What Vaccines Are Given At 4 Years Old

Common And Local Adverse Events

Conjugate meningococcal vaccines

Men-C-ACYW vaccines

Injection site reactions occur in up to 59% of vaccinees. Fever is reported in up to 5% of recipients and systemic reactions, such as headache and malaise, are reported in up to 60% of recipients.

Men-C-C vaccines

Mild reactions, including injection site reactions , occur in up to 50% of vaccine recipients. Irritability occurs in up to 80% of infants and fever in up to 9% when other vaccines were administered. Headaches and malaise occur in up to 10% of older children and adults. These reactions last no more than a few days.

Serogroup B Meningococcal vaccines

4CMenB vaccine

Solicited local and systemic reactions have been commonly reported in clinical trials and include injection site tenderness, induration, sleepiness and irritability. Higher rates of fever have been observed with simultaneous administration of 4CMenB vaccine and routine infant vaccines therefore, routine prophylactic administration of acetaminophen or separating 4CMenB vaccination from routine vaccination schedule has been proposed for preventing fever in infants and children up to three years of age.

MenB-fHBP vaccine

Solicited local and systemic reactions have been commonly reported in clinical trials and include injection site tenderness, induration and irritability.

How Many Shots Do Children Need

Although vaccines are combined to reduce the number of shots needed, the list is still long.

Here is a common immunization schedule recommended by age 2:

• One vaccination for measles, mumps, and rubella

• Four vaccinations for Haemophilus influenza , a common upper respiratory infection that can also cause meningitis

• Three to four polio vaccinations

• Four vaccinations for diphtheria, tetanus, and pertussis

• Three vaccinations for hepatitis B

• One vaccination for varicella no earlier than age 12 months and only if your child does not develop chickenpox on his or her own

• Three vaccinations for rotavirus, a type of infection that causes severe diarrhea

• Four vaccinations for pneumococcal disease, a common cause of ear infections and pneumonia

From age 4 to 6, your child will need booster shots for DPT, IPV, MMR, and chickenpox. Children should also start receiving a yearly flu shot after age 6 months. A vaccination for hepatitis A is recommended for all children. This is a lot to keep track of and why you need an immunization records form.

Recommended Immunizations For Children Ages 11 To 12 Years Old

The immunizations that are recommended at this age are for diseases that teens and young adults are at higher risk for plus one booster dose to strengthen immunity for three diseases. Your childs annual wellness visit or back-to-school checkup is the perfect time to get these vaccines.

An overview of immunizations for kids ages 11 to 12 years old

• Tdap At this age, this immunization is whats commonly referred to as a booster shot because it boosts your childs tetanus, diphtheria and pertussis immunity. While related to the DTaP vaccine kids receive during childhood, this vaccine is formulated for adolescents and adults.
• MenACWY The first of two meningococcal vaccine doses is recommended sometime between 11 years old and 12 years old. This vaccine protects against the most common types of meningococcal bacteria that affect adolescents.
• HPV While in some cases doctors may recommend the human papillomavirus vaccine as early as age 9, this vaccine is routinely recommended to begin between 11 and 12 years old. If the initial vaccination is completed before age 14, just two doses are needed. The second dose should be completed 6 to 12 months after the first dose.

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Preparing Your Child For Vaccines

Getting a vaccine can be stressful for some children. With some preparation and kid-friendly explanation, parents can help to make vaccine visits easier and less stressful. Talk to your health care provider or health unit if you have any questions about the vaccine your child will receive.

Prepare your child before the visit. Be honest. Explain that shots can pinch or sting, but that it wont hurt for long. Tell your child that vaccines are important to keep them healthy.

For younger children

• Hold your child or cuddle them on your lap.
• Use distractions like toys, bubbles, and books.

For older children

• Older children can use distractions like games, books, music, and talking about something unrelated to the vaccination. Deep breathing and/or counting, as well as keeping the arm relaxed and still may help to make the shot easier.
• For children getting their shots at school clinics, tell them to let the nurse know if they feel nervous about getting vaccinated or if they feel faint or light-headed before, during, or after the vaccination. The clinic staff can help them through the process.

Ask your health care provider or local public health unit about using topical anesthetics .

Side Effects Of The 4

Some children will have side effects after having the 4-in-1 pre-school booster vaccine. These are usually mild and do not last long.

They usually happen within 48 hours of the injection.

Most children will not have any problems at all.

Your child may get some redness, swelling or tenderness where the injection was given. This will disappear on its own.

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Young Kids Getting Wrong Covid

The CDC has issued guidance about how to correct an incorrect COVID-19 dose.

CDC director greenlights Pfizer vaccines for kids 5-11

Health experts are urging parents to continue to get their children vaccinated after at least four separate incidents across the country where children were given the incorrect COVID-19 vaccine dosages.

The incorrect dosages were isolated incidents and did not cause adverse health effects in children, some experts say.

