Your Baby's First Vaccines
Current Edition Date: 10/22/14
This VIS may be used in place of the individual VISs for DTaP, Hib, Hepatitis B, Polio, and PCV13 when two or more of these vaccines are administered during the same visit. It may be used for infants through children receiving their routine 4-6 year vaccines.
What you need to know
Your baby will get one or more of these vaccines today:
- Hepatitis B
Why get vaccinated?
These vaccines can protect your baby from 7 childhood diseases:
These diseases are much less common than they used to be. But the germs that cause them still exist, and even a disease that has almost disappeared will come back if we stop vaccinating. This has already happened in some parts of the world. When fewer babies get vaccinated, more babies get sick.
Babies usually catch these diseases from other children or adults, who might not even know they are infected. A mother with Hepatitis B can infect her baby at birth. Tetanus enters the body through a cut or wound; it is not spread from person to person.
Five Childhood Vaccines can protect your baby from these seven diseases:
|Vaccine||Number of Doses||Recommended Ages||Other Information|
|DTaP (Diphtheria, Tetanus, Pertussis)||5||2 months, 4 months, 6 months, 15-18 months, 4-6 years||Some children should not get pertussis vaccine. These children can get a vaccine called DT (diphtheria & tetanus).|
|Hepatitis B||3||Birth, 1-2 months, 6-18 months|
|Polio||4||2 months, 4 months, 6-18 months, 4-6 years||An additional dose of polio vaccine may be recommended for travel to certain countries.|
|Hib (Haemophilus influenzae type b)||3 or 4||2 months, 4 months, (6 months), 12-15 months||There are several Hib vaccines. With one of them the 6-month dose is not needed.|
|PCV13 (pneumococcal)||4||2 months, 4 months, 6 months, 12-15 months||Older children with certain health conditions may also need this vaccine.|
Your healthcare provider might offer some of these vaccines as combination vaccines – several vaccines given in the same shot. Combination vaccines are as safe and effective as the individual vaccines, and can mean fewer shots for your baby.
Some children should not get certain vaccines
Most children can safely get all of these vaccines. But there are some exceptions:
- A child who is sick on the day vaccinations are scheduled might be asked to come back for them at a later date.
- Any child who had a life-threatening allergic reaction after getting a vaccine should not get another dose of that vaccine.A child who has a severe (life-threatening) allergy to a substance should not get a vaccine that contains that substance. Some of these vaccines contain neomycin, streptomycin, yeast, lactose, sucrose, or latex.Tell your doctor if your child has any severe allergies, or has ever had a severe reaction after any vaccination.
Talk to your doctor before your child gets...
- DTaP vaccine, if your child ever had any of these reactions after a previous dose of DTaP:
- A brain or nervous system disease within 7 days,
- Non-stop crying for 3 hours or more,
- A seizure or collapse,
- A fever of over 105°F.
- Polio vaccine, if your child has a severe allergy to the antibiotics neomycin, streptomycin or polymyxin B.
- Hepatitis B vaccine, if your child has a severe allergy to yeast.
- PCV13 vaccine, if your child has a severe allergy to yeast, or ever had a severe reaction after a dose of DTaP (or other vaccine containing diphtheria toxoid), or after a dose of PCV7, an earlier pneumococcal vaccine.
Risks of a Vaccine Reaction
Vaccines, like medicines, can cause side effects.
Most vaccine reactions are not serious: tenderness, redness, or swelling where the shot was given; or a mild fever. These occur soon after the shot is given and go away within a day or two. They happen with up to about half of vaccinations, depending on the vaccine.
Polio, Hepatitis B and Hib Vaccines have been associated only with these kinds of mild reactions.
Other childhood vaccines have been associated with additional problems:
- DTaP Vaccine
- Mild Problems: Fussiness (up to 1 child in 3); tiredness or poor appetite (up to 1 child in 10); vomiting (up to 1 child in 50); swelling of the entire arm or leg for 1-7 days (up to 1 child in 30) – usually after the 4th or 5th dose.
- Moderate Problems: Seizure (1 child in 14,000); non-stop crying for 3 hours or longer (up to 1 child in 1,000); fever over 105°F (1 child in 16,000).
- Serious problems: Long term seizures, coma, lowered consciousness, and permanent brain damage have been reported following DTaP vaccination. These reports are rare.
- Pneumococcal Vaccine
- Mild Problems: Drowsiness or temporary loss of appetite (about 1 child in 2 or 3); fussiness (about 8 children in 10).
- Moderate Problems: Fever over 102.2°F (about 1 child in 20).
Problems that could happen after any vaccine:
- Brief fainting spells can happen after any medical procedure, including a vaccination. Sitting or lying down for about 15 minutes can help prevent fainting, and injuries caused by a fall.
- Severe shoulder pain and reduced range of motion in the arm where a shot was given can happen, very rarely, after a vaccination.
- Severe allergic reactions from a vaccine are very rare, estimated at less than 1 in a million doses. If one were to occur, it would usually be within a few minutes to a few hours after the vaccination.
As with any medicine, there is a very remote chance of a vaccine causing a serious injury or death.
The safety of vaccines is always being monitored. For more information, visit CDC's Vaccine Safety website.
What if there is a serious reaction?
What should I look for?
Look for anything that concerns you, such as signs of a severe allergic reaction, very high fever, or behavior changes.
Signs of a severe allergic reaction can include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, and weakness. These would usually start a few minutes to a few hours after the vaccination.
What should I do?
- If you think it is a severe allergic reaction or other emergency that can’t wait, call 9-1-1 or get the person to the nearest hospital. Otherwise, call your doctor.
- Afterward, the reaction should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your doctor might file this report, or you can do it yourself through the VAERS web site, or by calling 1-800-822-7967.
VAERS does not give medical advice..
The National Vaccine Injury Compensation Program
The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines.
Persons who believe they may have been injured by a vaccine can learn about the program and about filing a claim by calling 1-800-338-2382 or visiting the VICP website. There is a time limit to file a claim for compensation.
For more information
- Ask your doctor.
- Contact your local or state health department.
- Contact the Centers for Disease Control and Prevention (CDC):