Name: Vaccine contraindications, precautions and adverse events — branching viva
Creator: MedVellum
Published: 2026-07-11
Keywords: Vaccine contraindications, precautions and adverse events — branching viva, Vivas, preventive-and-community-paediatrics, RACP General Paediatrics, RACP DCE, MRCPCH Clinical, RCPSC Pediatrics, paediatrics fellowship exam, RACP General Paediatrics exam prep, RACP DWE paediatrics, RACP DCE paediatrics, RCPCH Progress+ curriculum, MRCPCH revision, ABP pediatrics certification, ACGME pediatrics, RCPSC pediatrics exam, general paediatrics viva, paediatrics long case, multi-board paediatrics atlas

Prompt

You are the paediatric registrar in an immunisation clinic and acute assessment interface. The examiner will test safety triage, emergency response and special-population decisions.

Stem

The examiner moves from definitions to an acute AEFI, then to immunocompromise and a false-contraindication trap. ^[1] ^[2]

References8Show

[1]Kroger AT General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 2006.PMID 17136024
[2]McNeil MM Risk of anaphylaxis after vaccination in children and adults. J Allergy Clin Immunol, 2016.PMID 26452420
[3]Shearer WT, Fleisher TA, Buckley RH, et al. Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts. J Allergy Clin Immunol, 2014.PMID 24582311
[4]Hviid A Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Ann Intern Med, 2019.PMID 30831578
[5]Varricchio F Understanding vaccine safety information from the Vaccine Adverse Event Reporting System. Pediatr Infect Dis J, 2004.PMID 15071280
[6]Haber P Postlicensure monitoring of intussusception after RotaTeq vaccination in the United States, February 1, 2006, to September 25, 2007. Pediatrics, 2008.PMID 18519491
[7]Cordonnier C Vaccination of haemopoietic stem cell transplant recipients: guidelines of the 2017 European Conference on Infections in Leukaemia (ECIL 7). Lancet Infect Dis, 2019.PMID 30744963
[8]Greenhawt MJ Establishing the safety of influenza vaccine in egg-allergic individuals. Pediatr Ann, 2013.PMID 23805959

Stem

The examiner moves from definitions to an acute AEFI, then to immunocompromise and a false-contraindication trap. ^[1] ^[2]

References8Show

[1]Kroger AT General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 2006.PMID 17136024
[2]McNeil MM Risk of anaphylaxis after vaccination in children and adults. J Allergy Clin Immunol, 2016.PMID 26452420
[3]Shearer WT, Fleisher TA, Buckley RH, et al. Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts. J Allergy Clin Immunol, 2014.PMID 24582311
[4]Hviid A Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Ann Intern Med, 2019.PMID 30831578
[5]Varricchio F Understanding vaccine safety information from the Vaccine Adverse Event Reporting System. Pediatr Infect Dis J, 2004.PMID 15071280
[6]Haber P Postlicensure monitoring of intussusception after RotaTeq vaccination in the United States, February 1, 2006, to September 25, 2007. Pediatrics, 2008.PMID 18519491
[7]Cordonnier C Vaccination of haemopoietic stem cell transplant recipients: guidelines of the 2017 European Conference on Infections in Leukaemia (ECIL 7). Lancet Infect Dis, 2019.PMID 30744963
[8]Greenhawt MJ Establishing the safety of influenza vaccine in egg-allergic individuals. Pediatr Ann, 2013.PMID 23805959