Open Access Open Access  Restricted Access Subscription or Fee Access

Drive-thru influenza immunization: Fifteen years of experience

Ruth M. Carrico, PhD, RN, FSHEA, CIC, W. Paul McKinney, MD, FACP, Nicholas Adam Watson, JD, Timothy Wiemken, PhD, MPH, CIC, John Myers, PhD, MSPH

Abstract


Background: In 1995, a yearly drive-thru immunization program was initiated in Louisville, KY. Since then, more than 50,000 doses of influenza vaccine have been administered, with no reports of syncopal episodes or vehicular accidents. This report aimed to identify reported adverse events from other areas that could threaten drive-thru mass immunization approaches.
Methods: To identify reported adverse events in any drive-thru mass immunization event, the authors queried the following sources: 1) the vaccine adverse event reporting system, 2) court cases, 3) healthcare risk management databases, 4) MEDLINE, and 5) communication with vaccine experts. The authors also calculated the probability of syncopal episodes using data from our past immunization experiences to further elucidate the possibility of these events occurring.
Results: No adverse events due to a drive-thru mass immunization event were identified in any of the sources queried. In our data, the forecasted probability of one adverse event was 0.8 percent for a 2-day event (20,000 immunizations).
Conclusions: Although syncope may occur following immunization, it is a risk that can be managed, and due to the rarity of these events, should not be used as a reason to avoid drive-thru administration of influenza vaccine.


Keywords


immunization, drive-thru, syncope, influenza, vaccine

Full Text:

PDF

References


ASPH Friday Letter #1598 04 December 2009. Available at http://www.asph.org/fridayletter/article_view.cfm?FLE_Index_11479&FL_Index_1598. Accessed March 12, 2012.

Carrico RM: Drive-Thru Flu Shots: A Model for Mass Immunization. Louisville: Chicago Press, 2002.

Centers for Disease Control and Prevention: General recommendations on immunization. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011; 60(2): 1-60.

Woo EJ, Ball R, Braun MM: Fatal syncope-related fall after immunization. Arch Pediatr Adolesc Med. 2005; 159(11): 1083.

Centers for Disease Control and Prevention: Syncope after vaccination— United States, January 2005-July 2007. MMWR. 2008; 57(17): 457-460.

Centers for Disease Control and Prevention: In Atkinson W, Wolfe S, Hamborsky J, McIntyre L (eds.): Epidemiology and Prevention of Vaccine-Preventable Diseases. 12th ed. Washington, DC: Public Health Foundation, 2011; Appendix D: D-3.

Centers for Disease Control and Prevention: Adult immunization in nontraditional settings: Quality standards and guidance for program evaluation. MMWR Recomm Rep. 2000; 49(1): 1-13.




DOI: https://doi.org/10.5055/jem.2012.0101

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Journal of Emergency Management