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Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

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Page 1: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Smallpox Vaccine Adverse EventsPublic Health Guidance for Clinicians

A Teaching Set Reviewing Key Points in the MMWR Report

Page 2: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Expected Vaccination Site Reaction

Page 3: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Normal ReactionDay 7

Page 4: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Normal ReactionDay 12

Page 5: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionFirst time vaccinee, Day 6

Page 6: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionFirst time vaccinee, Day 10

Page 7: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionFirst time vaccinee, Day 15

Page 8: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionRevaccinee, Day 4

Page 9: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionRevaccinee, Day 8

Page 10: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionRevaccinee, Day 10

Page 11: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Major ReactionRevaccinee, Day 15

Page 12: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Fatigue Headache Myalgia Lymphadenopathy Lymphangitis Pruritis Edema at the vaccination site Satellite Lesions

Expected Range of Vaccine Reactions

Page 13: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Rates of Expected Reactions

21% complications required physician consult Most Common Symptoms

Fatigue (50%) Headache (40%) Muscle aches and Chills (20%) Nausea (20%) Fever 37.7 ºC or 100 ºF (10%)

Page 14: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Satellite LesionsNaïve Patient, Day 7

Page 15: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Satellite Lesions

Page 16: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Large Vaccination Reactions and Robust TakesRobust take with lymphangitis

Page 17: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Large Vaccination Reactions and Robust TakesRobust take with lymphangitis

Page 18: Smallpox Vaccine Adverse Events Public Health Guidance for Clinicians A Teaching Set Reviewing Key Points in the MMWR Report

Large Vaccination Reactions and Robust TakesLarge Local Reaction