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 vaccination is routinely given to children as part of the NHS childhood immunisation programme. It can also be given on the NHS to older children and adults and babies over six months of age who need to be protected against measles, mumps and rubella, or in the event of a measles outbreak.dults who missed out on the MMR vaccination as a baby and are therefore not immune can have the MMR vaccine on the NHS. It's given to adults as two doses, with the second dose given at least a month after the first. Some adults may not have received full protection because of changes in the MMR vaccine.