POST SPLENECTOMY IMMUNIZATIONS		version 8/26/2026		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		
	☑	Nursing communication	Every visit	S	Until discont'd	
		Please continue to schedule subsequent infusion appointments manually as appropriate.		

Month 0 splenectomy vaccinations 	

	
	Interval	Defer Until	Duration	
	☐	pneumococcal conj. 20 valent (PREVNAR-20) vaccine (patients > 2 months,one dose series)	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released		
	☐	haemophilus b polysac/tetanus toxoid (ActHIB) 0.5 mL IM vaccine, MUST DILUTE	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	MIX THE TWO VIALS BEFORE ADMINISTRATION. Scan Vaccine. Do Not Scan DILUENT.
	To reconstitute, withdraw 0.6 mL of saline diluent and inject in ActHIB vaccine vial.  Shake well to ensure reconstitution.  Vaccine should be clear and colorless.  Withdraw 0.5 mL dose of the reconstituted vaccine and inject intraMUSCularly.  If not administered immediately after reconstitution, contact Pharmacy.

	☐	mening vac A,C,Y,W135 dip (PF) (MENVEO) IM injection 0.5 mL	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released		
	☐	Meningococcal Group B vaccine (BEXSERO)	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	Administer BEXSERO as a 0.5 mL intramuscular injection into the deltoid muscle of the upper arm.
	Shake the syringe immediately before use to form a homogeneous suspension.		

Month 2 splenectomy vaccinations 	

	
	Interval	Defer Until	Duration	
	☐	mening vac A,C,Y,W135 dip (PF) (MENVEO) IM injection 0.5 mL	Once	S+60	1 treatment	
		0.5 mL, intramuscular, once, Starting when released		
	☐	Meningococcal Group B vaccine (BEXSERO)	Once	S+60	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	Administer BEXSERO as a 0.5 mL intramuscular injection into the deltoid muscle of the upper arm.
	Shake the syringe immediately before use to form a homogeneous suspension.		

Month 6 splenectomy vaccinations 	

	
	Interval	Defer Until	Duration	
	☐	Meningococcal Group B vaccine (BEXSERO)	Once	S+180	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	Administer BEXSERO as a 0.5 mL intramuscular injection into the deltoid muscle of the upper arm.
	Shake the syringe immediately before use to form a homogeneous suspension.		

1-year MenB booster  	

	
	Interval	Defer Until	Duration	
	☐	Meningococcal Group B vaccine (BEXSERO)	Once	S+548	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	Administer BEXSERO as a 0.5 mL intramuscular injection into the deltoid muscle of the upper arm.
	Shake the syringe immediately before use to form a homogeneous suspension.		

Q5 year MenACWY booster 	

	
	Interval	Defer Until	Duration	
	☐	mening vac A,C,Y,W135 dip (PF) (MENVEO) IM injection 0.5 mL				
		0.5 mL, intramuscular, once, Starting when released
	Re-administered every 5 years.
	
	Please adjust next due date in the Interval box to y+5 years for correct day to administer this vaccine *** .