Public Health>Immunization Recommendation Practice Test

A 30-year-old woman (G1P0) at 30 weeks' gestation presents to the community pharmacy for prenatal immunization counseling. She reports a history of mild intermittent asthma controlled with albuterol as needed. She received a tetanus shot in high school more than 12 years ago and has not had any adult pertussis booster during this pregnancy. She denies fever or acute illness today. She works as a daycare teacher and is concerned about protecting her newborn from whooping cough. Current medications include a prenatal vitamin; she denies tobacco, alcohol, or illicit drug use. Allergies: penicillin (pruritic rash). She has not received any live vaccines since becoming pregnant and is unsure of her childhood vaccine records. Which of the following vaccines is most appropriate for this patient?

An otherwise healthy 66-year-old man comes to the pharmacy for routine immunizations. He has hypertension and hyperlipidemia controlled with lisinopril and atorvastatin. He reports no history of shingles and is unsure if he ever received a shingles vaccine. His immunization record shows Tdap 1 year ago, high-dose influenza vaccine this season, COVID-19 boosters up to date, and PCV20 given last year. He has no chronic kidney disease, diabetes, or immunosuppressive conditions and takes no corticosteroids. He had chickenpox as a child. Allergies include a non-IgE-mediated penicillin rash; no vaccine allergies are noted. He asks which vaccine he should receive today to reduce his risk of future infections as he ages.