F Pineda Jhaymee

EXPANDED PROGRAM ON IMMUNIZATION, PHILIPPINES 1976-2016 and NATIONAL IMMUNIZATION PROGRAM 2016-PRESENT
Antigen Age Dose Route Site

BCG Vaccine At birth 0.05 mL Intradermal Right Deltoid region
(arm)
Booster 0.05 mL Left Deltoid region

Hepatitis B Vaccine At birth 0.5 mL Intramuscular Anterolateral thigh
muscle
DPT-HepB-Hib 1st dose at 6weeks 0.5 mL Intramuscular Anterolateral thigh
(Pentavalent Vaccine) 4 weeks interval muscle
2nd dose at 10 weeks
4 weeks interval
3rd dose at 14 weeks
4th dose to be given before
reaching 12 months of Age
BOOSTER:
Note: not given before 24

weeks of age!
Oral Polio Vaccine 1st dose at 6weeks 2 drops Oral Buccal cavity
4 weeks interval Note: do not let the
2nd dose at 10 weeks vaccine touch the
4 weeks interval client’s tongue!
rd
3 dose at 14 weeks
Anti-Measles 9-11 months 0.5 mL Subcutaneous Outer part of the

Vaccine (AMV 1) upper arm
Note: if measles outbreak
occurs give as early as 6
months of age.
Measles-mumps- 12-15 months 0.5 mL Subcutaneous Outer part of the
rubella vaccine upper arm
(AMV 2) 2nd dose given at 4-6 years of
age
Rotavirus vaccine 1st dose at 6weeks 1.5 mL Oral Between cheeks and
4 weeks interval gums
nd
2 dose at 10 weeks
Japanese Encephalitis 1st dose/primary dose at 9 0.5 mL Subcutaneous Outer part of the
months upper arm
to 17 years
0.5 mL
BOOSTER to be given 12-24
months after the primary
dose 0.5 mL
Individuals 18 years and

older should receive a single
dose
Influenza Vaccine 6 months to 35 months 0.25 Trivalent: Right Deltoid region
(Trivalent/Quadrivale mL Intramuscular or (arm) or
nt) 36 months to 18 years old Subcutaneously Outer part of the
0.5 mL upper arm
*children 6 to 8 years old-
receiving the vaccine for the Quadrivalent: Right Deltoid region
1st time should receive 2 Intramuscular (arm)
doses with an interval of at
least 4 weeks
*children aged 9 to 18 years

should receive 1 dose of the

vaccine yearly.
*annual vaccination should

begin in February but may be
given throughout the year
Hemophilus *12 to 59 months 0.5 mL Intramuscular Right Deltoid region

Influenzae Type b “unimmunized” or with one (arm)
Conjugate Vaccine dose of Hib vaccine received
Hib before age 12 months, give 2
doses of Hib vaccine with 8
weeks interval
*given 2 doses of Hib

vaccine before age 12 months
give an additional dose
*children greater than 5 or o

the age of 5 who received a

Hib booster dose during or
within 14 days of starting
CHEMOTHERAPY/RADIA
TION treatment should
receive a repeat dose of the
vaccine at least 3 months
after completion of therapy
*children who are

hematopoietic stem cell
transplant recipients should
be reimmunized with 3 doses
of Hib vaccine, 6-12 months
after transplant regardless of
vaccination history; doses
sgould be given 8 WEEKS
APART.
*”unimmunized children
aged 15 months and older

undergoing elective
splenectomy give one of Hib
containing vaccine at least 14
days before procedure
*give one dose of Hib

vaccine to unimmunized
children 5-18 years old who
have anatomic/functional
asplenia (including sickle cell
disease) and HIV infection.
Human Female children 9-10 years 0.5 mL Intramuscular Right Deltoid region
Papillomavirus old: (arm)
(HPV)
1st dose
2 months interval
2nd dose
6 months after the 1st dose
3rd dose
Management Contraindications
Contents Form Storage Side effects (including
(Handling and management
Temperature) of missed
dose)
BCG: Freeze- Storage of vaccine >Koch’s >no >BCG to a child who
dried, should not exceed: phenomenon; management is has signs and symptoms
Live, reconstituted >6 moths ate an acute needed of AIDS or other
attenuated with a regional level inflammatory immune-deficiency
bacteria special >3 months at reaction conditions or who are
diluent provincial/district within 2-4 immune-suppressed
level days after
>1 month at main vaccination; >Live attenuated
health usually vaccines are usually
centers/RHU (w/ indicates contraindicated in

