Vaccination Services
Vaccination Services
The purpose of a vaccination is to produce immunity. Immunity means the presence in a person's body of cells and substances known as antibodies that can produce a protective immune response.

Types of Vaccinations  
Titer
The antibody titer is a test that detects the presence and measures the amount of antibodies within a person's blood.
Cannot be administered to pregnant/breastfeeding women
Injection Sites
INTRAMUSCULAR (IM) 
Administered into the muscle, at a 90-degree angle
Sites: Deltoid or Gluteus
SUBCUTANEOUS (Sub-Q)
Administered into the subcutaneous tissue, at a 45-degree angle
INTRADERMAL
Administered into the top layer of the dermis (skin)
Flu Vaccination Benefits
Flu Shots
  • Flexibility
  • On-site
  • Different times of day/night to accommodate any operational need for a company based on their hours operation
  • 25 or more employees is our recommendation for any workforce
  • End of Sept and through December
  • Bulk is from Sept to end of November
  • 6 months efficacy
Hepatitis A
  • Communicable disease of the liver. Usually transmitted person to person through the fecal-oral route or consumption of contaminated food or water
  • Titer available to measure antibody levels before starting vaccines
  • 2 IM dose series, at least 6 to 18 months apart

Hepatitis B
  • Communicable disease of the liver
  • Transmitted via blood, semen, or another body fluid from an infected person
  • Titer available to measure antibody levels before starting vaccines.
  • 3 IM dose series.  
    • Dose # 1: day 1
    • Dose # 2: 1 month from day 1
    • Dose # 3: 4 to 6 months from dose 1 (no sooner).

MMR:  Measles, Mumps, Rubella
  • Infectious and contagious viral disease.
  • Titer available to measure antibody levels before starting vaccines.
  • 2 Sub-Q dose series (live virus)- 28 days apart
Varicella (VZV)
  • Highly contagious viral infection
  • Titer available to measure antibody levels before starting vaccines
  • 2 Sub-Q dose series (live virus)- 28 days apart
Tb Test
  • Tuberculosis- bacteria that affects the lungs 
  • Titer available to replace the test
  • Previous positive Tb’s should be referred to imaging, or have a  QuantiFERON lab drawn, Tb test should be postponed
  • 2 step Tb skin test is a common practice for medical facilities
    • Two tb tests completed within a month and at least two weeks apart
  • If pregnant and needs an x-ray, QuantiFERON can be drawn 
  • IF X-Ray required, it will be a 1 view Chest X-Ray (CXR), this will need to be redone every two years (may vary depending on employer)
  • 1 Intradermal test recommended every year (may vary depending on occupation/employer)

Influenza
  • Highly contagious viral infection of the respiratory passages
  • 1 IM vaccine recommended every flu season
  • There are a few different types of flu vaccines, these may vary depending on projected needs for the next season
  • Regular Flu- three strains of projected flu
    • Recombinant- does not require an egg-grown vaccine virus and does not use chicken eggs in the production process.
    • Quadrivalent- four strains of projected flu
    • High Dose- contains four times the amount of antigen as a regular flu vaccine-specifically licensed for 65 and older
    • Adjuvanted- made with an additive that creates a stronger immune response- specifically licensed for 65 and older
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