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ORIENTATION ON PEDIATRIC
COVID 19 VACCINATION
5-11 YEARS OLD
A picture is worth
a thousand words
320
Active case as of february 1, 2022
1,477
New cases as of February 1, 2022
9,493
New cases as of February 1, 2022
COVID 19 UPDATE
VALENZUELA CITY NCR
PHILIPPINES
COVID-19 vaccines of all
types and at all age groups
continues to protect against
severe disease and death
COVID-19 Vaccination in Kids
 Protects against severe disease and
death, even in children
 Additional safeguard for gatherings,
safe reopening of schools, etc
 Cocoon protection to those who
cannot be vaccinated
Different Formulations
Different Formulations
Pfizer - 5 to 11 year old
Product Name: Tozinameran, COVID-19
mRNA vaccine (nucleoside-modified)
[Comirnaty]
Dosage/ Form:
● 10 microgram/dose Concentrate for
Dispersion for Injection (IM)
● One dose (0.2 mL) contains 10 micrograms
Packaging
● Multidose vial. Must be diluted before use
● One (1) vial (1.3 mL) contains 10 doses of
0.2 ml after dilution.
Pfizer - 12 year old &
above
Product Name: Tozinameran, COVID-19
mRNA vaccine (nucleoside-modified)
[Comirnaty]
Dosage/ Form:
● 30 micrograms/dose Dispersion for Injection
(IM)
● One dose (0.3 mL) contains 30 micrograms
Packaging
● Multidose vial. No dilution required.
● One (1) vial (2.25 mL) contains 6 doses of
0.3 mL
Check the appropriate vial
 ORANGE cap!
 Prepare the appropriate syringes and diluents
 Check shelf Life and storage
 6 months frozen at -90° to -60°C
 Once thawed, can be stored
at 2° to 8°C for 10 weeks
within the 6-month shelf life
Storage, Handling, and Preparation
Description DILUTE
BEFORE USE
AGE GROUP 5 - 11 Y/O
VIAL CAP COLOR ORANGE
DOSE 10 MCG
DOSE VOLUME 0.2 ML
AMOUNT OF
DILUENT NEEDED
PER VIAL
1.3 ML
DOSES PER VIAL
10 DOSE/VIAL
AFTER DILUTION
Storage, Handling, and Preparation
Vaccine Administration
After dilution, 1 vial contains 10 doses of 0.2 mL vaccine
● Extract 0.2 mL (10 mcg/dose) using 0.2 AD syringe or 1 cc/tuberculin syringe with 0.1
mL gradation (dead volume of not more than 35 microliters)
● Step-by-step guide available in the product label sheet attached in the policy
 Valtrace QR code ng Magulang/Guardian
 Vaccination Appointment letter or text mula sa VC vax
 Original or Certified True copy ng Birth certificate (1 xerox)
kung wla mamili sa mga secondary id sa ibaba
 Valid id ng magulang na may litrato (1 xerox)
 Valid id ng bata na may litrato (1 xerox)
 Certificate of enrollment (galling sa paaralan ng bata)
 Medical certificate (kung may Co-morbidity ang bata)
 Ballpen, alcohol, pamaypay at inumin/tubig
Vaccination Day: Required Documents
Required Documents for GUARDIAN
- All required documents plus
 Authorization letter (galling sa magulang ng bata) naka paloob sa
sulat ang pangalan ng guardian na pinahihintulutan ng magulang na
sumama kaniyang anak na magpabakuna.
 Barangay Certification mula sa Punong Barangay na nagpapatunay
ng legal guardianship
Or
 Written affidavit of parent /guardian under an oath with a public
official such as the notary public or a person authorized to do so
Additional Requirements
Para sa mga wala ng mga magulang, legal guardian na ang nagpalaki
o hindi na mahahanap ang mga magulang
 Special Power of Attorney (SPA) is the BEST proof of filiation of the
minor and accompanying guardian
Secondary IDs (with parent + child names):
○ Authenticated medical certificate of the child bearing name of the parent, issued by hospital or
DOH;
○ Baptismal Certificate of the child with the name of the parent/s;
○ School ID or records of the child (transcript, Form 137, etc.) bearing the name of the parent;
○ PhilHealth, Social Security System (SSS), Government Service Insurance System (GSIS) forms,
insurance policies, health card membership life or memorial plans, etc indicating that the vaccine
recipient is a beneficiary and a child of the parent
○ Barangay Certification issued by the Barangay Captain indicating that the parent/s and the child
is personally known + attested by one (1) other witness who personally knows the child and the
parent;
○ Solo Parent identification card from the City or Municipal Social Welfare and Development
Office;
○ Court Decree of Adoption, in case the child is adopted;
○ PWD ID of the child
○ Other public documents issued by the Office of the Civil Registrar General, as applicable.
