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Comprehensive Immunization Delivery in Conjunction With Influenza Vaccination

John D. Grabenstein, MS, RPh, USA; Laurie J. Smith, MD; Doris W. Carter, RN; Renata J. Engler, MC, USA; Richard Evans III, MC, USA; Richard J. Summers, MC, USA
Arch Intern Med. 1986;146(6):1189-1192. doi:10.1001/archinte.1986.00360180203030.
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• All patients and employees presenting for influenza A and B vaccination were studied for the need for other immunizations or tests, based on criteria of the Immunization Practices Advisory Committee. More than 72% of patients and employees needed at least one other vaccine or test. During a 4½-month period, 1,353 doses of influenza virus vaccine, bivalent, types A and B, were prescribed. Health care providers ordered doses of diphtheria and tetanus toxoids (adult) for 36.8% of these recipients, pneumococcal vaccine, polyvalent 23, for 42.1%, and a tuberculin skin test for 36.3%. Determinations of hepatitis B titers or hepatitis B vaccine doses were ordered for 140 individuals. Patients older than 60 years needed additional immunizations with greater frequency. Rates of delayed adverse reactions (35.9%) and subsequent self-medication (11.7%) were recorded. The systemic adverse reaction rate was 17.3%. Annual influenza vaccination programs are valuable public health opportunities to determine immunizations needed


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