refrigerator) previous patients with congenital
>not more than 5 exposure to or acquired immune
days at health tuberculosis. deficiency.
centers (w/o
refrigerators)
>Deep >refer to
*Protect from abscess at physician for
sunlight vaccination Incision and
site; almost Drainage
*Observe the First inevitably
Expiry First Out due to
subcutaneous
*Take note if the of deeper
vaccine container injection
has a VACCINE
VIAL MONITOR >Indolent >Treat with
(VVM) Ulceration: an INH powder
ulcer which
persists after
12 weeks
from
vaccination
date
>Glandular >if suppuration

enlargement: occurs, treat as
enlargement deep abscess.
of lymph Refer to
glands: drain physician for
incision site Incision and
Drainage.
Hepatitis B Cloudy, Storage of vaccine >Local >No treatment >Severe allergic reaction
Vaccine: liquid, in an should not exceed: soreness at needed (e.g., anaphylaxis) after
auto-disable >6 moths at the injection a previous dose of any
RNA- injection regional level site hepatitis B-containing
recombinant, syringe if >3 months ate vaccine.
using available provincial/district
Hepatitis B level
surface >1 month at main
antigen health
(HBsAg) centers/RHU (w/
refrigerator)
>not more than 5
days at health
centers (w/o
refrigerators)
*Observe the First

Expiry First Out
*Take note if the

vaccine container
has a VACCINE
VIAL MONITOR
(VVM)
Pentavalent Liquid, in an Storage of vaccine >Fever that >advise parent >>Pentavalent
Vaccine: auto-disable should not exceed usually lasts to give vaccine/DPT to children
injection >6 moths at for only 1 antipyretic over 5 years of age.
>Diphtheria syringe regional level day, Fever
toxoid >3 months ate beyond 24 >Pentavalent

>inactivated provincial/district hours is not vaccine/DPT to a child
Pertussis level due to the with recurrent
bacteria >1 month at main vaccine but convulsions or another
>Tetanus health other causes active neurologic disease
toxoid centers/RHU (w/ of the CNS
recombinant refrigerator) >local >reassure
DNA surface >not more than 5 soreness at parent that >Pentavalent vaccine 2
antigen days at health the injection soreness will or 3/DPT 2 or 3 to a
>Synthetic centers (w/o site disappear after child who has had
conjugate of refrigerators) 3-4 days convulsions or shock
Haemophilus within 3 days of the
influenza B *Observe the First >abscess after >Incision and most recent dose
bacilli Expiry First Out a week or drainage may
more usually be necessary
*Take note if the indicates that
vaccine container the injection
has a VACCINE was not deep
VIAL MONITOR enough or the
(VVM) needle was
not sterile
>convulsions: >proper
although very management of
rare, may convulsions;
occur in pertussis
children older vaccine should
than 3 not be given
months; anymore.
caused by
pertussis
vaccine
Oral Polio Clear, Storage of vaccine None None >the poliovirus vaccine
Vaccine: pinkish should not exceed should be used with
liquid >6 moths at caution in patients with
Live, regional level a history of
attenuated >3 months ate NEOMYCIN
virus provincial/district HYPERSENSITIVITY
(trivalent) level or STRPTOMYCIN
>1 month at main HYPERSENSITIVITY
health because these agents

centers/RHU (w/ may be used in the
refrigerator) preparation of OPV.
>not more than 5
days at health >Live attenuated
centers (w/o vaccines are usually
refrigerators) contraindicated in
patients with congenital
>-15 to -25 degrees or acquired immune
Celsius and has to deficiency.
be stored in the
freezer. In the
vaccine bag it is to
be placed in
contact with cold
packs
*Observe the First

Expiry First Out
*Take note if the

vaccine container
has a VACCINE
VIAL MONITOR
(VVM)
Anti-measles Freeze- Storage of vaccine >fever 5-7 >reassure >Live attenuated
vaccine dried, should not exceed: days after parent and vaccines are usually
(AMV 1): reconstituted >6 moths at vaccination in instruct them to contraindicated in
with a regional level some give antipyretic patients with congenital
Live, special >3 months ate children; or acquired immune
attenuated diluent provincial/district sometimes *Children who deficiency.
virus level there is a have not
>1 month at main mild rash received AMV
health 1 as scheduled
centers/RHU (w/ and whose
refrigerator) parents or
>not more than 5 caretakers DO
days at health NOT KNOW
centers (w/o whether they
refrigerators) have received
AMV 1 shall be
>have to be stored GIVEN AMV 1
in the refrigerator as soon as
at a temperature of possible, then
+2 to +8 C and AMV 2 one
they should be month after the
stocked neatly on AMV 1 dose
the SHELVES of
the refrigerator. Do
not stock
vaccines at the
refrigerator door
shelves
*Observe the First