Vaccination Day: Medical Certification
Medical Certificate is necessary for the following patients with comorbidities:
 Medical complexity
 Genetic conditions
 Neurologic conditions
 Metabolic/ endocrine diseases
 Cardiovascular diseases
 Obesity
 HIV infection
 Tuberculosis
 Chronic Respiratory Diseases
 Renal Disorders
 Hepatobiliary diseases
 Immunocompromised state due to disease or treatment
Vaccination Day: Forms
Similar to clinical trial protocols and
National Ethics Guidelines for
children
● 7 y/o above - Consent and Assent
● Below 7 y/o - Consent only
Vaccine Administration: Consent and Assent
Vaccination Day: Post-Monitoring
After vaccination, the vaccine recipient shall stay for post-vaccination
monitoring in case of any severe allergic reaction and anaphylaxis and for
immediate treatment.
For 15 minutes if without any known allergies or history of anaphylaxis
For 30 minutes if with known allergies or history of anaphylaxis
Advise for fever: dose-based paracetamol
Follow AEFI management pathway for pediatric population:
https://doh.gov.ph/vaccines/resources-healthcare-providers
Anu- ano ang mga maaring asahang “side effects”?
Karamihan ay banayad na sintomas
tulad ng sa ibang bakuna:
● sakit sa bahaging tinurukan
● pananamlay/ pagkapagod (fatigue)
● sakit ng ulo
● fever
Karaniwan itong gumagaling sa loob
ng 24-48 oras.
Post-Vaccination Advise: Paracetamol for Kids
1. Post-vaccination team should calculate
appropriate dose based on weight
Approximately 10-15 mg/kg/dose every 4-6
hours
*If in between whole numbers, choose lower
dose
2. Instruct parent that if kid has temperature >
37.8 C, take paracetamol
3. If fever persists after 2 doses, consult
pediatrician
Kailangan pa rin ng bata ng proteksyon laban sa ibang sakit
(routine immunization) gaya ng:
Post-Vaccination Advise: Routine NIP
BAKUNA
SAKIT NA MAIIWASAN
DOSING SCHEDULE
Measles-Rubella Vaccine  Tigdas
 Tigdas-Hangin
1 dose para sa Grade 1 (6-7 taong gulang)
1 dose para sa Grade 7(12-13 taong gulang)
Tetanus-Diptheria
Vaccine
 Tetanus
 Dipterya
1 dose para sa Grade 1 (6-7 taong gulang)
1 dose for Grade 7 (12-13 taong gulang)
na nakakuha na ng 3 doses ng PENTA
Maraming
Salamat Po
A PICTURE IS
WORTH A
THOUSAND
WORDS

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vax-2022.pptx

  • 1. ORIENTATION ON PEDIATRIC COVID 19 VACCINATION 5-11 YEARS OLD
  • 2. A picture is worth a thousand words
  • 3. 320 Active case as of february 1, 2022 1,477 New cases as of February 1, 2022 9,493 New cases as of February 1, 2022 COVID 19 UPDATE VALENZUELA CITY NCR PHILIPPINES
  • 4. COVID-19 vaccines of all types and at all age groups continues to protect against severe disease and death
  • 5.
  • 6. COVID-19 Vaccination in Kids  Protects against severe disease and death, even in children  Additional safeguard for gatherings, safe reopening of schools, etc  Cocoon protection to those who cannot be vaccinated
  • 7.
  • 9. Different Formulations Pfizer - 5 to 11 year old Product Name: Tozinameran, COVID-19 mRNA vaccine (nucleoside-modified) [Comirnaty] Dosage/ Form: ● 10 microgram/dose Concentrate for Dispersion for Injection (IM) ● One dose (0.2 mL) contains 10 micrograms Packaging ● Multidose vial. Must be diluted before use ● One (1) vial (1.3 mL) contains 10 doses of 0.2 ml after dilution. Pfizer - 12 year old & above Product Name: Tozinameran, COVID-19 mRNA vaccine (nucleoside-modified) [Comirnaty] Dosage/ Form: ● 30 micrograms/dose Dispersion for Injection (IM) ● One dose (0.3 mL) contains 30 micrograms Packaging ● Multidose vial. No dilution required. ● One (1) vial (2.25 mL) contains 6 doses of 0.3 mL
  • 10. Check the appropriate vial  ORANGE cap!  Prepare the appropriate syringes and diluents  Check shelf Life and storage  6 months frozen at -90° to -60°C  Once thawed, can be stored at 2° to 8°C for 10 weeks within the 6-month shelf life Storage, Handling, and Preparation Description DILUTE BEFORE USE AGE GROUP 5 - 11 Y/O VIAL CAP COLOR ORANGE DOSE 10 MCG DOSE VOLUME 0.2 ML AMOUNT OF DILUENT NEEDED PER VIAL 1.3 ML DOSES PER VIAL 10 DOSE/VIAL AFTER DILUTION
  • 11. Storage, Handling, and Preparation
  • 12. Vaccine Administration After dilution, 1 vial contains 10 doses of 0.2 mL vaccine ● Extract 0.2 mL (10 mcg/dose) using 0.2 AD syringe or 1 cc/tuberculin syringe with 0.1 mL gradation (dead volume of not more than 35 microliters) ● Step-by-step guide available in the product label sheet attached in the policy
