Transcription of Administering Vaccines to Adults: Dose, Route, Site, and ...
1 Administering Vaccines to Adults: Dose, Route, Site, and Needle SizeTechnical content reviewed by the Centers for Disease Control and PreventionSaint Paul, Minnesota 651-6 47-9009 Item #P3084 (2/18)Injection Site and Needle SizeSubcutaneous (Subcut) injection Use a 23 25 gauge, 5/8" needle. Inject in fatty tissue over (IM) injection Use a 22 25 gauge needle. Inject in deltoid muscle of arm. Choose the needle length as indicated below:Gender/Weight Needle LengthFemale or male less than 130 lbs 5/8"* 1"Female or male 130 152 lbs 1"Female 153 200 lbs 1 11/2"Male 153 260 lbs Female 200+ lbs 11/2"Male 260+ lbs* A 5/8" needle may be used for patients weigh - ing less than 130 lbs (<60 kg) for IM injection in the deltoid muscle only if the subcutaneous tissue is not bunched and the injection is made at a 90-degree : Always refer to the package insert included with each biologic for complete vaccine administration information.
2 CDC s Advisory Committee on Immuni-zation Practices (ACIP) recommendations for the particular vaccine should be reviewed as well. Access the ACIP recommendations at (NAS) administra-tion of Flumist (LAIV) vaccineIntramuscular (IM) injection90 anglemuscleskinsubcutaneous tissueIntradermal (ID) administration of Fluzone ID vaccine90 angleAdminister in area of deltoidSubcutaneous (SubCut) injection45 anglemuscleskinsubcutaneous tissueVaccineDoseRouteHepatitis A (HepA) 18 yrs: mLIM 19 yrs: mLHepatitis B (HepB) 19 yrs: mLIME ngeri x-B; Recombivax HB >20 yrs: mLHeplisav-B 18 yrs: mLHepA-HepB (Twinrix) 18 yrs: mLIMH uman papillomavirus (HPV) mLIMI nfluenza, live attenuated (LAIV) mL ( mL in each nostril)Intranasal sprayInfluenza, inactivated (IIV) and recombinant (RIV) mLIMI nfluenza (IIV) Fluzone Intradermal, for ages 18 through 64 mLIDM easles, Mumps, Rubella (MMR) mLSubcutMeningococcal serogroups A, C, W, Y (MenACWY) mLIMM eningococcal serogroup B (MenB) mLIMP neumococcal conjugate (PCV13) mLIMP neumococcal polysaccharide (PPSV) mLIM or Sub-cutTetanus, Diphtheria (Td) with Pertussis (Tdap) mLIMV aricella (VAR) mLSubcutZoster (Zos)Shingrix: mLIM Zostavax: mLSubcut
