All About Our Baby's VACCINATION - Part 9

[bettyboop1322]

^sis, dapat yata pagalingin muna ubo ni baby before magpavaccine ng Pneumococcal. Tanong mo din kay pedia.

[gorgeous gal]

ask ko lang, the varicella vaccine (for chicken pox) until age 15months lang ba talaga un? baby will be 15months na kasi by next week and still, wala pa syang shot ng varicella

[bettyboop1322]

12 to 15 months dapat ang Varicella. pavaccine mo na sya sis kasi summer nanaman uso Chicken pox pag mainit, kawawa ang baby pag nagkaron like my baby nahawa sa kuya nya 10 months pa lang sya nun.

[jess_121009]

^ doc lelet thank you po for answering my question. my son had his varicella vaccine yesterday. question po ulit, our next schedule is on may for either mmr or mmr-v sabi ng pedia niya. from march-april can we also suggest to him vaccinated with hepa-A? wala pa kasi siya nito eh at hindi pa po ito nababanggit ng pedia niya as next vaccine. which is better po mmr po muna or mmr-v na since may first dose naman na po siya ng varicella? kapag po ba we opt to have mmr-v hindi na po niya kailangan ng booster for varicella at 4-6 yrs old? thank you po ulit!

[DV]

Very strict ang age limit recommendations sa rotavirus vaccine.
First dose should be given between 6 weeks to 14 weeks and 6 days, not later than that. While last dose should be given before the baby turns 8 months of age.

Doc Lelet, follow-up questions on rotavirus: Isn't it true that children 5 and below (not just infants) are at risk of being exposed to rotavirus? And some adults can also be infected? Why is it that the vaccine is only for infants? If a NB is vaccinated, for how long is the immunity? Is it lifetime? How about those breastfed babies who are not given the vaccine, does breast milk offer the same protection as the vaccine (or are babies only protected for as long as they're exclusively breastfed--meaning no other food is given)? Thank you.

[jellybeans_verycherry]

Hi Doc! Ask ko lang kung pwede mag switch to Tenta baby ko. Naka 2 dose na kasi cya ng 5 in 1 nya sa pedia nya before...
eh lumipat kami pedia sinuggest nya is Tenta and may Tenta rin daw ako makukuha sa health center. yun na daw bago ngayon. OK lang po ba yun?

THANKs!

[chubzkittinz]

baby ko nagka-tigdas hangin 6months..e 9months p schedule nya for measles vaccine.

[leletmd]

@mscuriosity:
First of all, I salute your pedia for not resorting to antibiotics right away. As I mentioned in the other thread, just because a cough is more than 1 month doesn't mean that antibiotics are needed. There are a lot of non - bacterial causes of cough that can make it last long, like viral infections such as bronchiolitis and even the common cold causing hyper-reactive airways. Please note that giving antibiotics early in life is a risk factor for development of allergic disease.
Pneumococcal vaccines can be given as early as 6 weeks of age, but it can be given later than that. The doses decrease if the 1st dose is given after 6 months of age since the immune system of the child is more developed and able to produce better antibodies.

@gorgeous gal:
There is no deadline to giving varicella vaccine. Even adults can be given the vaccine so your baby can still get the vaccine. I suggest you have it given as soon as possible since there are a lot of chickenpox/varicella cases during the summer months.

@jess_121009:
Kids at 4 to 6 years of age are more exposed and more prone to developing MMR and varicella which is why the 2nd dose is given at that age. Take note, it is considered a 2nd dose and not a booster so it is still part of the primary immunization series of MMR and varicella. This is because, studies show that there is a small percentage of patients who still develop measles, mumps, rubella and varicella even when given 1 dose of the 2 vaccines. So even though considered valid ang MMR - V niya given at this age, I would suggest sticking to the original schedule of giving at 4 to 6 years of age.
Hepa A vaccine is recommended to be given at 12 months since the child is more exposed to different types of food. It is given as 2 doses, at least 6 to 12 months apart.