  • 13.  Valtrace QR code ng Magulang/Guardian  Vaccination Appointment letter or text mula sa VC vax  Original or Certified True copy ng Birth certificate (1 xerox) kung wla mamili sa mga secondary id sa ibaba  Valid id ng magulang na may litrato (1 xerox)  Valid id ng bata na may litrato (1 xerox)  Certificate of enrollment (galling sa paaralan ng bata)  Medical certificate (kung may Co-morbidity ang bata)  Ballpen, alcohol, pamaypay at inumin/tubig Vaccination Day: Required Documents
  • 14. Required Documents for GUARDIAN - All required documents plus  Authorization letter (galling sa magulang ng bata) naka paloob sa sulat ang pangalan ng guardian na pinahihintulutan ng magulang na sumama kaniyang anak na magpabakuna.  Barangay Certification mula sa Punong Barangay na nagpapatunay ng legal guardianship Or  Written affidavit of parent /guardian under an oath with a public official such as the notary public or a person authorized to do so
  • 15. Additional Requirements Para sa mga wala ng mga magulang, legal guardian na ang nagpalaki o hindi na mahahanap ang mga magulang  Special Power of Attorney (SPA) is the BEST proof of filiation of the minor and accompanying guardian
  • 16. Secondary IDs (with parent + child names): ○ Authenticated medical certificate of the child bearing name of the parent, issued by hospital or DOH; ○ Baptismal Certificate of the child with the name of the parent/s; ○ School ID or records of the child (transcript, Form 137, etc.) bearing the name of the parent; ○ PhilHealth, Social Security System (SSS), Government Service Insurance System (GSIS) forms, insurance policies, health card membership life or memorial plans, etc indicating that the vaccine recipient is a beneficiary and a child of the parent ○ Barangay Certification issued by the Barangay Captain indicating that the parent/s and the child is personally known + attested by one (1) other witness who personally knows the child and the parent; ○ Solo Parent identification card from the City or Municipal Social Welfare and Development Office; ○ Court Decree of Adoption, in case the child is adopted; ○ PWD ID of the child ○ Other public documents issued by the Office of the Civil Registrar General, as applicable.
  • 17. Vaccination Day: Medical Certification Medical Certificate is necessary for the following patients with comorbidities:  Medical complexity  Genetic conditions  Neurologic conditions  Metabolic/ endocrine diseases  Cardiovascular diseases  Obesity  HIV infection  Tuberculosis  Chronic Respiratory Diseases  Renal Disorders  Hepatobiliary diseases  Immunocompromised state due to disease or treatment
  • 19. Similar to clinical trial protocols and National Ethics Guidelines for children ● 7 y/o above - Consent and Assent ● Below 7 y/o - Consent only Vaccine Administration: Consent and Assent
  • 20. Vaccination Day: Post-Monitoring After vaccination, the vaccine recipient shall stay for post-vaccination monitoring in case of any severe allergic reaction and anaphylaxis and for immediate treatment. For 15 minutes if without any known allergies or history of anaphylaxis For 30 minutes if with known allergies or history of anaphylaxis Advise for fever: dose-based paracetamol Follow AEFI management pathway for pediatric population: https://doh.gov.ph/vaccines/resources-healthcare-providers
  • 21. Anu- ano ang mga maaring asahang “side effects”? Karamihan ay banayad na sintomas tulad ng sa ibang bakuna: ● sakit sa bahaging tinurukan ● pananamlay/ pagkapagod (fatigue) ● sakit ng ulo ● fever Karaniwan itong gumagaling sa loob ng 24-48 oras.
  • 22. Post-Vaccination Advise: Paracetamol for Kids 1. Post-vaccination team should calculate appropriate dose based on weight Approximately 10-15 mg/kg/dose every 4-6 hours *If in between whole numbers, choose lower dose 2. Instruct parent that if kid has temperature > 37.8 C, take paracetamol 3. If fever persists after 2 doses, consult pediatrician
  • 23. Kailangan pa rin ng bata ng proteksyon laban sa ibang sakit (routine immunization) gaya ng: Post-Vaccination Advise: Routine NIP BAKUNA SAKIT NA MAIIWASAN DOSING SCHEDULE Measles-Rubella Vaccine  Tigdas  Tigdas-Hangin 1 dose para sa Grade 1 (6-7 taong gulang) 1 dose para sa Grade 7(12-13 taong gulang) Tetanus-Diptheria Vaccine  Tetanus  Dipterya 1 dose para sa Grade 1 (6-7 taong gulang) 1 dose for Grade 7 (12-13 taong gulang) na nakakuha na ng 3 doses ng PENTA
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  • 33. Maraming Salamat Po A PICTURE IS WORTH A THOUSAND WORDS