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VACCINATION GUIDELINE

"Vaccines are the most effective public health tool ever created."
MEANING
Immunization is a way of protecting the human body against infectious diseases through
vaccination. Immunization prepares our bodies to fight against diseases in case we come into
contact with them in the future.

Optional vaccines are those which are not included in the routine immunization programme
and given on an optional basis.
IMPORTANCE

AGE VACCINE CONTRAINDICATIONS SIDEEFFECTS
BIRTH BCG
BIRTH OPV-0 IMPAIRED IMMUNITY FLU LIKE SYMPTOMS
BIRTH
HEPATITIS.B-1 PATIENTS WITH BLOOD IN URINE
6 WEEKS IMMUNOSUPRESSIVE
IPV-1 TREATMENT VOMITING, STOMACH PAIN,
DTwP-1 JAUNDICE
HEPATITIS.B-2
HYPERSENSITIVITY PARALYTIC POLIOMYELITIS
HiB-1 REACTION OR
ANAPHYLACTIC
ROTAVIRUS-1 REACTIONS

IMMUNODEPRESSION
ACUTE FEBRILE ILLNESS

KNOWN MILD SORENESS NEAR SHOT
HYPERSENSITIVITYTO ERYTHEMA
ANY COMPONENT OF INDURATION
VACCINE

HYPERSENSITIVITY TO FATIGUE
PREVIOUS HEPATITIS.B FEVER(LASTS FOR 1-2 DAYS)
VACCINATION MALAISE, UNUSUAL CRYING

INFLUENZA LIKE SYMPTOMS

Nill Nill

HYPERSENSITIVITY PAIN, REDNESS, SWELLING,
REACTION SUCH AS MILD FEVER, TIREDNESS,
SHOCK OR SERIOUS MUSCLE ACHE, SWOLLEN
NEUROLOGIC GLANDS
SYMPTOMS

Refer HEB.B-1

KNOWN LOCAL:INJECTION SITE
HYPERSENSITIVITY TO SORENESS,MILD REDNESS AND
ANY COMPONENT OF SWELLING
VACCINE
SYSTEMIC: FEVER, LOSS OF
APPETITE, VOMITING,
DIARRHEA , UNUSUAL CRYING

KNOWN DIARRHEA, VOMITING
HYPERSENSITIVITY TO LOSS OF APPETITE
ANY COMPONENT S FEVER, FLATLUENCE,

UNCORRECTED

CONGENITAL ABDOMINAL PAIN
MALFORMATIONS OF
GIT: INTUSSUSCEPTION

PCV-1 KNOWN LOCAL: ERYTHEMA
HYPERSENSITIVITY TO SORENESS, WARMTH
DTwP-2 ANY COMPONENT OF SWELLING AND INDURATION
IPV-2 VACCINE INCLUDING SYSTEMIC: FEVER<102⁰F
DIPHTHERIA TOXOID MALAISE, HEADACHE
HiB-2
10 WEEKS ROTAVIRUS-2 Refer DTwP-1
PCV-2
14 WEEKS Refer IPV-1
DTwP-3
6MONTHS IPV-3 Refer HiB-1
9 MONTHS Refer ROTAVIRUS-1
9 MONTHS HiB-3 Refer PCV-1
ROTAVIRUS-3 Refer DTwP-1
PCV-3
Refer IPV-1
OPV-1
HEPATITIS.B-3 Refer HiB-1
OPV-2
Refer ROTAVIRUS-1
MMR-1
Refer PCV-1

Refer OPV-1

Refer HEPATITIS.B-1

Refer OPV-1

LEUKEMIA MILD:FEVER, SLIGHT
ENLARGEMENT OF LYMPH
MALIGNANCY NODES

SEVERE FEBRILE REDNESS OR RASH AT THE
ILLNESS INJECTION SITE

HISTORY OF FEBRILE MODERATE: SEIZURE
CONVULSIONS
TEMPORARY PAIN
PATIENTS ON
IMMUNOSUPRESSANTS STIFNESS OF JOINTS

HYPERSENSITIVITY TO TEMPORARY LOW PLATELET
EGG PROTEIN COUNT

ANAPHYLACTIC RASH ALL OVER THE BODY
REACTION TO SEVERE: DEAFNESS COMA,

NEOMYCIN LONG TERM SEIZURES ,
LOWERED CONSCIOUSNESS ,
BRAIN DAMAGE

9-12MONTHS TYPHOID KNOWN INACTIVATED: FEVER,
CONJUGATE HYPERSENSITIVITY TO HEADACHE, REDNESS OR
VACCINE ANY COMPONENT OF SWELLING
VACCINE
LIVE TYPHOID VACCINE:
OR WHO HAD
HYPERSENSITIVITY FOR FEVER AND HEADACHE
PREVIOUS
VACCINATION STOMACH PAIN

NAUSEA AND VOMITING

RASH, MYALGIA

12 MONTHS HEPATITIS.A KNOWN LOCAL:INJECTION SITE
HYPERSENSITIVITY TO SORENESS , REDNESS,
ANY COMPONENT OF SWELLING
VACCINE
SYSTEMIC: HEADACHE,
MALAISE, VOMITING,
FEVER,NAUSEA, LOSS OF
APPETITE

