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Vaccines: focus on adults - Summa Health System

Vaccines: focus on adults - Summa Health System

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Zoster Vaccine (Zostavax )• Single SC injecti<strong>on</strong> within 30 minutes ofrec<strong>on</strong>stituti<strong>on</strong>.• Does not require documentati<strong>on</strong> of priorvaricella to give• Proper time after zoster is c<strong>on</strong>troversial.Expert recommendati<strong>on</strong>s vary from 6 m<strong>on</strong>thsto 2 yrs.• C<strong>on</strong>traindicati<strong>on</strong>s• Allergy to gelatin, neomycin• Immunodeficiency (administer preferably 4 wks prior toimmunosuppressive therapy, can give if in remissi<strong>on</strong> fromleukemia or lymphoma for 3 m<strong>on</strong>ths; low dose steroids, < 20 mg/d for < 14 days, is OK)• Active TB• Pregnancy

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