👤 Patient Information

Date of Birth

Or enter age below instead

Age (if no DOB)

days weeks months years

Default: Years

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⚠️ Contraindication & Precaution Screening

Allergies

Egg (severe / anaphylaxis)

Gelatin

Neomycin

Yeast (Saccharomyces)

Severe reaction to prior dose

Latex (vials with latex stoppers)

Immune Status

Immunocompromised (HIV, chemo, steroids ≥ 2 wks, etc.)

Pregnant

Encephalopathy within 7 days of prior DTaP dose

History of intussusception

SCID (Severe Combined Immunodeficiency)

Asthma or recurrent wheezing (especially < 5 yrs, or on systemic steroids)

HIV with severe immunosuppression (low CD4)

Complement deficiency / eculizumab use

Asplenia / functional asplenia (e.g., sickle cell)

Other

First-time influenza vaccination (patient < 9 years)

Fear of needles (patient prefers intranasal route)

Prescription Medications

Medication selections can add vaccine-specific contraindications, warnings, and precautions.

✕ Contraindicated / Precaution Vaccines

Vaccine	Type	Reason

No contraindications identified based on selected criteria.

✓ Vaccines Recommended Now

Vaccine	Series / Dose	Notes	Action

No vaccines are due at this age.

⏰ Catch-Up Vaccines

Vaccine	Series / Dose	Notes	Action

No catch-up vaccines needed.

ⓘ Risk-Based / Shared Clinical Decision Vaccines

Vaccine	Indication	Notes	Action

No additional risk-based vaccines apply.

📋 Previously Received Vaccines

Vaccine	Series / Dose	Notes	Action

No vaccines marked as received.

⚠ Disclaimer: This tool is intended as a clinical decision-support aid based on the AAP/ACIP recommended immunization schedule for children, adolescents, and adults. It does not replace clinical judgment or real-time CDC/AAP/ACIP guidelines. Always verify doses already given, check current VIS sheets, and consult the most recent AAP/ACIP recommendations before administering vaccines.