Varicella/Chickenpox (VAR)

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Vaccine Fact Sheet Varicella/Chickenpox (VAR) Brand Name and Manufacturer Varivax® Merck Protects Against Varicella Zoster Virus (chickenpox) Routine Schedule Two (2) dose series: First dose at 12-15 months and second dose at 4-6 years Minimum Intervals Younger than 13 years of age: 3 month minimum interval between doses 13 years of age and older: 4 week minimum interval between doses Approved for use in Persons aged 12 months and older Administration Subcutaneous (SC) injection Packaging Vaccine is packaged as 10 single-dose vials of lyophilized vaccine and a separate box of 10 single-dose 0.7mL vials of sterile diluent Storage Freeze between -58ºF and +5ºF (-50ºC to -15ºC) STORE IN FREEZER PROTECT VACCINE FROM LIGHT Full ACIP Recommendations https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/varicella.html VFC Letter Not available on EZIZ Billing Codes CHDP code: 46 CPT code for vaccine: 90716 CPT code for administration: 90460 Medi-Cal Fee-For-Service (FFS) administration: 90716 with modifiers –SK (high-risk) and –SL (VFC) ICD-10-CM code (encounter for immunization): Z23 *http://www.aafp.org/practice-management/payment/coding/admin.html Comments • Licensed in 1995 • Use only the Merck sterile diluent to reconstitute lyophilized varicella vaccine • Varicella vaccine must be used within 30 minutes of reconstitution • Store sterile diluent separately at room temperature (68ºF to 77ºF) or in the refrigerator • If varicella, MMR, and/or LAIV are not administered at the same visit, they should be separated by at least 28 days. • Persons who are immunocompromised due to certain conditions or treatments or who are pregnant should not be vaccinated with varicella vaccine California Department of Public Health, Immunization Branch IMM-1078 VFCvaccinefactsheet_Varicella (4-17) EZIZ.ORG.

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Healthcare Personnel Vaccination Recommendations1 Vaccine Recommendations in Brief 
Healthcare Personnel Vaccination Recommendations1 Vaccine Recommendations in brief Hepatitis B Give 3-dose series (dose #1 now, #2 in 1 month, #3 approximately 5 months after #2). Give IM. Obtain anti-HBs serologic testing 1–2 months after dose #3. Influenza Give 1 dose of influenza vaccine annually. Give inactivated injectable influenza vaccine intramuscularly or live attenuated influenza vaccine (LAIV) intranasally. MMR For healthcare personnel (HCP) born in 1957 or later without serologic evidence of immunity or prior vaccination, give 2 doses of MMR, 4 weeks apart. For HCP born prior to 1957, see below. Give SC. Varicella For HCP who have no serologic proof of immunity, prior vaccination, or history of varicella disease, (chickenpox) give 2 doses of varicella vaccine, 4 weeks apart. Give SC. Tetanus, diphtheria, Give a one-time dose of Tdap as soon as feasible to all HCP who have not received Tdap previously. pertussis Give Td boosters every 10 years thereafter. Give IM. Meningococcal Give 1 dose to microbiologists who are routinely exposed to isolates of N. meningitidis. Give IM or SC. Hepatitis A, typhoid, and polio vaccines are not routinely recommended for HCP who may have on-the-job exposure to fecal material. Hepatitis B Healthcare personnel (HCP) who perform tasks that may involve exposure to of live rubella vaccine). HCP with 2 documented doses of MMR are not blood or body fluids should receive a 3-dose series of hepatitis B vaccine at recommended to be serologically tested for immunity; but if they are tested 0-, 1-, and 6-month intervals. Test for hepatitis B surface antibody (anti-HBs) and results are negative or equivocal for measles, mumps, and/or rubella, to document immunity 1–2 months after dose #3.
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Global Advisory Committee on Vaccine Safety (GACVS)
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