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Hep A
Lilloz

30 Posts

Posted:  06-Jul-2018 14:31
Hiya
Would you give a Hep A vaccine to a lady who last had her second one when aged 4, 24 years ago. Or keep to the covered for 25 years..... seems a lifetime ago and both junior doses.

Lorraine
tiredandemotional

4402 Posts



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Posted:  06-Jul-2018 14:52
So the second dose was given in 1994. When was the first dose, what was the interval and do you have any batch numbers?

Can you be certain that this was a modern hep a vaccine?

If in doubt, I would give her a further dose now, as the two doses she has already had may have been old havrix or even immunoglobulin.

This is just my opinion and not an instruction. T&E x
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Lilloz

30 Posts

Posted:  06-Jul-2018 14:56
Looks like they was given about 10 weeks apart and just says Hep A no brand or batch number. Think I'll just give like you say as at least it's up to date.

Thanks

Lorraine
tiredandemotional

4402 Posts



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Posted:  06-Jul-2018 17:28
10 weeks apart is an odd interval and doesn’t really fit in with any schedule I know of.

Without any other evidence I think it may be safest to discount both these previous doses and start again.

This is just my opinion and not an instruction. T&E x
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tigha

771 Posts

Posted:  09-Jul-2018 15:39
that will be the old schedule, which was 3 dose 0 1m,6m,
looks like she only had the 1st 2 doses
the 2 dose havrx monodose didnt come out until 1995
so yes she def needs booster
showing my age
tiredandemotional

4402 Posts



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Posted:  09-Jul-2018 16:37
I agree, it definitely predates the current 2 dose schedule.

It could have been immunoglobulin though.

Safest to ignore them, give a dose now and advise a second dose according to PHE recommendations.



This is just my opinion and not an instruction. T&E x
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tigha

771 Posts

Posted:  09-Jul-2018 20:49
Immunoglobulin lasted for 12weeks so that wouldn’t make sense
karen.rudd

12080 Posts

Posted:  10-Jul-2018 08:10 Log in to like this post
The first dose could have been immunoglobulin or old havrix? I am old enough to have seen immunoglobulin given in multiple doses on records with absurd intervals too.
With no named vaccine or batch numbers documented you are making assumptions without sufficient evidence so best to give a modern day course now and then the way forward is clear

Please be informed that the above is the opinion of the author and is in no way meant to be taken as instruction.

karen
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tigha

771 Posts

Posted:  12-Jul-2018 10:41
Yes very true and very wise. I guess I had thought it had said havrix
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