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Your Baby's First Vaccines
What You Need to Know
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
- Signs and symptoms include a thick
coating in the back of the throat that can make it hard to
- Diphtheria can lead to breathing
problems, paralysis and heart failure.
- About 15,000 people died each year in the U.S. from diphtheria
before there was a vaccine.
- Tetanus (Lockjaw)
- Signs and symptoms include painful
tightening of the muscles, usually all over the body.
- Tetanus can lead to stiffness of the
jaw that can make it difficult to open the mouth or swallow.
- Tetanus kills 1 person out of every 5 who get it.
- Pertussis (Whooping Cough)
- Signs and symptoms include violent
coughing spells that can make it hard for an infant to eat, drink,
or breathe. These spells can last for several weeks.
- Pertussis can lead to pneumonia,
seizures, brain damage, or death.
- Hib (Haemophilus influenzae type
- Signs and symptoms can include fever,
headache, stiff neck, cough, and shortness of breath. There might
not be any signs or symptoms in mild cases.
- Hib can lead to meningitis (infection
of the brain and spinal cord coverings); pneumonia; infections of
the blood, joints, bones, and covering of the heart; brain damage;
- Before there was a vaccine, Hib disease was the leading cause
of bacterial meningitis in children under 5 years of age in the
- Hepatitis B
- Signs and symptoms include tiredness,
diarrhea and vomiting, jaundice (yellow skin or eyes), and pain in
muscles, joints and stomach. But usually there are no signs or
symptoms at all.
- Hepatitis B can lead to liver damage,
and liver cancer. Some people develop chronic (long term) hepatitis
B infection. These people might not look or feel sick, but they can
- Hepatitis B can cause liver damage and cancer in 1 child out of
4 who are chronically infected.
- Signs and symptoms can include
flu-like illness, or there may be no signs or symptoms at all.
- Polio can lead to permanent paralysis
(canâ€™t move an arm or leg, or sometimes canâ€™t breathe) and
- In the 1950s, polio paralyzed more than 15,000 people every
year in the U.S.
- Pneumococcal Disease
- Signs and symptoms include fever,
chills, cough, and chest pain.
- Pneumococcal disease can lead to
meningitis (infection of the brain and spinal cord coverings),
blood infections, ear infections, pneumonia, deafness, and brain
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
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||Â\U00A0|
|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
Your healthcare provider might offer some of these vaccines as
combination vaccines â€“ several vaccines
given in the same shot. Combination vaccines are as safe and
effective as the individual vaccines, and can mean fewer shots for
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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
- 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 105Â°F.
- Polio vaccine, if your child has a
severe allergy to the antibiotics neomycin, streptomycin or
- 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.
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Risks of a Vaccine
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
- 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) â€“ usually after the 4th or 5th
- 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 105Â°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
102.2Â°F (about 1 child in 20).
Problems that could happen after any
- 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
- 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
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
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What if there is a
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 canâ€™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
VAERS does not give medical advice..
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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
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For more information
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Vaccine Information Statement
42 U.S.C. Â§ 300aa-26
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