@DV:
Before rotarix and rotateq, there was a rotavirus vaccine called Rotashield. It was never released here in the Philippines, but it was used in the US and other countries. Unfortunately, there were a lot of cases of intussusception seen with rotashield so it was recalled and never distributed again. Hence, the revised strict age recommendations for rotateq and rotarix. Studies show that giving the 2 RV vaccines later than the 6 weeks to 8 month period increases the risk of developing intussusception.
Immunity is believed to be long lasting, but as to lifetime immunity, this hasn't been established yet since the vaccines haven't been around for that long and post -surveillance studies are still ongoing.
Breastfeeding confers long lasting immunity to rotavirus, but there is a need for pure breastfeeding for the 1st 6 months of age.

@jellybeans_verycherry:
Is it penta or tetra or tenta? What I know is that the penta vaccine is being given at the local health centers. Sorry, not familiar with the tenta vaccine.

@chubzkittinz:
Tigdas hangin refers to Rubella or german measles which is different from Rubeola or measles.
The MR vaccine can be given as early as 6 months of age, since Filipino maternal antibodies to these diseases wane faster compared to caucasian maternal antibodies. This is also the reason why at the US, there is no schedule for measles vaccination at 9 months of age and they go straight to MMR at 12 to 15 months of age.

[DV]

^Thank you, Doc Lelet. Very informative. 

[chubzkittinz]

so..is it better to take the vaccine early? and is the flu vaccine important for my baby?

[leletmd]

You're welcome DV and mscuriosity!

so..is it better to take the vaccine early? and is the flu vaccine important for my baby?

Better to give it within the 6 to 9 month period. Since summer is approaching and there are a lot of cases of measles/german measles during this time period, this is the best time to vaccinate.
Flu vaccine is very important for babies 6 months and above since they are the most prone to develop complications from the flu infection.

@micci:
Sorry, missed your question this morning.
Live vaccines refer to versions of a microbe that has been weakened in the lab to prevent it from causing disease, but recognizable enough for the immune system to produce antibodies against it. Since they are live vaccines, they require fewer doses. The downside is that they are prone to side effects such as fever and measles like rash occurring 1 to 2 weeks after an MMR vaccination. Also, they cannot be given to patients with immunodeficiency diseases and cancer since they can easily infect people with severely weakened immune systems.
Measles vaccine may be given at 6 to 9 months of age. I agree with your pedia that it should be given when your baby has recovered from his illness. It is ok naman for it to be a little late, basta maibigay pa rin ito.

@chocolatepink:
You're welcome! Sorry missed your question earlier, too.
There are a lot of vaccines that may be given at 6 weeks of age, particularly DaPT, polio, Hib, PCV and rotavirus. Among these vaccines, PCV and DaPT may cause low to high grade fever.

[chocolatepink]

Thanks doc lelet! God bless!

[chocolatepink]

Hi doc lelet, si baby kasi may reflux.. May mga on off sya na ubo because of that at times parang laging nasasamid/naduduwal.. Next week e monthly pedia visit na nya  ok lang ba na mag-vaccine sya? He's 2mos next week, i think bcg ang next naka-line up.

Thanks po.. Sobrang frustrated na ako sa reflux nya he's vomiting kasi may projectile..

[leletmd]

@chocolatepink:
It would depend on the findings during his physical examination. If clear naman ang lungs and no fever, then pwede pa rin ibigay. Your pedia is the best person to make this decision since she is the one who knows your baby's medical history. Whether or not the vaccine will be given, I suggest that you bring your baby back for his monthly check up pa rin since monthly check ups are important during the 1st year of life.
If the reflux is becoming bothersome, I suggest that you ask your pedia if she can refer you to a pedia gastro to help you manage the reflux.

[micci]

@micci:
Sorry, missed your question this morning.
Live vaccines refer to versions of a microbe that has been weakened in the lab to prevent it from causing disease, but recognizable enough for the immune system to produce antibodies against it. Since they are live vaccines, they require fewer doses. The downside is that they are prone to side effects such as fever and measles like rash occurring 1 to 2 weeks after an MMR vaccination. Also, they cannot be given to patients with immunodeficiency diseases and cancer since they can easily infect people with severely weakened immune systems.
Measles vaccine may be given at 6 to 9 months of age. I agree with your pedia that it should be given when your baby has recovered from his illness. It is ok naman for it to be a little late, basta maibigay pa rin ito.