On Tuesday, a second Virginia pharmacy was removed from both state and federal COVID-19 vaccination programs after it incorrectly administered the COVID-19 vaccine formulated for individuals 12 years and older to 25 children ages 5 to 11 years old, according to the Fairfax County Health Department.

What Should I Do If My Child Is Behind On Their Vaccination Schedule

Dont worry. There are catch-up recommendations in place. But since each vaccine has its own guidelines, talk with your childs doctor to make a plan for getting back on schedule. They can talk with you about your childs medical and immunization history, give you more information on specific vaccines and catch-up guidelines, and discuss any concerns or questions you may have.

Does your child need catch-up vaccinations? Dont delay.

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Diphtheria Tetanus Pertussis Polio Haemophilus Influenzae Type B Vaccine

DTaP-IPV-Hib vaccine given at 2 months, 4 months, 6 months and 18 months

DTaP-IPV-Hib vaccine is a combined vaccine that protects children against five diseases diphtheria, tetanus, pertussis, polio and serious diseases like meningitis caused by haemophilus influenzae type b.

Immunization against diphtheria, tetanus, pertussis and polio is required by law for all children attending school in Ontario, unless exempted.

What is diphtheria?

Diphtheria is a serious disease of the nose, throat and skin. It causes sore throat, fever and chills. It can be complicated by breathing problems, heart failure and nerve damage. Diphtheria kills about one out of every 10 people who get the disease. It is most often passed to others through coughing and sneezing.

What is tetanus?

Tetanus or lockjaw is a serious disease that can happen if dirt with tetanus germ gets into a cut in the skin. Tetanus germs are found everywhere, usually in soil, dust and manure. It does not spread from person to person. Tetanus causes cramping of the muscles in the neck, arms, leg and stomach and painful convulsions which can be severe enough to break bones. Even with early treatment, tetanus kills two out of every 10 people who get it.

What is pertussis?

What is polio?

What is haemophilus influenzae type b disease?

Children under five years are more likely to get Hib disease. Children who attend childcare centres are even more likely to catch it. The Hib germ spreads to others through coughing and sneezing.

Measles Mumps And Rubella Vaccination

Routine vaccination

• 2-dose series at 1215 months, 46 years
• Dose 2 may be administered as early as 4 weeks after dose 1.

Catch-up vaccination

• Unvaccinated children and adolescents: 2-dose series at least 4 weeks apart
• The maximum age for use of MMRV is 12 years.

Special situations

International travel

• Infants age 611 months: 1 dose before departure revaccinate with 2-dose series at age 1215 months and dose 2 as early as 4 weeks later.
• Unvaccinated children age 12 months or older: 2-dose series at least 4 weeks apart before departure

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Pneumococcal Conjugate Vaccine Given At 2 Months 4 Months And 12 Months

The pneumococcal conjugate vaccine protects children against invasive pneumococcal infections such as pneumonia, bacteraemia and meningitis .

What is invasive pneumococcal disease ?

IPD is an infection caused by a type of bacteria called streptococcus pneumoniae . This type of bacteria can cause any of the following:

• pneumonia
• bacteraemia
• meningitis

Pneumococcal infection is also a frequent cause of ear infections .

Pneumonia, bacteraemia and meningitis can sometimes cause death or long lasting complications such as deafness, especially in people with a high-risk medical condition.

Sometimes antibiotics do not work against the pneumococcal infection . Antibiotic resistance occurs when drugs, used to treat the infection, are no longer effective in killing or stopping the growth of particular microorganisms, such as pneumococcal bacteria. When there is antibiotic resistance, it is more difficult to treat the infection.

For Conscience Or Religious Belief

For your child to be exempted due to conscience or religious belief, you must contact your local public health unit:

• Let your local public health unit know you wish to have your child exempted from the required vaccines.
• The PHU will:
• advise you on the steps to take in completing a valid exemption, including watching the vaccine education video.

Once its complete, you must get it signed by a commissioner for taking affidavits in Ontario.

Make copies of your:

• signed Statement of Conscience or Religious Belief form

You will need to submit the original versions.

It is important that you keep your copies because the ministry and local public health units do not keep records of your exemption documents.

Submit the original copies of your Vaccine Education Certificate and signed Statement of Conscience or Religious Belief form to your local public health unit. Contact them to find out how.

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What Changes Were Made To The Immunization Schedule In 2021

The CDCs Advisory Committee on Immunization Practices meets three times a year to review the latest scientific research and make any necessary changes to the child vaccination schedule. The CDC officially sets the schedule based on ACIPs recommendations, and the schedule is also approved by organizations like the American Academy of Pediatrics and the American Association of Family Physicians .

In 2021, no major changes were made. But the schedule was updated to include the latest guidance on catch-up vaccinations for Hib and HPV vaccines. New information about special situations was also added for several immunizations. If you have specific questions about 2021 updates and how they relate to your kids vaccine schedule, talk with your childs doctor.

Recommended Vaccines For Your Child

Updating a child’s immunizations is an annual back-to-school rite of passage for all parents. The American Academy of Pediatrics traditionally recommends that children receive nine vaccines for 13 primary childhood diseases.