Expiry First Out
*Take note if the

vaccine container
has a VACCINE
VIAL MONITOR
(VVM)
Measles- Freeze- Storage of vaccine >local >reassure >Live attenuated
mumps- dried, should not exceed: soreness, parent and vaccines are usually
rubella reconstituted >6 moths at fever, instruct them to contraindicated in
vaccine with a regional level irritability give antipyretic patients with congenital
(AMV 2): special >3 months ate and malaise *Children who or acquired immune
diluent provincial/district in some have not deficiency.
Live, level children received AMV
attenuated >1 month at main 1 as scheduled
virus health and whose
centers/RHU (w/ parents or
refrigerator) caretakers DO
>not more than 5 NOT KNOW
days at health whether they
centers (w/o have received
refrigerators) AMV 1 shall be
GIVEN AMV 1
>have to be stored as soon as
in the refrigerator possible, then
at a temperature of AMV 2 one

+2 to +8 C and month after the
they should be AMV 1 dose
stocked neatly on
the SHELVES of
not stock vaccines
at the refrigerator
door shelves
*Observe the First

Expiry First Out
*Take note if the

vaccine container
has a VACCINE
VIAL MONITOR
(VVM)
Rotavirus Clear, Storage of vaccine >some > reassure >Rotavirus vaccine
vaccine: colorless should not exceed: children parent and when the child has a
liquid, in a >6 moths at develop mild instruct them to history of

Live, container regional level vomiting, give antipyretic hypersensitivity to a
attenuated with an oral >3 months ate diarrhea, and Oresol to previous dose of the
virus applicator provincial/district fever and the child vaccine,
level irritability intussusceptions or
>1 month at main intestinal malformation
health or acute gastroenteritis
centers/RHU (w/
refrigerator) >Live attenuated
>not more than 5 vaccines are usually
days at health contraindicated in
centers (w/o patients with congenital
refrigerators) or acquired immune
deficiency.
>have to be stored
in the refrigerator
at a temperature of
+2 to +8 C and
they should be
stocked neatly on
the SHELVES of
not stock vaccines
at the refrigerator
door shelves
*protect from light
*Observe the First

Expiry First Out
*Take note if the

vaccine container
has a VACCINE
VIAL MONITOR
(VVM)
Tetanus Clear, Storage of vaccine >local >apply cold
toxoid: colorless should not exceed: soreness at compress at the
liquid. >6 moths at the injection site. No other
Weakened Sometime regional level site treatment is
toxin slightly >3 months needed

turbid in atprovincial/district
appearance level
>1 month at main
health
centers/RHU (w/
refrigerator)
>not more than 5
days at health
centers (w/o
refrigerators)
*Observe the First

Expiry First Out
*Take note if the

vaccine container
has a VACCINE
VIAL MONITOR
(VVM)
CHANGES IN THE CHILDHOOD IMMUNIZATION 2016: Vaccines added to the NIP and
vaccines that were modified
Japanese Liquid, Storage of >Pain, > apply cold >anyone who has had a
Encephalitis white, vaccine should tenderness, compress at severe allergic reaction to
opaque, not exceed: redness, or the site. No a dose of JE should not
Can be: Live, non-uniform >6 moths at swelling other get another dose
attenuated suspension regional level where the treatment is
vaccine or which >3 months ate shot was needed >anyone who has had a n
inactivated becomes provincial/district given. allergic reaction to any
vaccine homogenous level > reassure component of JE vaccine
upon >1 month at main > Fever and parent and should not get the vaccine
shaking health headache. instruct them
centers/RHU (w/ to give >Pregnant women should
refrigerator) antipyretic not get a vaccine
>not more than 5
days at health
centers (w/o
refrigerators)
>stored below 8
degree Celsius
and protected
from light
*Observe the
First Expiry First
Out
*Take note if the

vaccine container
has a VACCINE
VIAL
MONITOR
(VVM)
Influenza Milky-white Storage of >soreness, > apply cold >anaphylactic reactions to
Vaccine suspension vaccine should redness, compress at eggs, history of Guillan-
(Trivalent/ not exceed: and/or the site. No Barr syndrome, patients
Quadrivalent) >6 moths at swelling other aged <18 years on long-
regional level from the treatment is term aspirin therapy,

