Routine Recommended Vaccine Schedule


Vaccine # 1

Name of Vaccine

Rotavirus vaccine

Trade Name


Type of vaccination



· The previous dose of the Rotavirus vaccine was suspected of having a life-threatening allergic reaction.

· Any component of the rotavirus vaccine was suspected of having a severe allergic effect.

· Rotavirus vaccine was suspected of having Severe immunodeficiency (SCID).


Anyone taking the Rotavirus vaccine should take several precautions, which include: pre-existing acute gastrointestinal conditions such as short gut syndrome or Hirschsprung’s disease and congenital malabsorption syndrome. Another precaution to take is

chronic gastroenteritis. (Salvadori & Saux, 2010).

Adverse Drug Reactions

Some of the reactions that might be triggered by the vaccine include swelling on both throat and face, increased heartbeat, drowsiness, and breathing complications (CDC, 2019).

Minimum Age to Receive Vaccine

All Rotavirus vaccine doses should be given to children between 15 weeks and 8 months. (CDC, 2019).

Routine Recommended Vaccine Schedule

The dose should be initiated to children at 2nd ,4th, and 6th months.

Minimum Interval Between Doses

The recommended spacing is four weeks.

Special Situations

For children who are over 15 weeks, Rotavirus vaccination is not necessary. For children who had begun the process of getting the vaccine but never got the full dose, the process should begin afresh. This is only for children under 8months, and they received the previous doses outside the United States. In situations where the administered dose is unknown or live, I completion plan should be put in place to ensure the three doses are administered (CDC, 2019).

Vaccine # 2

Name of Vaccine

Hepatitis B vaccine

Trade Name

Recombivax HB

Type of vaccination



· Previous doses of hepatitis B vaccine were suspected of causing allergic reactions

· Exposing the hepatitis B vaccine to yeast caused an allergic reaction.

· Exposing the hepatitis B vaccine to neomycin caused allergic reactions (contraindication for Twinrix) (CDC, 2020).


Hepatitis B vaccine may cause anaphylaxis, which is a serious type of allergic reaction called anaphylaxis. All measures should be put in place since Anaphylaxis is a life-threatening condition, and it should be handled as an emergency. Some of the conditions that may signal this condition include difficulty breathing, rash, swelling of tongue and throat, and itching (Mayo Clinic, 2020).

Adverse Drug Reactions

Allergic reactions cause hepatitis B vaccine are manageable, but severe cases should be handled as an emergency. Some of the symptoms that should signal a severe case include hives, breathing complications, swelling of both throat and face, abnormal heartbeats, and drowsiness. (CDC, 2020).

Minimum Age to Receive Vaccine

Six weeks

Routine Recommended Vaccine Schedule

hepatitis B vaccine should be administered on birth, after 1,2,4 and 6 months

Minimum Interval Between Doses

The minimum duration of 4 weeks

Special Situations

Individuals with no history of hepatitis B vaccination should have an age-appropriate dose. Other categories of people who fall under this special category are exposed to hepatitis B risk, such as sexually exposed people. People suspected of having mucosal exposures should fall under the same category (CDC, 2019).

Barriers and Interventions

Reason for Vaccine Non-Compliance or Vaccine Hesitancy by Parents

The use of vaccines is the best way to control infectious diseases. Many people have understood the importance of immunization, but some have remained hesitant over the years. Fear of side effects caused by this vaccine is one major reason behind this hesitation by parents. (Sjogren, Ask, Ortqvist & Asp, 2017). Other parents have become ignorant, and to them, the chances of their children being affected are very low.

Intervention that Nurse Practitioners Can Take to Improve Vaccination Compliance

Creating awareness through education programs is the best and the most effective way to improve immunization compliance. The program should encourage family members to spread the information on the importance of vaccination, helping the parents understand the importance of seeking pediatrician services to immunize their children, and emphasizing the importance of having vaccines on the recommended dates. Putting this information on a government website and sharing the URLs with the parents is a great way to create awareness.

(Otsuka-Onu, Hori, Ohta, Uemura & Kamibeppu, 2019).

Healthcare Providers Required by Law to Report an Adverse Event

VAERS is a system that simplifies the reporting system. Through the platform, anyone can report an occurrence. It does not limit the person who does the reporting. It can be health workers, patients, or even parents


· Adverse events are included in the Reportable Events following the schedule provided in VAERS.

· An adverse event pointed out by vaccine developers and the attached contradictions (VAERS, 2020).

Adverse Events that Healthcare Providers Are Encouraged to Report

Healthcare officials are required to report to VAERS:

· Cases suspected to be as a result of administered. For this to apply, the vaccine should be licensed in the United |States

· The error that occurred while administering the vaccine (VAERS, 2020).

How Would A Healthcare Provider Report an Adverse Event?

VAERs provides two options to submit a report:

· Option 1: VAERS provides an online platform to Submit an external report icon (Preferred)

The online submission process must be completed in a single sitting.

· VAERs automatically clear the history after 20 minutes of inactivity.

· Note: sessions will time-out after 20 minutes of inactivity; no information is saved.

· Option 2: A writable PDF file is downloaded from the VAERS system, and you can fill it electronically. Ready forms should be uploaded back to the website using the instructions available on the platform. (CDC, 2020).


Centers for Disease Control and Prevention. Routine vaccine recommendations. Retrieved from

Centers for Disease Control and Prevention. Special situations. Retrieved from

Mayo Clinic. (2020). Hepatitis B vaccine (Intramuscular route). Retrieved from

Otsuka-Ono, H., Hori, N., Ohta, H., Uemura, Y., & Kamibeppu, K. (2019). A childhood immunization education program for parents delivered during late pregnancy and one-month postpartum: a randomized controlled trial. BMC Health Services Research, 19. Retrieved from

Rogers, K. (2019). Immunization noncompliance: Gauging the cause, effect, and management in the school setting. NASN School Nurse, 34(3).

Salvadori, M., & Saux, N. (2010). Recommendations for the use of rotavirus vaccines in infants. Paediatr Child Health, 15(8), 519-523. DOI: 10.1093/pch/15.8.519.

Sjogren, E., Ask, L., Ortqvist, A., & Asp, M. (2017). Parental conceptions of the rotavirus vaccine during implementation in Stockholm: A phenomenographic study. Journal of Child Health Care, 21(4).

VAERS. (2020). Report an adverse event to VAERS. Retrieved from

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