Makomed's Weblog

Pediatric Vaccines – MMR & Td, The Yellow Fever concern

Posted on: August 16, 2006

Whenever a pediatric or adolescent patient comes in, it’s most important to emphasize these two vaccines:

MMR & DTaP

DTaP can start as early as two months, but if it has not been done, administer adult Td, or Tetanus-Diptheria. (A triple combination with Pertussis for adults is available. It’s called Adacel).

Either MMR or DTaP can be administered on the first year–it’s best to give ped vaccines all at once.

Wait at least 28 days to administer second MMR. The second one is due to the fact that Measles should be repeated, especially for women. The first MMR gives nearly 100% protection to those who receive it, but there’s a chance that it may have missed. Therefore, a second shot is recommended.

Yellow fever is contraindicated for infants less than 9 months old due to the fact that their immune system may not be able to combat this live virus vaccine. NEVER GIVE IT TO THEM!

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