![]() ![]() For infants and younger children receiving more than two injections in a single limb, the thigh is the preferred site because of the greater muscle mass. If multiple vaccines are administered at a single visit, administer each injection in a different injection site. Often, more than one vaccine is needed during the same doctor’s visit, requiring more than one shot. See chart below to identify the route for each injectable vaccine. When administering a vaccine by injection, choose the correct needle size based on the route, age, patient size, and injection technique. A video demonstrating administering a vaccine by intramuscular injection can be found here. Use the correct needle length and gauge based on the age, weight, and gender of the recipient. Intramuscular injections are administered into the muscle through the skin and subcutaneous tissue. A video demonstrating administering a vaccine by subcutaneous injection can be found here. Subcutaneous injections are administered into the fatty tissue found below the dermis and above muscle tissue. A video demonstrating administration of intranasal flu vaccine can be found here. Live, attenuated influenza (LAIV ) vaccine is the only vaccine administered by the intranasal route. Intranasal vaccine is administered into each nostril using a manufacturer-filled nasal sprayer. CDC videos demonstrating administering each vaccine: Rotavirus vaccine should never be injected. Rotavirus vaccine (RV1, RV5 ) is the only routinely recommended vaccine administered orally. Oral vaccine is administered through drops to the mouth. Vaccines available in the United States are administered by 4 routes: If gloves are worn, they should be changed, and hand hygiene should be performed between patients.Īdditional information on providing immunization services during a pandemic is available here: Routine and Influenza Immunization Services During the COVID-19 Pandemic: Interim Guidance | CDC During the COVID-19 pandemic, gloves should be worn when administering intranasal or oral vaccines. Occupational Safety and Health Administration (OSHA) regulations typically do not required gloves to be worn when administering vaccines unless the person administering the vaccine is likely to come in contact with potentially infectious body fluids or has open lesions on the hands. Health care personnel should always perform hand hygiene before administering vaccines by any route. Deviation from the recommended route may reduce vaccine efficacy or increase local adverse reactions. This information is included in the manufacturer’s package insert for each vaccine. ![]() Each vaccine has a recommended administration route and site. ![]()
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