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Administering Vaccines: Dose, Route, Site, and Needle Size

VaccineDoseRouteCOVID-19 Pfizer-BioNTech age 5 to <12 yrs: mL pediatric formulation ( orange cap ) age 12 yrs: mL adult/adolescent formulation for primary and booster dosesIM .Moderna; 18 yrs: mL primary series*; mL booster Janssen: 18 yrs: mL for primary & booster dosesDiphtheria, Tetanus, Pertussis(DTaP, DT, Tdap, Td) mL..IM ..Haemophilus influenzae type b (Hib) mLIMH epatitis A (HepA) 18 yrs: mLIM 19 yrs: mLHepatitis B (HepB)Persons 11 15 yrs may be given Recombivax HB (Merck) mL adult formulation on a 2-dose schedule. Engerix-B; Recombivax HB 19 yrs: mL 20 yrs: mLIMH eplisav-B 18 yrs: mLHuman papillomavirus (HPV) mLIMI nfluenza, live attenuated (LAIV) mL ( mL in each nostril)Intra-nasal sprayInfluenza, inactivated (IIV); for ages 6 35 monthsAfluria: mLIMF luzone: or mLFluarix, Flucelvax, FluLaval: mLInfluenza, inactivated (IIV), 3 yrs; recombinant (RIV), 18 yrs; high-dose (HD-IIV) 65 yrs mLIM FluZone HD: mLMeasles, Mumps, Rubella (MMR) mLSubcutMeningococcal serogroups A, C, W, Y (MenACWY) mLIMM eningococcal serogroup B (MenB) mLIMP neumococcal conjugate (PCV) mLIMP neumococcal polysaccharide (PPSV) mLIM or SubcutPolio, inactivated (IPV) mLIM or SubcutRotavirus (RV)Rotarix: mLOralRotateq: mLVaricella (VAR) mLSubcutZoster (Zos)Shingrix: mLIMC ombination VaccinesDTaP-HepB-IPV (Pediarix)DTaP-IPV/Hib (Pentacel)DTaP-IPV (Kinrix; Quadracel)DTaP-IPV-Hib-HepB ()

0.5 mL IM MMRV (ProQuad) ≤12 yrs: 0.5 mL Subcut HepA-HepB (Twinrix) ≥18 yrs: 1.0 mL IM Injection Site and Needle Size Subcutaneous (Subcut) injection Use a 23–25 gauge needle. Choose the injection site that is appropriate to the person’s age and body mass. age Needle length injection site Infants (1–12 mos) ⅝" Fatty tissue over ...

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