Catch-UpImmunisation

Guide for Tasmania

For people with no documentation of previous vaccinations

Always use the currentAustralian Immunisation Handbook

for complete advice on vaccinesrecommended under the

National Immunisation Program

September 2017

Contents

About this guide..........................................................................................2Further information.....................................................................................3How to read the tables................................................................................3Medical risk factors.....................................................................................3Free Vaccines Supplied by DHHS Tasmania................................................4Catch-up schedule recommendations.........................................................5Age: 3 to <12 months.................................................................................5Catch-up schedule recommendations.........................................................6Age: 12 to <18months................................................................................6Catch-up schedule recommendations.........................................................7Age: 18 to < 24 month................................................................................7Catch-up schedule recommendations.........................................................8Age: 2 to <10 years....................................................................................8Catch-up schedule recommendations.........................................................9Age: 10 years and over...............................................................................9Paediatric immunisation catch-up advice..................................................10Adult immunisation catch-up advice.........................................................11

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019

Page 1

About this guideThis document is to be used as a guide only; always use the current on-line Australian Immunisation Handbook for complete and up-to-date advice on vaccines recommended under the National Immunisation Program (NIP).The Tasmanian Department of Health and Human Services (DHHS) has developed this document to assist immunisation providers in calculating catch-up schedules for people with no documented evidence of previous immunisations. The Australian Immunisation Handbook (10th edition) 2013 states “every opportunity should be taken to review a person’s vaccination history and to administer the appropriate vaccine(s). If the person has not had documented receipt of vaccines scheduled in the NIP appropriate for his/her age, plan and document a catch-up schedule and discuss this with the person to be vaccinated or their parent/carer”. The most important requirement for assessment of vaccination status is written documentation of vaccination. If there is a written record of vaccination, vaccine doses should not be repeated. If prior vaccinations cannot be confirmed due to incomplete documentation, it should generally be assumed that the vaccine(s) have not been given. Serological testing to determine the need for specific vaccinations is not routinely recommended.Once an assessment of any existing vaccination records and other relevant clinical information is undertaken, develop a catch-up plan. The objective of catch-up vaccination is to complete a course of age appropriate vaccination and provide optimal protection as quickly as possible, generally using minimum dosing intervals. This quick catch-up guide provides assistance with creating a catch-up schedule to complete a primary course of vaccination. A copy of the Tasmanian criteria for use of government funded vaccines is included in this document. The criteria lists vaccine provided free and also highlights additional free vaccines for refugees and humanitarian entrants.

Who is Eligible for Funded Vaccines under the NIP? All individuals up to 20 years of age All refugees and other humanitarian entrants aged 20 years and over

Free Translating ServicesNote the Department of Social Services provides a free document translating service for Australian citizens and new migrants settling permanently in Australia. Within the first two years of arriving in Australia, eligible individuals can have key personal documents (including vaccination records) translated into English, free of charge, to assist with settlement into the community. The Free Translating Service is available on the Department of Social Services website.Reporting to the Australian Immunisation Register (AIR)Providers should report to the AIR all vaccinations they give to their patients in Australia and those given overseas where the appropriate documentation is available. If your software does not automatically report vaccinations to the AIR, then you will need to report these vaccinations directly using the AIR site.

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019

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Information about registering to send or receive immunisation data from the AIR is available on the Australian Government Department of Human Services website.This guide is valid until January 2019 but may be revised from time to time. For the most recent version of the Guide visit www.dhhs.tas.gov.au/peh/immunisation .

Further information Refer to current edition of The Australian Immunisation Handbook. In Tasmania - for advice on complex catch-up matters or to order vaccines,

call the Public Health Hotline on 1800 671 738. Translated resources are available from website: immunise.health.gov.au/ Call the Australian Childhood Immunisation Register on 1800 653 809 ACIR Medical Exemption form www.humanservices.gov.au/health-

professionals/forms/im011 Immunisation History Form

www.humanservices.gov.au/health-professionals/forms/im013

How to read the tablesThe tables are read as follows: Age at first visitRefers to the age of the person at presentation for the first series of catch-up vaccines. Visit numberThe first visit refers to the day the first vaccinations are given as a catch-up. Interval dose dueRefers to the time interval required between the doses of vaccines. The minimum spacing between doses is one month. Some vaccines require longer spacing between catch-up doses. Antigens/vaccine brandBoth the antigen and brand names have been used to identify what vaccines are recommended at each age milestone for quick recognition. Each age cohort recommends (where applicable) that the vaccine schedule point be continued with the routine National Immunisation Program following completion of catch-up doses. Combination vaccines such as Infanrix Hexa, Infanrix IPV and Menitorix can be used for the primary course of catch-up immunisation in children less than 10 years of age. If the recommended intervals between doses are exceeded, there is no need to recommence the schedule or give additional doses because the immune response is not impaired by such delays.

