COVID-19 PEDIATRIC VACCINATION

HEALTH ASSESSMENT ALGORITHM FOR PFIZER

of the Philippine National COVID-19 Vaccine Deployment and Vaccination Program
as of October 11, 2021
ASSESS THE VACCINE RECIPIENT: Is the patient any of the following?

● Age < 12 years old

● Had a severe allergic reaction to any ingredient of the PFIZER
vaccine: mRNA, lipids
((4-hydroxybutyl)azzanediyl)bis(hexane-6,
1-diyl)bis(2-hexyldecanoate), 2 [(polyethylene glycol)-2000]-N,
NO YES
N-ditetradecylacetamide,
1,2-Distearoyl-sn-glycero-3-phosphocholine, and cholesterol), DO NOT VACCINATE
potassium chloride, monobasic potassium phosphate,
sodium chloride, dibasic sodium phosphate dihydrate, and
sucrose
● Has severe allergic reaction or an autoimmune reaction (i.e.
Vaccine-Induced Thrombotic Thrombocytopenia) after the
1st dose of the PFIZER vaccine SPECIAL PRECAUTION

NO YES OBSERVE FOR 30 MINS

With allergy to food, egg, medicine, and/or with asthma?

NO USE GAUGE 23-25.

Have history of bleeding disorders or currently taking YES APPLY FIRM PRESSURE.
anti-coagulants?

DEFER
NO YES RESCHEDULE UNTIL FULL
Have a history of a Multisystem Inflammatory Syndrome (MIS-C)
RECOVERY FROM ILLNESS
AND 90 DAYS AFTER
NO DIAGNOSIS
With SBP ≥160 and/or DBP ≥ 100 AND with signs and symptoms of organ
YES
damage, headache, blurred vision, confusion, seizure, chest pain,
REFER TO MD
shortness of breath?
AND BRING TO ER

With SBP ≥160 and/or DBP ≥ 100 WITHOUT signs and symptoms of YES
VACCINATE

Monitor BP every 15 minutes

organ damage, headache, blurred vision, confusion, seizure, chest pain,
two times.. RESCHEDULE if
shortness of breath? >160/100 mmHg
PROCEED if <160/100 mmHg
Symptomatic (Fever/chills, headache, cough, colds, sore throat, myalgia, YES
NO fatigue, weakness, loss of smell/taste, diarrhea, shortness of
REFER TO MD.
breath/difficulty in breathing, nausea/ vomiting) OR with other symptoms
of existing comorbidity
RESCHEDULE AFTER
FULL RECOVERY
NO Have history of exposure to confirmed or suspected COVID-19 YES
RESCHEDULE AFTER
case in the past 14 days?
COMPLETION OF 14-DAY
YES QUARANTINE
NO Have been vaccinated in the past 14 days or plans to receive
RESCHEDULE AFTER
another vaccine 14 days following vaccination?
14-DAY INTERVAL FROM
NO OTHER VACCINE
Have been previously diagnosed for COVID-19 AND is still YES
undergoing treatment/ recovery? RESCHEDULE AFTER
RECOVERY OR
TREATMENT
COMPLETION
NO Have received convalescent plasma or monoclonal antibodies for YES
COVID-19 in the past 90 days? RESCHEDULE AFTER
90 DAYS
NO YES
Pregnant and in first trimester of pregnancy?
RESCHEDULE IF IN
Has been diagnosed with any of the following:
FIRST TRIMESTER
● HIV
● Cancer/ Malignancy and is currently undergoing chemotherapy,
radiotherapy, immunotherapy, or other treatment
● Underwent Transplant
● Under Steroid Medication/ Treatment
● Bed ridden, terminal illness, less than 6 months prognosis YES GET CLEARANCE FROM
● Autoimmune disease ATTENDING
NO AND was not cleared by attending pediatrician/ physician prior to vaccination?
PEDIATRICIAN/
*Vaccine recipients who will receive their dose from treatment huvs etc. (such as people living with HIV) may PHYSICIAN
get their clearance from their attending physician on the scheduled vaccination prior to being inoculated with
the vaccine