Amendments are sent to the legislatures of the  states by default. Only one amendment, the 21st, specified a  convention. In any case, passage by the legislature or convention  is by simple majority.
Yes, there is a MMRV VIS, as well as a MMR VIS and a Varicella VIS. The law requires that a Vaccine Information Statement (VIS) be given out whenever certain vaccinations are administered, including MMR, varicella or MMRV vaccines.hen the first dose of measles, mumps, rubella, and varicella vaccines is administered at ages 48 months and older, use of MMRV vaccine generally is preferred over separate injections of MMR and varicella vaccines.
MMR is a safe and effective combined vaccine that protects against three separate illnesses â measles, mumps and rubella (german measles) â in a single injection.owever, these children may not have sufficient protection from this early dose, so they will still need the standard MMR doses at 12-13 months and 40 months of age. The MMR vaccine is given as a single injection into the muscle of the thigh or upper arm.