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019

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Medical risk factorsDepending on the medical risk factor of an individual, they may require extra doses of vaccine in addition to the National Immunisation Program schedule, or vaccine doses given earlier than required. Please see current edition of The Australian Immunisation Handbook, ‘Groups with special vaccination requirements and vaccination for Aboriginal and Torres Strait Islander people’ for further information.

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019

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Department of Health and Human ServicesCommunicable Diseases Prevention Unit

Free Vaccines Supplied by DHHS Tasmania

Vaccine (Antigen) Indications For Use Vaccine

(Antigen) Indications For Use Infanrix Hexa®

(DTPa/Hib/Hep B/IPV)

2, 4 and 6 monthsCatch-up for < 10 years

Tripacel® or Infanrix® (DTPa)

18 monthsCatch-up for <10 years

Infanrix IPV® or Quadracel®

(DTPa/IPV)4 yearsCatch-up for < 10 years

Adacel®

(dTpa)Pregnant women in the third trimester(from 28 weeks gestation)

Boostrix®

(dTpa)

Year 7 school program (12-13 years)Catch-up for 10 to < 20 yearsCatch-up for refugees and humanitarian entrants ≥ 20 years

Gardasil®

(HPV)Year 7 school program (12-13 years)Catch-up for < 20 years

H-B Vax II 0.5ml®

(Hep B Paediatric)

Birth dose (within 7 days of birth)12 months only if born < 32 weeks gestation or < 2000gCatch-up for < 20 years (if aged 11-15 years, can have adult HB Vax II2 dose schedule)

HB Vax II®

(Hep B Adult)Catch-up for 11-15 years (2 doses)Catch-up for refugees and humanitarian entrants ≥ 20 years

Engerix-B Paediatric®

(Hep B)

High risk groups onlySee Tas Vaccine Ordering home screen or DHHS website for eligibilityCatch up for10 to < 20 years (if aged11-15 years, can have adult Engerix-B)

Engerix-B Adult®

(Hep B)

High risk groups onlySee Tas Vaccine Ordering home screen or DHHS website for eligibilityCatch up for 11-15 years (2 doses)Catch up for ≥ 20 years

FluQuadri® Junior(Influenza 6mths to

< 3 years)

6 months to <3 years forchildren at increased risk of complications from severe influenza infection and all Aboriginal and Torres Strait Islander children

Fluarix Tetra®(Influenza ≥ 3

years)

All Aboriginal and Torres strait Islander children 3-5 years and those >15 yearsAll people at increased risk of complications from severe influenza infectionAll pregnant women (all trimesters)All people 65 years and older

Priorix® or M-M-R II®

(MMR)

12 monthsCatch-up for <20 yearsCatch-up for refugees and humanitarian entrants ≥ 20 years

Priorix-Tetra® or ProQuad®

(MMRV)18 monthsCatch-up for less <14 years

NeisVac-C®

(Men C) Catch-up for < 20 years Menitorix®

(Hib/Men C)12 monthsCatch-up for < 20 years

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019

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Prevenar 13®

(13vPCV)

2, 4, and 6 months12 months only if predisposing medical condition and/or babies <28 weeks gestationCatch-up for < 5 years

Pneumovax 23®

(23vPPV)

4 - 5 years with underlying medical condition includes born < 28 weeks gestation15- 49 years for Aboriginal and Torres Strait Islander people with underlying medical condition≥50 years for Aboriginal and Torres Strait Islander people≥65 years

IPOL®

(Poliomyelitis)

Catch-up for < 20 yearsCatch-up for refugees and humanitarian entrants ≥ 20 years

Rotarix®

(Rotavirus – oral vaccine)

2 and 4 monthsNo catch-up for this vaccine outside this age group

Varilrix® or Varivax®

(Varicella - chickenpox)

Catch-up for < 20 years*Catch-up for refugees and humanitarian entrants ≥ 20 years*(*2 doses >14years)

Zostavax®

(Shingles)

Adults 70 YearsA single catch-up dose is funded for adults 71-79 years until 31 October 2021