ALLERGIC REACTIONS :
CONVULSIONS AND
ANAPHYLACTIC REACTIONS

15 MONTHS MMR-2 Refer MMR-1

15 MONTHS VARICELLA-1 POSTPONED WITH SORE ARM, FEVER,

ACUTE FEBRILE ILLNESS REDNESS/RASH

AIDS WITH TOTAL SEIZURE WITH FEVER
LYMPHOCYTE COUNT
LESS THAN INFECTION OF LUNGS,
1,200/cumm MENINGITIS

CLIENTS WITH RASH ALL OVER THE BODY
LEUKEMIA ,
LYMPHOMA , BLOOD
DYSCRASIAS

DURING PREGNANCY :
PREGNANCY SHOULD
BE AVOIDED 3 MONTHS
AFTER VACCCINATION

15 MONTHS PCV BOOSTER Refer PCV-1

16-18 MONTHS DTwPB-1 Refer DTwP-1
DTaP BOOSTER-1
16-18 MONTHS SEVERE ALLERGIC SYSTEMIC:FUSSINESS,
16-18 MONTHS IPV B-1 REACTION TO IRRITABILITY,UNCONSOLABLE
18 MONTHS PREVIOUS DOSE OF CRY
2 YEARS HiB BOOSTER-1 PENTACEL VACCINE
4-6 YEARS HEPATITIS .A-2 LOCAL: INJECTION SITE
4-6 YEARS BOOSTER OF ENCEPHALOPATHY REACTION ,SEIZURE, HIGH
4-6 YEARS TYPHOID WITHIN 7 DAYS OF FEVER >105⁰ F
4-6 YEARS CONJUGATE PREVIOUS PERTUSIS
10-12 YEARS VACCINE CONTAINING VACCINE ALLERGIC REACTION
WITH NO OTHER
DTwP B-2 IDENTIFIABLE CAUSE COMA
DT a P BOOSTER -2
PROGRESSIVE ALTERED CONSCIOUSNESS
MMR-3 NEUROLOGIC
VARICELLA-2 DISORDER UNTIL PERMANENT BRAIN DAMAGE
TREATMENT HAS BEEN
Tdap ESTABLISHED AND HAS
STABILIZED

Refer IPV -1

Refer HiB -1

Refer HEPATITIS .A-1

Refer TYPHOID

CONJUGATE VACCINE

Refer DTwP -1 MILD:PAIN , REDNESS,
Refer DT a P -1 SWELLING ,FEVER > 100.4⁰F
Refer MMR-1
Refer VARICELLA-1 HEADACHE, TIREDNESS
Nill
STOMACH ACHE, CHILL, SORE,
JOINTS ,BODY ACHE

RASH, SWOLLEN GLANDS

MODERATE: SWELLING OF
ENTIRE ARM

SEVERE: SWELLING, PAIN,
BLEEDING, REDNESS

Td MILD: FEVER ,HEADACHE,
TIREDNESS
10-12 YEARS Nill
MODERATE:

FEVER OVER> 102⁰F SEVERE:
SWELLING, PAIN,
BLEEDING/REDNESS

HPV SUBJECTS WITH LOCAL: INJECTION SITE PAIN,
KNOWN REDNESS, SWELLING, FATIGUE
10-12 YEARS HYPERSENSITIVITY TO
ANY COMPONENT SYSTEMIC: FEVER, MYALGIA

NAUSEA,VOMITING

DIARRHEA, ABDOMINAL PAIN

11-12 YEARS MENINGOCOCCAL HYPERSENSITIVITY TO INJECTION SITE TENDERNESS,
OLDER VACCINE ANY COMPONENT OF ERYTHEMA, SWELLING
MENACTRA VACCINE ,IRRITABILITY, ABNORMAL CRY,
BOOSTER-16 DROWSINESS, LOSS OF
YEARS Nill APPEPTITE, MALAISE,
ARTHALGIA
PRE –EXPOSURE RABIES VACCINE
1ML ON DAY 0, LOCAL-FEVER, HEADACHE,
7,28 MYALGIA,LYMPH NODE
SWELLING, RARE CIRCULATORY
POST-EXPOSURE REACTION, SWELLING, CHILLS,
ALLERGIC REACTIONS.

IM- ON DAY 0,
3,7,14 28.

ID-DAY 0, 3,7,28.

H1N1 HYPERSENSITIVITY TO LOCAL: PAIN , MASS
EGG PROTEINS OR ANY INFLAMMATION,
COMPONENT OF EDEMA,ECCHYMOSIS,ALLERGIC
VACCINE OR WHO HAD REACTION , HAEMORRHAGE
LIFE THREATENING PRURITIS
REACTION TO
PREVIOUS SYSTEMIC:COUGH, WHEEZING
VACCINATION CHEST TIGHTNESS, BREATHING
DIFFICULTY , FATIGUE,
MALAISE.

ALL 6 MONTHS INFLUENZA KNOWN SEVERE RUNNING NOSE , NASAL
OF AGE AND ALLERGIC REACTION TO CONGESTION , HEADACHE ,
OLDER EGG PROTEIN OR A LIFE MUSCLE ACHE, SORE, RED
THREATENING ,ITCHY EYES,COUGH ,FEVER
EACH YEAR TO REACTION TO FATIGUE.
BE TAKEN PREVIOUS INFLUENZA
VACCINE.
2ND DOSE AFTER
4 WEEKS GAP
FROM 1ST DOSE

2 MONTHS AND JAPENESE SEVERE ALLERGIC SYSTEMIC : HEADACHE,
OLDER 2-DOSE ENCEPHALITIS REACTION TO MYALGIA
SERIES WITH THE PREVIOUS DOSE.
DOSES SPACED LOCAL: INJECTION SITE PAIN,
28 DAYS APART. TENDERNESS.