The nine traditional vaccines are:

Two additional vaccines to consider include:

• Human papillomavirus or HPV Vaccine: Recommended for girls 11 and 12 years old to prevent cervical cancer, precancerous genital lesions and genital warts due to HPV. The vaccine, called Gardasil, gives protection against four different strains of HPV. The inoculation is administered in a series of three injections over a six-month period. The second and third doses should be given two and six months, respectively, after the first dose. HPV vaccine may be given at the same time as other vaccines.
• Rotavirus Vaccine: Vaccine will immunize children against rotavirus, a viral infection that can cause severe diarrhea, vomiting, fever and dehydration in infants and young children.

UCSF Benioff Children’s Hospitals medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your child’s doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your child’s provider.

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Your Toddler’s Vaccination And Immunisation Schedule

One of the best ways to protect your child against diseases like measles, rubella, tetanus and meningitis is through immunisations.

Vaccinations are offered free of charge in the UK â just book your appointments with your GP. Remember, as well as protecting your own child, you’re also protecting others by preventing the spread of disease.

Final Tips On Immunizations

Keep this information in mind to help your childs immunizations go more smoothly:

• Common side effects of immunizations include swelling at the site of the injection, soreness, and fever. Discuss these side effects with your doctor and ask what symptoms deserve an office call.

• Ask your doctor’s office if it participates in an immunization registry. This is a source you can go to if your immunization records get lost.

• Ask your doctor’s office if it has an immunization reminder or recall system. This type of system will call to remind you when immunizations are due and will warn you if an immunization has been missed.

• Always bring your immunizations record with you to all of your child’s office visits and make sure the doctor signs and dates every immunization.

Vaccines are some of the safest and most effective medicines we have, and they have made many dangerous childhood diseases rare today.

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Meningococcal Vaccine: Canadian Immunization Guide

For health professionals

• Next Page

Latest partial content update :

: The chapter has been updated to align with the National Advisory Committee on Immunization Statement : The Use of Bivalent Factor H Binding Protein Meningococcal Serogroup B Vaccine for the Prevention of Meningococcal B Disease.

Updates include:

MenB-fHBP vaccine may be considered as an option for use in individuals 10 years of age and older in situations when a serogroup B meningococcal vaccine should be offered:

MenB-fHBP vaccine may be considered as an option for individuals 1025 years of age who are not at higher risk of meningococcal disease than the general population, but who wish to reduce their risk of invasive serogroup B meningococcal disease.

Last complete chapter revision: May 2015

Why You Should Vaccinate

Infectious diseases can spread among children and adolescents at school who are not vaccinated. As a parent, you can keep your kids healthy with routine health care and vaccines. Make sure your school-age children are up-to-date with their vaccinations.

Infection from certain diseases can kill or seriously harm your child. Vaccines use weakened or killed virus or bacteria to trigger your childs natural immune response to provide long-term protection against a disease . It is like a rehearsal for the immune system, so your child is prepared if they are exposed to the “real” disease.

Vaccinations are safe

Vaccinations do not cause autism.

Scientific studies and reviews continue to show no relationship between vaccines and autism.

Some people wont develop immunity to a disease after being vaccinated, but the vaccine itself cannot infect someone. If a vaccinated individual does contract a disease which they were vaccinated against, their illness will be less severe.

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The Vaccine Everyone Was Waiting For Polio Vaccine

Parents were scared of the polio epidemics that occurred each summer they kept their children away from swimming pools, sent them to stay with relatives in the country, and clamored for an understanding of the spread of polio. They waited for a vaccine, closely following vaccine trials and sending dimes to the White House to help the cause. When the polio vaccine was licensed in 1955, the country celebrated, and Jonas Salk, its inventor, became an overnight hero.

Late 1950s | Recommended Vaccines

* Given in combination as DTP

Tetanus Diphtheria And Pertussis Vaccine

Tdap is a three-in-one vaccine. It protects people against tetanus, diphtheria and pertussis.

Immunization against tetanus, diphtheria and pertussis is required by law for all children attending school in Ontario, unless exempted.

What is tetanus?

Tetanus or lockjaw is a serious disease that can happen if dirt with the tetanus germ gets into a cut in the skin. Tetanus germs are found everywhere, usually in soil, dust and manure. It does not spread from person to person. Tetanus causes cramping of the muscles in the neck, arms, leg and stomach, and painful convulsions which can be severe enough to break bones. Even with early treatment, tetanus kills two out of every 10 people who get it.

What is diphtheria?

Diphtheria is a serious disease of the nose, throat and skin. It causes sore throat, fever and chills. It can be complicated by breathing problems, heart failure and nerve damage. Diphtheria kills about one out of every 10 people who get the disease. It is most often passed to others through coughing and sneezing.

What is pertussis?

For more information talk to your health care provider, contact your local Public Health Unit or visit ontario.ca/vaccines.

Some immunizations are required for children to attend school in Ontario. Please see the school immunization checklist for more information.

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