A full-term infant requires a blood transfusion at age 3 days. How would this affect the routine immunization schedule? —WANDA BRADSHAW, MSN, NNP-BC, Durham, N.C.

According to the CDC, a blood transfusion at age 3 days should not impact the routine immunization schedule (MMWR Recomm Rep. 2011;60:1-64; available at www.cdc.gov/mmwr/preview/mmwrhtml/rr6002a1.htm, accessed February 15, 2014). The varicella vaccine and the measles, mumps, and rubella (MMR) vaccine would not be due for one year, and precautions related to blood transfusion are for the previous 11 months only. For whole blood, the wait to administer MMR (measles component) or varicella-containing vaccine would be six months. No other routinely recommended immunizations have precautions. — Julee B. Waldrop, DNP (185-1)

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