Vaccinations

  • What are the vaccine my baby will receive at this age?
  • When is the next visit? And what vaccines will my baby is going to receive next visit?
  • Common\general side effects of vaccinations? Might run a slight fever, swelling at the injection site, pain & local redness, LN swelling
  • What will happen if I don’t vaccinate my child?
  • What if missed shots? Catch up, no need to start over
Vaccine Type Route When Contraindications
BCG Live Intradermal Birth – Immunodeficiency

– Prev anaphylaxis

Hepatitis B Recombinant IM Birth, 2, 4, 6 Prev anaphylaxis
IPV Killed SC or IM (if w\ another) 2, 4, 6 Prev anaphylaxis
OPV Live PO (under tongue) 12, 18, school Prev anaphylaxis
DTaP Toxoid IM 2, 4, 6, 18, school – Prev anaphylaxis

– Encephalopathy (w\in 7 days)

– GBS (6 wks)

– Neuro

– Severe illness

Hib Conjugate IM 2, 4, 6, 18 Prev anaphylaxis
PCV 13 Conjugate IM 2, 4, 6, 12 Prev anaphylaxis
MCV 4 Conjugate IM or SC 9, 12 – Prev anaphylaxis

– Hx of GBS

MMR Live SC 12, 18, school

9 (measles alone)

– Immunodeficiency

– Prev anaphylaxis

– Anaphylaxis to neomycin

Varicella Live SC 18, school – Immunodeficiency

– Prev anaphylaxis

Rota Live PO 2, 4, 6 – Immunodeficiency

– Prev anaphylaxis

– Hx of intussusception \ intestinal malformation

– Postpone if active GE or severe illness

Hepatitis A Killed IM or SC (if hemophiliac) 18, 24 Prev anaphylaxis
Influenza Killed IM –  Prev anaphylaxis

– Egg hypersensitivity

– < 6 mo

– Hx of GBS

 


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