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Preventive Medicine
and Immunizations
There
is a great deal of publicity and concern about the safety of immunizing
children. We are strong advocates of careful immunization and am
absolutely convinced of the efficacy of routine immunization as
outlined here. The vaccines that your child will receive are not,
however, without possible adverse effects, but the frequency and
severity of reactions to vaccines are far outweighed by the protection
they provide against serious illnesses. You will be given specific
written information on all vaccines that we use. Children only rarely
become very ill after immunization. If this is or has been the case
with your child be sure to inform us before vaccines are
administered again so that this can be assessed. Efforts to assure
the safety of vaccines are immense and ongoing. Proper timing of
vaccines and selection of the safest vaccine make immunization schedules
complicated and subject to change. Should parents decide against
all or selected immunization, after availing themselves of reliable
information, We will, of course, honor their decision [although
we may open the issue on occasion].
Not infrequently children who have
received vaccines have swelling and inflamation at injection sites.
These should be treated with cold compresses. Local swelling may
persist as a firm nodule in the muscle for weeks and is not cause
for alarm. Fever and irritability following immunizations should
be treated with acetaminophen (Tylenol or related brand names).
The use of such medication prior to injections has been shown to
be of no benefit in reducing discomfort.
There is no difference in the quality
of vaccines provided by the Vaccine for Children Program and those
that must be purchased. In fact, the same brand of vaccine is often
used.
We are pledged to work with public
health officials in overseeing the immunization of children in our
area. With your approval we will send your child’s immunization
record to a central registry along with others. If you object to
this please let us know. The schedule of immunizations we follow
in this office is shown below, but we often have to customize it
for the individual child. If you have any concerns or questions
about immunizations be sure to ask.
Immunization Schedule
AGE
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DtaP
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Hep B & Hib
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IPV
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MMR
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Varicella
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Td
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Prevnar*
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Newborn
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No Vaccines are recommended
unless the infant is at high risk for hepatitus B
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1 month
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Second Vit K injection
for babies who are only breast fed
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2 months
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X
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X
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X
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4 months
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X
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X
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X
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6 months
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X
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X
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X
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9 months
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Hib
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X
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12 months
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X
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X
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X
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X
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18 months
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X
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X
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4-6 years
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X
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X
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X
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11 years
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X
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*Pneumococcal
vaccine reduces frequency of ear infections.
A lot of shots must be given with
as many as four at one visit. We will be glad to give some on one
visit and the rest at a visit a little later at no charge for the
second visit.
October 2000
©2002 South Valley Pediatrics
page updated April 7, 2002
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