Post- Vaccination Guidelines

Observation after vaccination

1. All vaccine recipients should have to be observed for at least 30 minutes at the vaccination center after being vaccinated. Please contact our medical staff if the vaccine recipient has abnormal signs, vomiting, shortness of breath, difficulty breathing, or redness.

Other reactions in young babies and children need to be noticed within 24 – 48 hours after vaccination:

  • Body temperature, breathing
  • Lost of appetite
  • Skin reaction often at the site of the injection (swelling or redness)

2. How to take care of your babies and children after vaccination
Dress them in light clothing

  • Dress them in light clothing
  • Keep breastfeeding as normal and/ or give extra water
  • If your baby have a fever (temperature over 38.5oC) and are crying, use fever-reducing medication (paracetamol, ibuprofen)
  • Use a cool, damp cloth to reduce redness, soreness and/or swelling at the injection site
  • Do not touch the injection site or place hot cloth or potatoes, lemon or anything over the area
  • Do not give aspirin to babies and children
  • Do not give cough syrup or other fever relievers at the same time

Common vaccination reactions:

 NO. Diseases  Vaccine trade name  Common reactions
1 Tuberculosis BCG • Redness, swelling at the shot site

• Slight fever, fussiness and loss of appetite. These reactions may go away after a few days.

• Most children will have a raised bubble at the shot site, which may disappear after 30 minutes. About 2 weeks after injection, a small sore may develop and leave a small scar once it heals.

• If you notice the spot or blister is bigger than 1cm or any lymph nodes, contact your doctor as soon as possible.
2 Hepatitis B Engerix B Euvax B Hepavax • Redness, swelling at the shot site

• Slight fever, fussiness

• Normal reactions will disappear after hours or 1 – 2 days.
3 Diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B and Hib Infanrix Hexa (6 trong 1) • Redness, swelling, pain in 1 – 3 days. A little area of hard skin may form at the shot site, which usually disappear after 1 – 3 weeks

• Slight fever, fussiness, vomiting, mild diarrhoea and loss of appetite
4 Diphtheria, tetanus, pertussis, poliomyelitis and Hib Pentaxim (5 trong 1) • Redness, swelling or a small area of hard skin (> 2cm) may form where the vaccine were given

• Slight fever, fussiness, vomiting, mild diarrhoea, loss of appetite, sleepy and rash

• The reactions of the next shots may become stronger than the first shot and will go away within 3 – 5 days after being vaccinated.
5 Diphtheria, tetanus, pertussis, poliomyelitis Tetraxim (4 trong 1) • Redness and swelling that occur after 24 – 73 hours after being vaccinated could disappear within 3 – 5 days
• Fever, diarrhoea, loss of appetite and fussiness
6 Diphtheria, tetanus, pertussis Adacel •Pain, redness and swelling where the vaccine were given

•Headache and tiredness
7 Rotavirus Rotarix Rotateq • Temporary diarrhea or vomiting can happen after rotavirus vaccine

• Talk to your doctor as soon as possible if the child has more diarrhea and lead to dehydration
8 Pneumococcal disease Synflorix • Pain, redness and swelling where the vaccine were given

• Fever, loss of appetite, irritability and fussiness
9 Influenza Vaxigrip Influvac •Pain, redness and swelling where the vaccine were given

•Fever, headache and tiredness
10 Measles, mumps, rubella MMR II • Pain at the injection site in a short time

• Fever, rash, vomiting, diarrhoea
11 Varicella Varivax Varilrix Varicella • Chickenpox – like skin rash, pain, redness and swelling at the shot site

• Fever

• Do not use salicylates for 6 weeks after getting varicella vaccine
12 Japanese encephalitis Jevax • Pain, redness and swelling at the shot site

• Fever, headache and tiredness
13 Hepatitis A Avaxim Havax •Swelling and redness where the shot was given
14 Hepatitis A+B Twinrix •Pain, redness and swelling at the shot site

•Headache and tiredness
15 Meningococcal AC Meningo A+C •Pain and swelling at the shot site

•Slight fever
16 Meningococcal B+C VA-Mengoc-BC •Soreness, redness, or swelling at the shot site

•Slight fever
17 HPV Cervarix Gardasil • Pain, redness and swelling or a small area of hard skin may appear within 48 hours after being vaccinated, which may leave after 1 – 2 days

• Slight fever and fatigue
18 Tetanus VAT • Pain, redness and swelling or a small area of hard skin may appear within 48 hours after being vaccinated, which may leave after 1 – 2 days

• Slight fever and fatigue
19 Typhoid Typhim VI •Pain, redness and swelling at the shot site
20 Rabies Verorab • Pain, redness and swelling at the shot site

• Fever, headache, tiredness and dizziness

Note:

    • Some very rare side effects after vaccinations are not mentioned in the above list. Please contact your doctor for further information.

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