Nursing Knowledge
Vaccine: influenza inactivated (IIV4) or influenza recombinant (RIV4)
Timing: one dose annually
Live attenuated influenza vaccine (LAIV4) is not recommended for individuals aged 50 and over.
Vaccine: zoster recombinant (RZV)
Timing: two doses, 2–6 months apart, after age 50
Serologic evidence of prior varicella is not necessary for zoster vaccination.
Vaccine: pneumococcal (PCV15, PCV20, PPSV23)
Timing: at age 65, if not given previously or if vaccine history unknown
If PCV15 is given, follow with PPSV23 at least one year later. A shorter interval may be considered for immunocompromised individuals.
The deltoid is the recommended injection site for adult vaccines.
Symptoms of vaccine side effects usually last 1–2 days and are mild. Clients should contact their medical provider if symptoms persist, or if more severe symptoms occur.
Common side effects include:
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