Table of contents:
- Special situations that must be evaluated by the doctor
- Cases that do not prevent vaccination
- What to do if you lose your vaccination book
- Is it safe to vaccinate during COVID-19?
Some situations can be considered contraindications for the administration of vaccines, as they can greatly increase the risk of side effects, as well as cause more serious complications than the disease itself, against which one is trying to vaccinate.
The main cases in which vaccination is contraindicated in children by the Ministry of He alth include:
- Having had a severe allergic reaction to a previous dose of the same vaccine;
- Show proven allergy to any of the components of the vaccine formula, such as egg protein;
- Fever above 38.5ºC;
- Being undergoing treatment that affects the immune system, such as chemotherapy or radiation therapy;
- Being treated with high doses of corticosteroids for immunosuppression;
- Having some form of cancer.
It is important to remember that non-vaccination is an extremely important decision and should only be considered when there is a serious risk to the child. For this reason, temporary situations, such as treatment with corticosteroids, therapies that affect the immune system or fever above 38.5ºC, for example, are contraindications that only postpone the moment of vaccination, should be vaccinated as soon as there is a pediatrician's recommendation.
Check out 6 good reasons to get vaccinated and keep your book up to date.
Special situations that must be evaluated by the doctor
The main special situations that must be evaluated by the pediatrician in order to authorize vaccination are:
- Children with HIV: Vaccination can be done according to the HIV infection status, and children under 18 months of age, who do not have immune system and who do not have symptoms indicative of weakening of the immune system can follow the vaccination schedule;
- Children with severe immunodeficiency: each case must be well evaluated by the doctor, but vaccines that do not contain live attenuated agents can normally be administered.
In addition, if the child has received a bone marrow transplant, it is very important that the child be referred to the CRIE, or Reference Center for Special Immunobiologicals, between 6 to 12 months after the transplant, to undergo revaccination as required. indication.
Cases that do not prevent vaccination
Although they may seem like contraindications for vaccination, the following cases should not preclude the administration of vaccines:
- Acute illness without fever, provided there is no history of serious illness or respiratory tract infection;
- Allergies, flu or mild colds, with cough and nasal discharge;
- Use of antibiotic or antiviral;
- Treatment with non-immunosuppressive low-dose corticosteroids;
- Mild or moderate diarrhea;
- Skin diseases such as impetigo or scabies;
- Prematurity or low birth weight;
- History of simple adverse reaction after previous vaccine dose, such as fever, swelling of the bite site or pain;
- Previous diagnosis of diseases for which there is a vaccine, such as tuberculosis, whooping cough, tetanus or diphtheria;
- Neurological disease;
- Family history of seizure or sudden death;
- Hospital admission.
So, even in the presence of these situations, the child must be vaccinated, and it is only important to inform the doctor or nurse at the vaccination post about diseases or symptoms that the child may be experiencing.
What to do if you lose your vaccination book
If the child's vaccination book is lost, go to the he alth center where the vaccinations were performed and ask for the “mirror book”, which is the document where the child's entire history is recorded.
However, when it is not possible to have the mirror booklet, the doctor should be consulted to explain the situation, as he will indicate which vaccines will need to be taken again or if the entire vaccination cycle will need to be restarted.
See your baby's complete vaccination schedule and keep your child safe.
Is it safe to vaccinate during COVID-19?
Vaccination is important at all times of life and therefore should not be interrupted during times of crisis such as the COVID-19 pandemic. He alth services are prepared to carry out the vaccination safely, both for the person who will receive the vaccination and for the professional.Non-vaccination can lead to new epidemics of vaccine-preventable diseases.