You're welcome DV and mscuriosity!

Better to give it within the 6 to 9 month period. Since summer is approaching and there are a lot of cases of measles/german measles during this time period, this is the best time to vaccinate.
Flu vaccine is very important for babies 6 months and above since they are the most prone to develop complications from the flu infection.

@micci:
Sorry, missed your question this morning.
Live vaccines refer to versions of a microbe that has been weakened in the lab to prevent it from causing disease, but recognizable enough for the immune system to produce antibodies against it. Since they are live vaccines, they require fewer doses. The downside is that they are prone to side effects such as fever and measles like rash occurring 1 to 2 weeks after an MMR vaccination. Also, they cannot be given to patients with immunodeficiency diseases and cancer since they can easily infect people with severely weakened immune systems.
Measles vaccine may be given at 6 to 9 months of age. I agree with your pedia that it should be given when your baby has recovered from his illness. It is ok naman for it to be a little late, basta maibigay pa rin ito.

thanks doc lelet,sorry late ko na din nabasa reply mo my baby was given the measles vaccine na last week,so far wala naman pong measles-like symptoms til now

[annie19]

Hi Doc Lelet, ano po ang effect pag di natapos yung series ng vaccine. My 7month old son kasi was supposed to have his last dose ng rotateq this month along with 5in1. Pero i was trying to find another pedia kasi since last month since sobra mahal ng vaccine sa pedia ni baby. Nung nakahanap nako sabi di na daw pwede yung rota since til 6mos lang daw yun, and 3 yung napagtanungan ko i have checked din sa baby center na upto 8mos pwede ibigay pero recommended is 6mos. Ano po ba talaga dapat and ano po yung magiging effect kung di yun natapos

Thank you Doc

[leletmd]

@annie19;
This is the CDC guide to giving the rotavirus vaccine:

http://www.cdc.gov/vaccines/vpd-vac/rotavirus/vac-faqs.htm

Let me just quote the age recommendations:

"At what age should children receive rotavirus vaccine?

RotaTeq® is administered in a 3-dose series, with doses administered at ages 2, 4, and 6 months. Rotarix® is administered in a 2-dose series, with doses administered at ages 2 and 4 months. The minimum age for dose 1 of rotavirus vaccine is 6 weeks; the maximum age for dose 1 is 14 weeks and 6 days. Vaccination should not be initiated for infants aged 15 weeks and 0 days or older because of insufficient data on safety of dose 1 of rotavirus vaccine in older infants. The minimum interval between doses of rotavirus vaccine is 4 weeks; no maximum interval is set. All doses should be administered by age 8 months and 0 days. "

So technically, hindi pa late si baby. I suggest you go back to your original pedia and ask if pwede na rotavirus vaccine muna this month instead na sabay sa 5 in 1 para di naman masakit sa bulsa. Sayang naman kasi if di maibigay yung 3 doses kasi that means hindi siya fully protected against rotavirus and may still catch the infection.

[annie19]

thank you very much doc lelet. ganon nalang po gawin ko

[kiz_me1109]

Hello Doc Lelet.

My husband's company will have a discounted Flu Vaccine. Same lang po ba yung flu vaccine na binibigay sa adult and bata? My son is 3 years old and it will be his first flu vaccine. Sayang naman kasi kung hindi namin i avail yun kasi 350 lang siya. And for 3 years old and first time flu vaccine 2 shots po yun with 1 month interval diba?

Thanks po doc!

[leletmd]

@kiz_me1109:
Dosing for flu vaccine is as follows:
6 months to 35 months: 0.25 cc
3 years old and above: 0.5 cc

So yes, same lang ang dose for 3 year old kids and adult patients.
For patients below 9 years of age receiving the flu vaccine for the first time, 2 doses are required, given at least 1 month apart.