Vaccine Administration Record For Adults: Fill & Download for Free

Vaccinating millions of people should be easy. Any developed country with a reasonable system of healthcare could deliver first vaccinations to pretty much its entire adult population inside six weeks if it put its mind to it.To put this in context, the UK delivers over 1 million primary care medical appointments a day in normal times through the general practice capacity of the NHS. Those appointments take 10–15 minutes of clinical time each, plus appointment booking and administrative record keeping.A vaccination takes around 2 minutes of clinical time and around five minutes of administrative time.The UK could vaccinate the entire adult population in six weeks just by using less than a third of the capacity of the GP network.Fortunately, by using a much broader pool of capacity for the clinical interaction, the UK can deliver approaching a million vaccinations a day without really disturbing the normal business of primary care, and that number of vaccinations is vaccine supply constrained, not delivery capacity constrained.

Short answer, a measles-naive adult seriously worried about getting measles should seriously consider getting a measles shot unless they have medical conditions that preclude their getting one (details below).Updated March 2, 2019: UNICEF concludes big uptick vaccine hesitancy in ~10 countries is major reason for recent alarming recent surges in measles, https://reliefweb.int/report/world/alarming-global-surge-measles-cases-growing-threat-children-unicefHow measles costs public healthMeasles is one of the most highly infectious of viruses - a single infected individual could spread it to 12 to 18 others during the infectious phase, which includes the initial asymptomatic (outwardly healthy) phase (below from 1, emphasis mine),“Just how infectious is measles? The virus is highly airborne; it can stay on surfaces for up to two hours; and infectivity begins four days before a rash, so you can feel healthy but spread the disease. Measles is so contagious that “if one person has it, 90% of the people close to them who are not immune” – we’ll call them susceptibles – “will also become infected,” according to the CDC.”To put this in perspective, the WHO estimates measles is 6 times more infectious compared to flu (2). The Guardian also has a neat animated infographic (1) of how measles spreads across populations with varying measles vaccination levels.Thus, even though it's estimated only ~1 to 2 in 1000 (0.1 to 0.2%) of children infected with measles will die, many more, ~1 in 20 (5%) will likely develop pneumonia (3) – meaning measles’ unusually high infectiousness tilts the scales in its favor from the perspective of cost to public health.That said, at ~1.5% (238 dead, ~15000 infected thus far), the reported mortality rate in the ongoing (early 2019) measles outbreak in the Philippines is for some reason much higher, an indication perhaps of relatively more newborns being infected (4).Protection against measlesGetting measles or getting vaccinated against measles are the two confirmed ways of ensuring protection against future measles.An adult who neither got infected with measles nor got vaccinated against it could get the MMR vaccine (5).In the US, the CDC recommends MMR vaccine for adults born after 1957 who lack documentation of having received 1 or 2 prior doses of it. Those born before 1957 are presumed immune to it – there was so much measles going around back then, given its highly infectious nature, experts assume, reasonably so, that a person of that age would have gotten infected with it at some point already back then. Measles infection typically leads to lifelong immunity.Some specific medical conditions preclude getting the MMR vaccinePregnant or immunocompromised or HIV-infected with CD4 count <200 should not get MMR (5).Individuals with some primary immunodeficiencies (X-linked agammaglobulinemia or XLA, Common Variable Immunodeficiency or CVID, Severe Combined Immunodeficiency or SCID, Combined Immunodeficiency or CID, Mendelian susceptibility to mycobacterial diseases or MSMD, invasive bacterial infections, Chronic mucocutaneous candidiasis disease or CMCD, TLR deficiency, IL-12/IFN-gamma pathway deficiency) are also advised to not get MMR (6). Although individually such PIDs are rare to extremely rare in the general population, cumulatively their numbers start to add up, especially since new PIDs continue to be identified at a steady clip.Individuals with a history of severe hypersensitivity (anaphylaxis) to gelatin or neomycin (vaccine components used as stabilizers) are also advised to not get MMR (7).A person with such medical conditions can't get MMR, is plain out of luck and needs to do their best to avoid coming in contact with those who might have measles if it spreads in their neighborhood (geographically much smaller than a region and therefore much harder to avoid potentially infected cases). There isn't much else out there in terms of expert advice. Here is what the WHO advises for such individuals (8),“In individuals for whom vaccination is contraindicated, the administration of measles immune globulin within 3–5 days of exposure may have a similarly beneficial effect [to vaccine].”Since children are a hot spot for spreading it, staying away from kids (range, newborns to teens) during a measles outbreak should be a top priority for measles-naive adults with medical conditions that prevent them from getting the MMR shot. Being around those who got their measles shots and/or were born before 1957 (in the US) should be safe enough from the point of view of measles risk.Bibliography1. Watch how the measles outbreak spreads when kids get vaccinated – and when they don't2. Measles3. What does measles actually do?4. Global measles infections on the rise | DW News5. Kim, David K., and Paul Hunter. "Recommended adult immunization schedule, United States, 2019." Annals of internal medicine 170.3 (2019): 182-92. Recommended Adult Immunization Schedule, United States, 20196. Martire, Baldassarre, et al. "Vaccination in immunocompromised host: Recommendations of Italian Primary Immunodeficiency Network Centers (IPINET)." Vaccine 36.24 (2018): 3541-3554. https://www.researchgate.net/profile/Raffaella_Panza/publication/322964567_Vaccination_in_immunocompromised_host_Recommendations_of_Italian_Primary_Immunodeficiency_Network_Centers_IPINET/links/5be8641c299bf1124fcb1b66/Vaccination-in-immunocompromised-host-Recommendations-of-Italian-Primary-Immunodeficiency-Network-Centers-IPINET.pdf7. Pickering, Larry K., Carol J. Baker, and David W. Kimberlin. Red Book, (2012): Report of the Committee on Infectious Diseases. American Academy of Pediatrics, 2012. page 494.8. World Health Organization. "Measles vaccines: WHO position paper." Weekly Epidemiological Record= Relevé épidémiologique hebdomadaire 84.35 (2009): 349-360. https://apps.who.int/iris/bitstream/handle/10665/241403/WER8435_349-360.PDFThanks for the R2A, Jeffrey Wint.

