I. Immunoglobulin was given and the baby’s vaccine problem
Q：Newborn baby with ABO hemolytic jaundice, had blue light, immunoglobulin, BCG and hepatitis B at birth, and already had the second shot of hepatitis B at full term, no other uncomfortable symptoms, now 2 months old, can I continue the vaccination? If not, do I have to wait for 11 months?
A: Children who have received immunoglobulin, which is an immune globulin injection, cannot receive live vaccines for 11 months and inactivated vaccines for 3 months, according to the regulations.
Q: The child is now five years old, born with severe jaundice, had human albumin (that’s what the doctor called it, I forget the exact name), vaccines were all normal after discharge, no doctor said you can’t vaccinate, read your reply to another netizen just now, very nervous, I wonder what the effect will be?
A: Albumin is different from immunoglobulin and does not affect vaccination.
II. Questions about the pneumonia vaccine
Q: At what age should I start the pneumonia vaccine? Which one should I get, 7-valent or 23-valent? Can my baby be one year and four months old for these shots?
A: There are different types of pneumonia vaccines, such as 7-valent, 13-valent and 23-valent. Generally, you can choose 7-valent or 13-valent before 2 years old, and 23-valent after 2 years old. The difference in price is the different serological subtypes included, the higher the price the more serological subtypes. The higher the valency, the more serotypes are included. If there is a change in the living environment, pneumonia vaccines of different valencies can be linked.
Q: Hello doctor, my baby is almost 1 year old and did not receive the seven-stage pneumonia vaccine before, is it still necessary to catch up now?
A: Pneumonia vaccination is recommended for children under 2 years old, and it is also recommended for children over 2 years old who are “sickly” or have “low body resistance”. Pneumonia vaccination does not mean “no more pneumonia”. The pneumonia vaccine is a pneumococcal vaccine, and there are many different pathogens that can cause pneumonia, including viruses and mycoplasma. However, pneumonia is more severe after pneumococcal infection, especially for young infants, and there are many extra-pulmonary comorbidities.
About chickenpox vaccine
Q: My baby’s vaccination book clearly states that children under a few years old can receive one vaccination, but the place where I received the vaccination still asks for a replacement, so I don’t know why. (My family received the domestic vaccine). What should we do then? How long is the interval between the second vaccination and the first vaccination appropriate?
A: Vaccination should be done in accordance with the vaccination process, and there is no question of what vaccine is appropriate for what season. The chickenpox vaccine needs to be perfected for 2 doses according to the regulations in order to have an effective protective effect. With chickenpox vaccination, there is still a possibility of being infected with chickenpox, but the symptoms will be much less severe. If you are clearly exposed to a chickenpox patient and have not received the chickenpox vaccine yourself, it is recommended that you complete it within 3 days, but of course the sooner the better.
Q: How old is the appropriate age for my child to receive the influenza vaccine, pneumonia vaccine and chickenpox vaccine in the second vaccine category?
A: There is no question of whether the timing is appropriate for the second vaccine, because there are different vaccination schedules for children of different ages. The specific vaccination time should refer to the regulations of the vaccination place.
IV. Whether babies can be vaccinated when they are sick
Q: My child had a fever a few days ago, but now he doesn’t have a fever anymore, but he still has a runny nose and a few coughs, can he get the vaccination next Monday? Or do I have to wait until the cold is completely gone?
A: Vaccination should be chosen when the child is healthy and continue to perfect the vaccine about 1 week after recovering from an acute illness (such as fever and diarrhea). Not only because there may be some vaccine reactions to vaccines, but also the process of generating immune reactions is different when vaccines are given when the body is not well, which may affect the effectiveness of vaccination.
Q: The newborn has unclosed foramen ovale, no other uncomfortable symptoms, BCG and hepatitis B were given, and now he is two months old, can he receive the five vaccines?
A: It should be recommended to choose when your child is healthy for vaccination. When there is fever, serious cold, skin infection and other physical discomfort, it is a contraindication for vaccination. Ovarian foramen ovale is not a disease in itself, so of course vaccination is possible.
Q: I have a baby girl who has not been vaccinated against measles for 10 months, but at 7 months, I had my baby tested for allergens because of frequent eczema. Now she has no problem eating egg yolks, but she has never eaten egg whites, can she be vaccinated?
A: Leprosy vaccine and MMR vaccine are produced in chicken embryos. In principle, the finished Leprosy and MMR vaccines contain very little protein from chickens. Therefore, eczema, etc., does not affect the MMR vaccine unless there is a severe allergic reaction to egg white, such as anaphylaxis.
Q：11 months Male baby had an MRI at 4 months for bilateral widening of the frontotemporal sulcus and corresponding widening of the subarachnoid space. Then did 5 courses of treatment and now at 11 months, the doctor said the child is well and no treatment is needed! I would like to ask, can my child get vaccinations for rheumatoid brain, group A+C brain, measles, chicken pox? Which is better, the imported or domestic ones?
A: Your child has a history of “subarachnoid widening”, which has been cured. The child can be vaccinated against influenza, measles, chickenpox, etc., without any problem.
V. Whether vaccines can be given at the same time
Q: My child is 4 years old, and I found out that the previous hepatitis B antibodies are gone, so I’m going to get them again, because I haven’t taken the sugar pills since I was 4 years old, can I get the two vaccines at the same time? Are the sugar pills free here, or should they be given separately? How long is the interval?
A: Regarding the principle of vaccination, you can get only one vaccine or two vaccines at the same time on the same day. The interval between the two injections is recommended to be 1 month.
Q: My baby just turned one month old today and had the vaccination, can I get the pentavalent vaccine next time? What is the difference between the pentavalent vaccine and the regular one?
A: What is the DPT5 vaccine? It contains diphtheria, Haemophilus influenzae and polio vaccines, a total of 5 vaccines, which are inactivated. The common one means that the diphtheria vaccine and the polio vaccine are given separately, while the polio vaccine is distinguished by live attenuated vaccine and inactivated vaccine. Live vaccines are those that retain some antigenic activity, while inactivated vaccines are those that have no antigenic activity, and inactivated vaccines are safer.
VI. Problems with unscheduled vaccines
Q: My family has a 6-month-old baby boy, I would like to ask if it is necessary to get self-injected vaccines.
A: Self-financed vaccines include Haemophilus influenzae vaccine, pneumonia vaccine, chickenpox vaccine, etc. It is recommended to give vaccination to children. Because these germs infect small infants and children, they can cause more serious symptoms, including some comorbidities. The odds are not always high, but the purpose of immunization is to prevent these diseases that cause serious comorbidities.
Q: Which unplanned vaccines do you think are more important and which unplanned vaccines do you recommend? Thank you!
A: Vaccines in China are divided into Class I and Class II. Class I vaccines require all children to be vaccinated and are mostly free of charge; Class II vaccines are optional and mostly self-paying. It is recommended to vaccinate your child with Haemophilus influenzae vaccine, pneumonia vaccine and chickenpox vaccine among the second class vaccines.
Seven: How to arrange the vaccination plan for your baby when preparing to go abroad
Q: I will take my 1.5 year old baby to live abroad for one year this year. How to solve the continuity of baby’s vaccination? For example, can I get the second vaccination abroad after the first one for hepatitis A in China?
A: Many families will be living in different countries, so many mothers are at a loss as to how to give their children vaccinations. However, mothers do not need to worry, our existing immunization program and international can be well connected, after arriving in other countries need to be adjusted according to the local vaccination program. The same kind of vaccine, different brands can be connected, that is, the first injection of domestic, the second injection can also be imported.