Pharmacy Immunizations and Vaccines 3

Question 1

The National Vaccine Injury Compensation Program (VICP) is funded by an excise tax on vaccines and covers injuries from which vaccines?

Accepted Answer

All vaccines recommended by ACIP for routine administration, including adult vaccines

Answer

Only childhood vaccines given before age 18

Answer

Only vaccines given in federal healthcare facilities

Answer

Only COVID-19 vaccines

Question 2

Post-exposure prophylaxis (PEP) for hepatitis B includes:

Accepted Answer

HBIG and initiation of hepatitis B vaccine series simultaneously at different sites

Answer

Hepatitis B vaccine series only

Answer

Hepatitis B immune globulin (HBIG) only

Answer

Hepatitis C antiviral medications

Question 3

When documenting vaccine administration, which information is required under federal law (NCVIA)?

Accepted Answer

The vaccine manufacturer, lot number, site/route, date, and the VIS edition date given

Answer

Only the vaccine name and date administered

Answer

Patient insurance information and diagnosis code

Answer

Pharmacist's personal DEA number

Question 4

A patient with egg allergy asks about receiving the influenza vaccine. Current ACIP guidance states:

Accepted Answer

Patients with egg allergy may receive any licensed flu vaccine appropriate for their age — standard observation period applies

Answer

All patients with egg allergy must be referred to an allergist before receiving any flu vaccine

Answer

Egg-based flu vaccines are permanently contraindicated in egg-allergic patients

Answer

Only recombinant or cell-based flu vaccines are allowed for egg-allergic patients

Question 5

Meningococcal B vaccination (MenB) differs from MenACWY in that ACIP recommends MenB as:

Accepted Answer

An individualized clinical decision for persons 16–23 years old (shared clinical decision-making)

Answer

Routine vaccination for all adolescents at age 11–12 like MenACWY

Answer

Only for patients with asplenia or complement deficiencies

Answer

A single-dose vaccine requiring no booster

Question 6

What is the recommended action if a vaccine is exposed to temperatures outside the cold chain (e.g., inadvertent freezing of a refrigerated vaccine)?

Accepted Answer

Quarantine the vaccine, contact the manufacturer or state health department for guidance, document the excursion, and do not administer until clearance

Answer

Administer it anyway — minor temperature excursions do not affect efficacy

Answer

Discard it immediately without any assessment

Answer

Thaw it quickly and administer within 30 minutes