C, W, Y) 2-27

Meningococcal (B) 2-29

Pneumococcal Conjugate (PCV13)  2-31

Pneumococcal Polysaccharide (PPSV23) 2-33

Poliovirus 2-35

Rabies 2-37

Smallpox (Vaccinia)  2-39

Td (Tetanus and Diphtheria Toxoids)  2-47

Tdap (Tetanus and Diphtheria Toxoids and Acellular Pertussis) 2-48

Typhoid 2-50

Varicella (Chickenpox) 2-52

Yellow Fever  2-54

Zoster (Shingles) 2-56 

PEDIATRIC IMMUNIZATIONS Page Childhood/Adolescent Immunization Schedule 3-2

Recommended and Minimun Ages and Intervals Between Doses of Routinely Recommended Vaccines 3-10

Summary of Recommendations for Immunization 3-13

DTaP (Diphtheria, Tetanus, and Acellular Pertussis)  3-19

DT (Diphtheria and Tetanus) 3-21

Td (Tetanus and Diphtheria)  3-22

Tdap (Tetanus, Diphtheria, and Acellular Pertussis) 3-23

Hepatitis A  3-25

Hepatitis B  3-26

Haemophilus influenzae type b (Hib)  3-28

Human Papillomavirus (HPV)  3-30

Injectable Influenza 3-31

Intranasal Influenza 3-34

Japanese Encephalitis 3-36

Measles, Mumps and Rubella (MMR) 3-38

Meningococcal (A, C, W, Y) 3-40

Meningococcal (B)  3-42

Pneumococcal Conjugate (PCV13) 3-44

Pneumococcal Polysaccharide (PPSV23) 3-46

Poliovirus 3-48

Rotavirus  3-50

Typhoid 3-51

Varicella (Chickenpox)  3-53

Yellow Fever  3-55


Storage and Handling Section:  4-1 


Healthcare workers, service members and families will become more knowledgeable about forms of immunization and the vaccines used to protect their health when reviewing this comprehensive Immunization Toolkit.

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  • Immunization
  • Adult, Military and Childhood Immunizations
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