Immunization Update 2018

Activity Preview

New vaccine approvals, coupled with an abundance of data from observational studies and clinical trials, have created additional options for the prevention and control of vaccine-preventable diseases. Updates to immunization recommendations and recent outbreaks both serve as important reminders for keeping current with immunization practices. Pharmacists and other immunization providers have a responsibility to follow the guidelines and incorporate a best-practice approach when administering vaccines to patients. This article provides an overview of the recent changes in vaccine recommendations and immunization practices.

Learning Objectives

At the completion of this activity, the pharmacist will be able to:

  1. List the changes made to the 2018 immunization schedules recommended for children, adolescents, and adults.
  2. Summarize the 2017–18 influenza season in terms of severity and vaccine effectiveness.
  3. Differentiate the recombinant zoster vaccine (RZV) from zoster vaccine live (ZVL).
  4. Describe the characteristics of and recommendations for the new hepatitis B vaccine (HepB-CpG).
  5. Recognize individuals and populations that are at higher risk for hepatitis A and mumps infections.
  6. Identify vaccine administration techniques that reduce a patient’s risk for shoulder injury.

Activity type: Knowledge-based

Target Audience: Pharmacists 

Learning level: 1

Accreditation Information

The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.  This activity is approved for 2.0 contact hours of CPE credit (0.20 CEUs). The ACPE Universal Activity Number for this activity is 0202-0000-18-252-H06-P.

To obtain credit for Immunization Update 2018 complete the assessment with a grade of 70% or better, complete the evaluation, and then claim credit. Participants need to have a valid username and password to claim credit. After credit has been claimed, please visit CPE monitor for your transcript.

APhA's continuing pharmacy education policy allows two opportunities to successfully complete the continuing pharmacy education assessment. Please note that the questions may not appear in the same order as printed and only two attempts to pass the assessment will be granted.  The current policy of the APhA Education Department is to not release the correct answers to any of our CPE tests. This policy is intended to maintain the integrity of the CPE activity and the assessment.

Initial release date: September 1, 2018
Expiration date: September 1, 2021 - NO CREDIT GRANTED AFTER THIS DATE


Immunization Update 2018 is a home-study continuing education activity for pharmacists developed by the American Pharmacists Association.

Advisory Board

Lauren B. Angelo, PharmD, MBA, Associate Professor, Pharmacy Practice, and Assistant Dean, Academic Affairs

Rosalind Franklin University of Medicine and Science, North Chicago, IL

Stephen L. Foster, PharmD, FAPhA, FNAP, CAPT (Ret) U.S. Public Health Service, and Professor (Ret)

University of Tennessee Health Sciences Center, Atoka, TN.


Lauren B. Angelo, PharmD, MBA, declares that she has received honoraria as a speaker for Seqirus.

Stephen L. Foster, PharmD, FAPhA, FNAP, declares that he has received honoraria as a speaker for Merck Vaccine, Pfizer, Sanofi-Pasteur, and Seqirus.

APhA’s editorial staff declares no conflicts of interest or financial interests in any product or service mentioned in this activity, including grants, employment, gifts, stock holdings, and honoraria. For complete staff disclosures, please see the Education and Accreditation Information section at


There is no fee associated with this activity for members of the American Pharmacists Association. There is a $25 fee for nonmembers.

System Requirements

Computer and internet access are required to complete this activity.  Please visit our website and view the Technology System Requirements to have a positive learning experience.