Note: Vaccines required for travel purposes are not funded by DHHS Tasmania

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019

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Catch-up schedule recommendationsAge: 3 to <12 months

Age at first visit

Visit number Interval dose due

DTPa

Hep

B IP

V Hi

bIn

fanr

ix H

exa®

Rota

viru

sRo

tarix

®

DTPa

IPV

Infa

nrix

IPV®

/Q

uadr

acel

®

HepB

Paed

iatri

c HB

Vax

II®

13vP

CVPr

even

ar 1

3®

MM

RPr

iorix

®/ M

MRI

I®

Men

C/Hi

bM

enito

rix®

3 - <4 months

First visit Give todayIf <15 weeks of age, otherwise no catch-up

Continue vaccine schedule at 4 months of age

4–<7 months

First visit Give todaySecond visit

One month after first visit

Third visit One month after second visit

Fourth visit

Four months after first visit & two months after the second visit

Continue vaccine schedule at 12 months of age8–<12

monthsFirst visit Give todaySecond visit

One month after first visit

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 7

Age at first visit

Visit number Interval dose due

DTPa

Hep

B IP

V Hi

bIn

fanr

ix H

exa®

Rota

viru

sRo

tarix

®

DTPa

IPV

Infa

nrix

IPV®

/Q

uadr

acel

®

HepB

Paed

iatri

c HB

Vax

II®

13vP

CVPr

even

ar 1

3®

MM

RPr

iorix

®/ M

MRI

I®

Men

C/Hi

bM

enito

rix®

Due at 12 months of age

Due at 12 months of age

Fourth visit

Four months after first visit & two months after the second visit

Continue vaccine schedule at 12 months of age (allow 8 weeks between Infanrix Hexa [dose 3] and Menitorix)

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 8

Catch-up schedule recommendations

Age at first visit

Visit number Interval dose due

DTP

a H

epB

IPV

Hib

Infa

nrix

Hex

a®

DTP

a IP

V

Infa

nrix

IPV®

/ Qu

adra

cel®

DTP

aTr

ipac

el® /

Infa

nrix

®

Hep

B

Paed

iatri

c HB

Vax

II®

13vP

CV

Prev

enar

13®

MM

R

Prio

rix®

/ M

MR

11®

Men

C/H

ibM

enito

rix®

MM

RVPr

iorix

-Tet

ra®

ProQ

uad®

12–<18 months

First visit Give today (1) (1)Second visit

One month after first visit

(2) (2)Due at 18 months or one month after MMR dose one

(1).

Third visit One month after second visit

(3)

Fourth visit

Four months after first visit & two months after the second visit

(3)

Fifth visit Six months after third visit

(4)

Continue vaccine schedule at 4 Years of age

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Age: 12 to <18monthsCatch-up schedule recommendations

Age at first visit

Visit number Interval dose due

DTP

a H

epB

IPV

Hib

Infa

nrix

Hex

a®

DTP

a IP

V

Infa

nrix

IPV®

/ Qu

adra

cel®

DTP

a

Trip

acel

® /

Infa

nrix

®

Hep

B

Paed

iatri

c HB

Vax

II®

13vP

CV

Prev

enar

13®

MM

R

Prio

rix®

/ M

MR

11®

Men

ingo

cocc

alNe

isVac

-C®

MM

RV

Prio

rix-T

etra

®/

ProQ

uad®

18–<24 months

First visit Give today (1) (1)

Second visit

One month after first visit

(2) (2) (2)

Third visit One month after second visit

(3)

Fourth visit

Four months after first visit & two months after the second

(3)

Fifth visit Six months after third visit

(4)Funded for children aged 18 months on or after 1 March 2016

Continue vaccine Schedule at 4 years of age

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 10

Age: 18 to < 24 month

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 11

Catch-up schedule recommendationsAge: 2 to <10 years

Age at first visit

Visit number Interval dose due

DTP

a H

epB

IPV

Hib

Infa

nrix

DTP

a IP

V In

fanr

ix

DTP

a

Tr

ipac

el®

In

fanr

ix®

Hep

B Pa

edia

tric

HB V

ax II

®

13vP

CV

Prev

enar

13

®

MM

R Pr

iorix

®

Men

ingo

cocc

al Prio

rix-

Tetra

®

ProQ

uad®

2–<3½ years

First visit Give today (1) (1)Second visit One month after first visit (2) (2) (2)Third visit One month after second

visit (3)Fourth visit

Four months after first visit & two months after the second visit

(3)

