All you need to know about your baby’s Immunization

As a parent, we want lifelong protection for our kids and "Immunization" is the very first step towards it. Read on for some must-know information about vaccines as advised by a recommended pediatrician, Dr Mayank Rawat.

What is a Vaccine?

A vaccine is a preparation, which when introduced in the body, stimulates and trains the immune system to recognize and combat specific infections.

 

What is Immunization and why is it important?

Immunization means putting a vaccine into a baby's body so that her body can learn how to fight an infection. That way, baby will be protected against that infection, even if someone around her has the germs for that infection. Hence, it's very important to get the kids immunized timely. Immunizations are usually given as an injection or sometimes as an oral drop.

 

Is it ok to give it 7-10 days before or after the scheduled date?

We must not give vaccines before the suggested date; however, we may choose to give it on that date or after that date (as soon as possible).

 

Any minimum gap is required between 2 vaccines?

Such restrictions are applicable only for injectable live viral vaccines like MMR, Chickenpox, Live Hepatitis A. These vaccines are preferred to be injected on the same day but in case they are not injected together, then, at least, a month's gap is suggested.

Here is an Immunization Calendar that needs to be referred at the time of the vaccination. Here, it is, as recommended by the Indian Academy of Pediatrics (IAP), which must be followed for children in India.

 

Age
Vaccines Prevents
 Birth BCG
OPV 0
Hep-B 1
TB (tuberculosis)
Polio
Hepatitis B Virus (Liver Damage)
6 Weeks DT wP 1
IPV 1
Help-B 2
Hib 1
Rotavirus 1
PCV 1
Diphtheria/Tetanus/Pertussis
Polio
Hepatitis B Virus (Liver Damage)
Epiglottitis, Pneumonia, Meningitis
Severe diarrhea
Pneumococcal disease
10 Weeks DT wP 2
IPV 2
Rotavirus 2
PCV 2
Diphtheria/Tetanus/Pertussis
Polio
Severe diarrhea
Pneumoccoccal disease
14 Weeks DT wP 3
IPV 3
Hib 3
Rotavirus 3
PCV 3
Diphtheria/Tetanus/Pertussis
Polio
Epiglottitis, Pneumonia, Meningitis
Severe diarrhea
Pneumococcal disease
6 Months OPV 1
Hep-B 3
 Polio
Hepatitis B Virus (Liver Damage)
9 Months OPV 2
MMR-1
Polio
Measles
9-12 Months Typhoid Conjugate Vaccine Typhoid
12 Months Hep-A 1 Hepatitis A
15 Months MMR 2
Varicella 1
PCV booster
Measles
Chicken pox or zoster virus
Pneumococcal disease
16 to 18 Months DT wP B1
IPV B1
Hib B 1
Diphtheria/Tetanus/Pertussis
Polio
Epiglottitis, Pnenumonia, Meningitis
18 months - 2 years Hep-A 2 Hepatitis A
4 to 6 Years DT wP B2
OPV 3
Typhoid Conjugate Vaccine Booster
Diphtheria/Tetanus/Pertussis
Polio
Typhoid
10 to 12 Years Tdap/Td
HPV
Diphtheria/Tetanus/Pertussis
Human papillomavirus or cancer

 

What's the difference between painless and usual vaccines? How to decide which one to opt for and what are the side effects?

This distinction is made only in DPT vaccines; any other vaccine does not have this categorisation.

 

DPT Vaccine Categorisation:

Initially, there was a DPwT vaccine, which had reactogenicity like pain, swelling, fever. Later, a modified DPaT vaccine was developed which had much lesser reactogenicity.

Recent data however, suggests that regular DPwT provides more protection as compared to the painless DPaT vaccine. Therefore, Indian Academy of Pediatrics has recommended regular DPwT vaccine over the painless DPaT vaccine.

 

DPwT vaccine has few side-effects which you may see after a vaccination:

1. Fever: usually mild in most of the vaccines

2. Redness, pain or swelling at the site of the injection

3. Vomiting or dizziness

4. Diarrhoea

 

If a vaccine has a significant side-effect, then your doctor will tell you in advance. Otherwise, if a child has an allergic reaction towards any vaccination, then it generally shows up within 15-20 mins after the shot.

 

 

Can we delay a vaccination, if the baby is sick with the flu?

If a baby is having a fever over 101 degrees or she is really uneasy due to a health issue, then it's always better to do it on another day. Otherwise, delaying a vaccination due to a mild flu is not recommended or, necessary.

 

Tips to follow before or after the shots:

Before the shot:

1. You need to be confident and calm

2. Give the baby a cleansing bath and do not apply any oil, cream or lotion

3. Try to soothe the baby with his/her favourite toy

4. Always tell the baby that it will hurt a little like an ant bite, but it will make him stronger

 

During the shot:

1. Try to distract the baby or talk to him.

2. Hold the baby tight.

 

After the shot:

1. Wait for 15 mins to see any side-effect.

2. Use ice packs to relieve the pain.

3. Acknowledge the baby, but behave as if nothing major has happened.

 

How important is it to check for the brands of the vaccines?

There is no significant difference between the different brands of a given vaccine. Hence, your doctor would advise you his preferred and tested vaccine as per his personal experience. You can always ask your doctor for the vaccine's brand name, batch no. and expiry date.

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Comments (6)



Uma

I wish I knew this before

Dhara

Can someone tell wht are the charges for 15 months vaccination.?

Mamta

This is just in time

Amin Sandh

No Charge for Vaccination at Government HOSPITALs And SwasthyaKendras.

krupa

This is just in time

Manisha Sharma

This is just in time

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