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Immunizations, Emergency Medicine

Garth D. Meckler Reviewed 06/2017
 


Basics

Description

  • Immunization enhances or initiates resistance to infectious diseases.

  • Protection from immunization occurs through several mechanisms:

    • Passive immunization: Administration of purified a...

Diagnosis

Signs and Symptoms

  • Concern for vaccine-associated adverse events: The most common events associated with vaccination are mild and include local reactions (pain, swelling, erythema) and/or fev...

Treatment

Pre-Hospital

Attention should be focused on the airway, breathing, and circulation. 

Initial Stabilization/Therapy

Initial medications for anaphylactic reaction to vaccines include IM or IV epi...

Follow-Up

Disposition

Admission Criteria

  • Patients with serious adverse reactions following immunization should be admitted.

  • Patients with anaphylaxis and encephalopathy may require admission to a pediatr...

Pearls and Pitfalls

  • Failure to continue diphenhydramine for 48 hr following an allergic reaction. Steroids may also be considered.

  • Failure to recognize egg allergy as a contraindication to influenza va...

Additional Reading

Codes

ICD9

  • V07.2 Need for prophylactic immunotherapy

  • V15.83 Personal history of underimmunization status

ICD10

  • Z23 Encounter for immunization

  • Z28.3 Underimmunization status

SNOMED

  • 127785005 Administration of...

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