Fifth visit Six months after third visit (4)*Continue vaccination schedule at 4 years

*Give DTPa dose 5 six months after dose 4 (If DTPa dose 4 is given at greater than 3½years of age dose 5 is not required)

3½–<5 years

First visit Give today (1) (1)Second visit One month after first visit (2) (2) (2)Third visit One month after second

visit (3)Fourth visit

Four months after first visit & two months after the (3)

Fifth Visit Six months after third visit (4)Continue vaccination schedule in Year 7 School Program

5–<10 years

First visit Give today (1) (1)Second visit One month after first visit (2) (2) (2)Third visit One month after second

visit (3)Fourth visit

Four months after first visit & two months after the (3)

Fifth Visit Six months after third visit (4)

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 12

Continue vaccination schedule in Year 7 School Program

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 13

Catch-up schedule recommendationsAge: 10 years and over

Interval dose due

MM

RPr

iorix

® o

rM

MR

11®

dTpa

Boos

trix®

or

Adac

el®

Polio

IPOL

®

HPV Gard

asil®

Hep

atit

is B

Ad

ult H

B Va

xII®

Hep

atit

is B

Ad

ult H

B Va

xII®

Hep

atit

is B

Pa

edia

tric

HB

Vax

II®

VZV

Var

ilrix

®

Variv

ax®

Men

CNe

isVac

C®

Plea

se n

ote

the

addi

tion

al in

form

atio

n fo

r va

ccin

es

Funded for catch-up <20yrs, refugees &humanitarian entrants.Otherwiserecommended if born after 1966, but not funded

Funded forstudents in Year 7, catch-up <20yrs, refugees &humanitarian entrants.Otherwiserecommended but not funded

Funded for catch-up <20yrs, refugees &humanitarian entrants.Otherwiserecommended but not funded

Funded forstudents in Year 7, & catch-up <20yrs.Otherwise recommended but not funded

11-15 years

(2 adult doses)

20 years (3 adult doses)

10 - <20 years

(3 paediatric

doses)

Give 2 doses if over 14 years

10 - <20 years

Funded for catch-up <20yrs, refugees &

humanitarian entrants.Otherwise

recommended but not funded

Funded for catch-up <20yrs, refugees &humanitarian entrants.Otherwiserecommended but not funded

Funded for catch-up <20yrs.Otherwiserecommended but not funded

Give today NB: if < 14 years give MMRV if

varicella required

NB: giveBoostrix IPV

( if available) & Polio required

NB: giveBoostrix IPV

( if available) & dTpa required

* if <14 years give MMRV if MMR

required

One month after first visitOne month after second visitThree months after second visitFour to six months after first visitMinimum of 4 months after first visit and 2

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 14

Interval dose due

MM

RPr

iorix

® o

rM

MR

11®

dTpa

Boos

trix®

or

Adac

el®

Polio

IPOL

®

HPV Gard

asil®

Hep

atit

is B

Ad

ult H

B Va

xII®

Hep

atit

is B

Ad

ult H

B Va

xII®

Hep

atit

is B

Pa

edia

tric

HB

Vax

II®

VZV

Var

ilrix

®

Variv

ax®

Men

CNe

isVac

C®

months after second visit

Appointment diary

Paediatric immunisation catch-up advice

Name: Birth Date:

Age:

Date catch-up was calculated:Vaccines Due:

Date

Infa

nrix

He

xa®

Prev

enar

13

®

Rota

rix®

Men

itorix

®

Prio

rix®

MM

R II®

Prio

rix-

Tetra

®

ProQ

uad®

Infa

nrix

IPV®

Tripacel®

Infanrix®

HB V

ax II

®

1st Visit

2nd Visit

QUICK CATCH-UP GUIDECatch-up immunisations for Tasmania Updated September 2017 – valid until January 2019 Page 15

3rd Visit

4th Visit

5th Visit

Advice provided by: Date:

Appointment diary Adult immunisation catch-up adviceName: Birth

Date:Age:

Date catch-up was calculated:Vaccines Due:

Date

Boos

trix

IPV®

Adac

el® o

r Bo

ostri

x®

DT T

oxoi

ds

Abso

rbed

®

IPOL

®

Prio

rix® o

r

MM

R II®

Paed

HB

Vax

II® Adul

t HB

Vax

II® Varil

rix® o

r Va

rivax

®

Gard

asil®

NeisV

acC®

1st Visit

2nd Visit

3rd Visit

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4th Visit

5th Visit

Advice provided by: Date:

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