Comprehensive immunization delivery in conjunction with influenza vaccination

Arch Intern Med. 1986 Jun;146(6):1189-92.


All patients and employees presenting for influenza A and B vaccination were studied for the need for other immunizations or tests, based on criteria of the Immunization Practices Advisory Committee. More than 72% of patients and employees needed at least one other vaccine or test. During a 4 1/2-month period, 1,353 doses of influenza virus vaccine, bivalent, types A and B, were prescribed. Health care providers ordered doses of diphtheria and tetanus toxoids (adult) for 36.8% of these recipients, pneumococcal vaccine, polyvalent 23, for 42.1%, and a tuberculin skin test for 36.3%. Determinations of hepatitis B titers or hepatitis B vaccine doses were ordered for 140 individuals. Patients older than 60 years needed additional immunizations with greater frequency. Rates of delayed adverse reactions (35.9%) and subsequent self-medication (11.7%) were recorded. The systemic adverse reaction rate was 17.3%. Annual influenza vaccination programs are valuable public health opportunities to determine immunizations needed by patients who might not otherwise receive a comprehensive, individualized review of the status of their immunization protection.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bacterial Vaccines / administration & dosage
  • Diphtheria Toxoid / administration & dosage
  • District of Columbia
  • Female
  • Humans
  • Immunization*
  • Immunization, Secondary
  • Influenza Vaccines / administration & dosage*
  • Male
  • Middle Aged
  • Military Personnel
  • Poliovirus Vaccine, Inactivated / administration & dosage
  • Streptococcus pneumoniae / immunology
  • Tetanus Toxoid / administration & dosage
  • Tuberculin Test
  • Viral Hepatitis Vaccines / administration & dosage


  • Bacterial Vaccines
  • Diphtheria Toxoid
  • Influenza Vaccines
  • Poliovirus Vaccine, Inactivated
  • Tetanus Toxoid
  • Viral Hepatitis Vaccines