The importance of immunizations
Immunization is key to preventing disease. Vaccines benefit both the people who get
them, and the vulnerable, unvaccinated people around them because the infection can
no longer spread through the community if most people are immunized. In addition,
immunizations reduce the number of deaths and disability from infections, such as
measles, whooping cough, and chickenpox.
Although children get the majority of the vaccinations, adults also need to be sure
they are already immune to certain infections and stay up-to-date on certain vaccinations,
including varicella, tetanus, diphtheria, pertussis (whooping cough), measles, mumps,
rubella, shingles, human papillomavirus (HPV), pneumococcal, hepatitis A and B, flu,
and meningococcal. Childhood illnesses, such as mumps, measles, and chickenpox, can
cause serious complications in adults.
About guidelines for routine childhood immunizations
Many childhood diseases can now be prevented by following recommended guidelines for
Meningococcal vaccine (MCV4). A vaccine to protect against meningococcal disease.
Hep B. This protects against hepatitis B.
Inactivated polio vaccine (IPV). A vaccine to protect against polio.
DTaP. This protects against diphtheria, tetanus (lockjaw), and pertussis (whooping cough).
Hib vaccine. A vaccine to protect against Haemophilus influenzae type b (which causes spinal meningitis
and other serious infections).
MMR. This protects against measles, mumps and rubella (German measles).
Pneumococcal vaccine/PCV13 (pneumococcal conjugate vaccine). A vaccine to protect against pneumonia, infection in the blood, and meningitis.
Varicella. This protects against chickenpox.
Rotavirus (RV). This vaccine protects against severe vomiting and diarrhea caused by rotavirus
Hep A. This protects against hepatitis A.
HPV. This protects from human papillomavirus, which is linked to cervical cancer and other
Seasonal influenza. This protects against different flu viruses.
A child's first vaccination is given at birth. Immunizations are scheduled throughout
childhood, with many beginning within the first few months of life. By following a
regular schedule, and making sure a child is immunized at the right time, you are
ensuring the best defense against dangerous childhood diseases.
Reactions to immunizations
As with any medicine, vaccinations may cause reactions, usually in the form of a sore
arm or low-grade fever. Although serious reactions are rare, they can happen, and
your child's doctor or nurse may discuss these with you before giving the shots. However,
the risks for contracting the diseases the immunizations provide protection from are
higher than the risks for having a reaction to the vaccine.
Treating mild reactions to immunizations in children:
Fussiness, fever, and pain. Children may need extra love and care after getting immunized. The shots that keep
them from getting serious diseases can also cause discomfort for a while. Children
may experience fussiness, fever, and pain at the immunization site, after they have
Fever. DO NOT GIVE ASPIRIN. You may want to give your child acetaminophen or ibuprofen to
reduce pain and fever, as directed by your child's healthcare provider:
Give your child plenty to drink.
Clothe your child lightly. Do not cover or wrap your child tightly.
Sponge your child in a few inches of lukewarm (not cold) bath water.
Swelling or pain. DO NOT GIVE ASPIRIN. You may want to give your child acetaminophen to reduce pain
and fever, as directed by your child's healthcare provider.
A clean, cool washcloth may be applied over the sore area as needed for comfort.
Aspirin and the risk for Reye's syndrome in children
Aspirin should not be given to children or teenagers because of the risk for Reye's
syndrome, a rare but potentially fatal disease. Therefore, pediatricians and other
healthcare providers recommend that aspirin not be used to treat any fever in children.
If more serious symptoms occur, call your child's healthcare provider right away.
These symptoms may include:
Large area of redness and swelling around the area where the injection was given.
The skin area may be warm to touch and very tender. There may also be red streaks
coming from the initial site of the injection.
Child is pale or limp
Child has been crying incessantly
Child has a strange cry that is not normal (a high-pitched cry)
Child's body is shaking, twitching, or jerking