Live, >3 months at shot. needed pregnancy during the 1st
attenuated provincial/district trimester, and various
virus level > reassure states of
>1 month at main Headache, parent and immunosuppression.
health fever, nausea instruct them
centers/RHU (w/ and muscle to give
refrigerator) aches. antipyretic
>not more than 5
days at health
centers (w/o
refrigerators)
>have to be
stored in the
refrigerator at a
temperature of
+2 to +8 C and
they should be
stocked neatly on
the SHELVES of
the refrigerator.
Do not stock
vaccines at the
refrigerator door
shelves
*Observe the
First Expiry First
Out
*Take note if the

vaccine container
has a VACCINE
VIAL
MONITOR
(VVM)
Hemophilus Liquid, clear Storage of >soreness, > apply cold >A person who has ever
Influenzae in vaccine should redness, compress at had a severe allergic
Type b appearance not exceed: and/or the site. No reaction (e.g.,
Conjugate >6 moths at swelling other anaphylaxis) after a

Vaccine Hib: regional level from the treatment is previous dose.
>3 months ate shot. needed
Live, provincial/district >A person who has a
attenuated level severe allergic reaction to
virus >1 month at main any vaccine component
health
centers/RHU (w/ >a person younger than 6
refrigerator) weeks
>not more than 5
days at health
centers (w/o
refrigerators)
>have to be
stored in the
refrigerator at a
temperature of
+2 to +8 C and
they should be
stocked neatly on
the SHELVES of
the refrigerator.
Do not stock
vaccines at the
refrigerator door
shelves
*Observe the
First Expiry First
Out
*Take note if the

vaccine container
has a VACCINE
VIAL
MONITOR
(VVM)
Human Suspension Storage of >soreness, > apply cold >HPV vaccine is
Papillomavirus for injection vaccine should redness, compress at contraindicated for
(HPV) in pre-filled not exceed and/or the site. No persons with a history of
syringe >6 moths at swelling other immediate
Inactivated regional level from the treatment is hypersensitivity to any
vaccine >3 months ate shot. needed vaccine component, yeast.
provincial/district
level >sometimes >remain
>1 month at main dizziness or seated for 15
health fainting minutes after
centers/RHU (w/ occurs after the injection to
refrigerator) the injection reduce the risk
>not more than 5 of fainting.
days at health
centers (w/o
refrigerators)
>have to be
stored in the
refrigerator at a
temperature of
+2 to +8 C and
they should be
stocked neatly on
the SHELVES of
the refrigerator.
Do not stock
vaccines at the
refrigerator door
shelves
*Observe the
First Expiry First
Out
*Take note if the

vaccine container
has a VACCINE
VIAL
MONITOR
(VVM)

F Pineda Jhaymee

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EXPANDED PROGRAM ON IMMUNIZATION, PHILIPPINES 1976-2016 and NATIONAL IMMUNIZATION PROGRAM 2016-PRESENT

Antigen Age Dose Route Site

Booster 0.05 mL Left Deltoid region

Note: not given before 24

Anti-Measles 9-11 months 0.5 mL Subcutaneous Outer part of the

Individuals 18 years and

*children aged 9 to 18 years

should receive 1 dose of the

*annual vaccination should

Hemophilus *12 to 59 months 0.5 mL Intramuscular Right Deltoid region

*given 2 doses of Hib

*children greater than 5 or o

the age of 5 who received a

*children who are

aged 15 months and older

*give one dose of Hib

centers/RHU (w/ indicates contraindicated in

>Glandular >if suppuration

*Observe the First

*Take note if the

toxoid >3 months ate beyond 24 >Pentavalent

health because these agents

*Observe the First

*Take note if the

*Observe the First

*Take note if the

at a temperature of AMV 2 one

*Observe the First

*Take note if the

liquid, in a >6 moths at develop mild instruct them to history of

*protect from light

*Observe the First

*Take note if the

toxin slightly >3 months needed

*Observe the First

*Take note if the

*Take note if the

regional level from the treatment is term aspirin therapy,

*Take note if the

Conjugate >6 moths at swelling other anaphylaxis) after a

*Take note if the

*Take note if the

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