Which Type of Vaccine
Algorithm

Does the patient have an egg allergy?

 

 

Egg Allergy

End of Algorithm

 

 

No Egg Allergy
How old is the patient?

 

 

 

0-6 Months Old

  • No vaccination recommended.

End of Algorithm

 

 

6 Months to < 2 Years Old

End of Algorithm

 

 

2 Years to 4 Years Old

  • Does the patient have any of the following reasons to favor inactivated vaccine over live, attenuated vaccine?
    • Asthma, reactive airways disease, or chronic pulmonary or cardiovascular disease
    • Metabolic disease (diabetes), renal dysfunction, or hemoglobinopathy
    • Known or suspected immunodeficiency or taking immunosuppressive drugs
    • Taking long-term salicylate therapy
    • History of Guillain-Barre syndrome
    • Close contact with patient with severe immunodeficiency (ie. hematopoietic stem cell transplants)

Yes     No

End of Algorithm

 

 

2 Years to 4 Years Old
No Reason to Favor Inactivated Vaccine

End of Algorithm

 

 

 

2 Years to 4 Years Old
Reason to Favor Inactivated Vaccine

End of Algorithm

 

 

 

 

4 - 5 Years Old

  • Does the patient have any of the following reasons to favor inactivated vaccine over live, attenuated vaccine?

    • Asthma, reactive airways disease, or chronic pulmonary or cardiovascular disease
    • Metabolic disease (diabetes), renal dysfunction, or hemoglobinopathy
    • Known or suspected immunodeficiency or taking immunosuppressive drugs
    • Taking long-term salicylate therapy
    • History of Guillain-Barre syndrome
    • Close contact with patient with severe immunodeficiency (ie. hematopoietic stem cell transplants)

Yes     No

End of Algorithm

 

 

4-5 Years Old
No Reason to Favor Inactivated Vaccine

End of Algorithm

 

 

 

4-5 Years Old
Reason to Favor Inactivated Vaccine

End of Algorithm

 

 

 

50 or More Years Old

End of Algorithm

 

 

 

5 - < 18 Years Old

Does the patient have any of the following reasons to favor inactivated vaccine over live, attenuated vaccine?

  • Asthma, reactive airways disease, or chronic pulmonary or cardiovascular disease
  • Metabolic disease (diabetes), renal dysfunction, or hemoglobinopathy
  • Known or suspected immunodeficiency or taking immunosuppressive drugs
  • Pregnancy
  • Under 18 yrs old and taking long-term salicylate therapy
  • History of Guillain-Barre syndrome
  • Close contact with patient with severe immunodeficiency (ie. hematopoietic stem cell transplants)

Yes     No

 

 

5- < 18 Years Old with Reasons to Favor Inactivated Vaccine

End of Algorithm

 

 

5 - < 18 Years Old, No Reason to Favor Inactivated

End of Algorithm

 

 

18 - 49 Years Old

Does the patient have any of the following reasons to favor inactivated vaccine over live, attenuated vaccine?

  • Asthma, reactive airways disease, or chronic pulmonary or cardiovascular disease
  • Metabolic disease (diabetes), renal dysfunction, or hemoglobinopathy
  • Known or suspected immunodeficiency or taking immunosuppressive drugs
  • Pregnancy
  • Under 18 yrs old and taking long-term salicylate therapy
  • History of Guillain-Barre syndrome
  • Close contact with patient with severe immunodeficiency (ie. hematopoietic stem cell transplants)

Yes     No

 

 

18- 49 Years Old with Reasons to Favor Inactivated Vaccine

End of Algorithm

 

 

18- 49 Years Old, No Reason to Favor Inactivated Vaccine

End of Algorithm