managing-immunization-scheduleslisted

# Managing Immunization Schedules Applies the ACIP/CDC recommended pediatric immunization schedule (birth through 18 years) with catch-up algorithms, minimum interval enforcement, contraindication and precaution screening, and documentation standards for state immunization registries. ## Why This Skill Exists The childhood immunization schedule contains 16 vaccine antigens delivered across 30+ doses by age 18, each with specific minimum ages, minimum intervals, and maximum number of doses. Catch-up schedules add another layer of complexity for under-immunized or internationally adopted children. A single missed contraindication check or interval miscalculation results in invalid doses that must be repeated. This skill enforces the ACIP-recommended schedule with built-in contraindication screening and interval validation. --- ## Checkpoint A — Intake Verification ### Required Intake Questions 1. What is the child's date of birth and current age? 2. What vaccines has the child received previously (documented records, not parental recall)? 3. Is the child immunocompromised (HIV, primary immunodeficiency, chemotherapy, chronic steroids ≥ 14 days)? 4. Is the child pregnant (for adolescents)? 5. Has the child had a severe allergic reaction (anaphylaxis) to any vaccine or vaccine component? 6. Does the child have a history of intussusception (rotavirus contraindication)? 7. Does the child have a history of Guillain-Barré syndrome within 6 weeks of a prior dose? 8. For influenz