Q. If vaccines are safe, why has over 3 billion dollars been paid out in settlements at the secret US Vaccine Court?A. Ah, Ross Taylor, another recycled misleading, misinformed interrogative about vaccines and financial compensation.Let's break this down.“If vaccines are safe, …“🙉Vaccines save lives by preventing disease.Most people who get vaccines have no serious problems. Vaccines, like any medicines, can cause side effects, but most are very rare and very mild. Some health problems that follow vaccinations are not caused by vaccines.In very rare cases, a vaccine can cause a serious problem, such as a severe allergic reaction.In these instances, the National Vaccine Injury Compensation Program (VICP) may provide financial compensation to individuals who file a petition and are found to have been injured by a VICP-covered vaccine. Even in cases in which such a finding is not made, petitioners may receive compensation through a settlement.“..why has over 3 billion dollars been paid out in settlements… ”🙊The United States has the safest, most effective vaccine supply in history. In the majority of cases, vaccines cause no side effects, however they can occur, as with any medication—but most are mild. But a reaction or side effect may occur.In those instances, the VICP allows individuals to file for compensation.The National Vaccine Injury Compensation Program is a no-fault alternative to the traditional legal system for resolving vaccine injury petitions.It was created in the 1980s, after lawsuits against vaccine companies and health care providers threatened to cause vaccine shortages and reduce U.S. vaccination rates, which could have caused a resurgence of vaccine preventable diseases.Any individual, of any age, who received a covered vaccine [3] and believes he or she was injured as a result, can file a petition. Parents, legal guardians and legal representatives can file on behalf of children, disabled adults, and individuals who are deceased. [1]Being awarded compensation for a petition does not necessarily mean that the vaccine caused the alleged injury. In fact: [2, 4]Approximately 70% of all compensation awarded by the VICP comes as a result of a negotiated settlement between the parties in which HHS has not concluded, based upon review of the evidence, that the alleged vaccine(s) caused the alleged injury.Attorneys are eligible for reasonable attorneys’ fees, whether or not the petitioner is awarded compensation by the Court, if certain minimal requirements are met. In those circumstances, attorneys are paid by the VICP directly. By statute, attorneys may not charge any other fee, including a contingency fee, for his or her services in representing a petitioner in the VICP.“…at the secret US Vaccine Court?”🙈Why do you think it’s secret? 🙄The court records are open to public viewing if you want to. [5] 😂🤫💊🧪💊🧪💊🧪💊🧪💊🧪💊🧪💊🧪[1] National Vaccine Injury Compensation Program[2] Vaccine Injury Compensation Data[3] Covered Vaccines[4] COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured[5] HRSA COVID-19 - Overview