All content below is taken in its entirety from the CDC Multiple Vaccines Vaccine Information Statement (VIS): Your Child's First Vaccines: What you need to know: www.cdc.gov/vaccines/hcp/vis/vis-statements/multi.html.
CDC review information for Multi Pediatric Vaccines: Your Child's First Vaccines: What you need to know (VIS):
Page last reviewed: January 10, 2017.
Page last updated: October 18, 2016.
Issue date of November 5, 2015.
Content source: National Center for Immunization and Respiratory Diseases
WHAT YOU NEED TO KNOW
The vaccines covered on this statement are those most likely to be given during the same visits during infancy and early childhood. Other vaccines (including measles, mumps, and rubella; varicella; rotavirus; influenza; and hepatitis A) are also routinely recommended during the first five years of life.
Your child will get one or more of these vaccines today:
[ ] DTaP
[ ] Hib
[ ] Hepatitis B
[ ] Polio
[ ] PCV13
(Provider: Check appropriate boxes)
1. Why get vaccinated?
Vaccine-preventable diseases are much less common than they used to be, thanks to vaccination. But they have not gone away. Outbreaks of some of these diseases still occur across the United States. When fewer babies get vaccinated, more babies get sick.
7 childhood diseases that can be prevented by vaccines:
1. Diphtheria (the 'D' in DTaP vaccine)
- Signs and symptoms include a thick coating in the back of the throat that can make it hard to breathe.
- Diphtheria can lead to breathing problems, paralysis and heart failure.
- About 15,000 people died each year in the United States from diphtheria before there was a vaccine.
2. Tetanus (the 'T' in DTaP vaccine; also known as Lockjaw)
- Signs and symptoms include painful tightening of the muscles, usually all over the body.
- Tetanus can lead to stiffness of the jaw that can make it difficult to open the mouth or swallow.
- Tetanus kills about 1 person out of every 10 who get it.
3. Pertussis (the 'P' in DTaP vaccine, also known as Whooping Cough)
- Signs and symptoms include violent coughing spells that can make it hard for a baby to eat, drink, or breathe. These spells can last for several weeks.
- Pertussis can lead to pneumonia, seizures, brain damage, or death. Pertussis can be very dangerous in infants.
- Most pertussis deaths are in babies younger than 3 months of age.
4. Hib (Haemophilus influenzae type b)
- Signs and symptoms can include fever, headache, stiff neck, cough, and shortness of breath. There might not be any signs or symptoms in mild cases.
- Hib can lead to meningitis (infection of the brain and spinal cord coverings); pneumonia; infections of the ears, sinuses, blood, joints, bones, and covering of the heart; brain damage; severe swelling of the throat, making it hard to breathe; and deafness.
- Children younger than 5 years of age are at greatest risk for Hib disease.
5. Hepatitis B
- Signs and symptoms include tiredness, diarrhea and vomiting, jaundice (yellow skin or eyes), and pain in muscles, joints and stomach. But usually there are no signs or symptoms at all.
- Hepatitis B can lead to liver damage, and liver cancer. Some people develop chronic (long term) hepatitis B infection. These people might not look or feel sick, but they can infect others.
- Hepatitis B can cause liver damage and cancer in 1 child out of 4 who are chronically infected.
- Signs and symptoms can include flu-like illness, or there may be no signs or symptoms at all.
- Polio can lead to permanent paralysis (cannot move an arm or leg, or sometimes cannot breathe) and death.
- In the 1950s, polio paralyzed more than 15,000 people every year in the United States.
7. Pneumococcal Disease
- Signs and symptoms include fever, chills, cough, and chest pain. In infants, symptoms can also include meningitis, seizures, and sometimes rash.
- Pneumococcal disease can lead to meningitis(infection of the brain and spinal cord coverings); infections of the ears, sinuses and blood; pneumonia; deafness; and brain damage.
- About 1 out of 15 children who get pneumococcal meningitis will die from the infection.
Children usually catch these diseases from other children or adults, who might not even know they are infected. A mother infected with hepatitis B can infect her baby at birth. Tetanus enters the body through a cut or wound; it is not spread from person to person.
Vaccines that protect your baby from these seven diseases:
Number of Doses
DTaP (Diphtheria, Tetanus, Pertussis)
|2 months, 4 months, 6 months, 15-18 months, 4-6 years|
Some children get a vaccine called DT (diphtheria & tetanus) instead of DTaP.
|Birth, 1-2 months, 6-18 months|
|2 months, 4 months, 6-18 months, 4-6 years|
An additional dose of polio vaccine may be recommended for travel to certain countries.
Hib (Haemophilus influenzae type b)
3 or 4
|2 months, 4 months, (6 months), 12-15 months|
There are several Hib vaccines. With one of them the 6-month dose is not needed.
|2 months, 4 months, 6 months, 12-15 months|
Older children with certain health conditions also need this vaccine.
Your health care provider might offer some of these vaccines as combination vaccines -- several vaccines given in the same shot. Combination vaccines are as safe and effective as the individual vaccines, and can mean fewer shots for your baby.
2. Some children should not get certain vaccines
Most children can safely get all of these vaccines. But there are some exceptions:
- A child who has a mild cold or other illness on the day vaccinations are scheduled may be vaccinated. A child who is moderately or severely ill on the day of vaccinations might be asked to come back for them at a later date.
- Any child who had a life-threatening allergic reaction after getting a vaccine should not get another dose of that vaccine. Tell the person giving the vaccines if your child has ever had a severe reaction after any vaccination.
- A child who has a severe (life-threatening) allergy to a substance should not get a vaccine that contains that substance. Tell the person giving your child the vaccines if your child has any severe allergies that you are aware of.
Talk to your doctor before your child gets:
DTaP vaccine, if your child ever had any of these reactions after a previous dose of DTaP:
- A brain or nervous system disease within 7 days
- Non-stop crying for 3 hours or more
- A seizure or collapse
- A fever of over 105°F (40.55°C)
PCV13 vaccine, if your child ever had a severe reaction after a dose of DTaP (or other vaccine containing diphtheria toxoid), or after a dose of PCV7, an earlier pneumococcal vaccine.
3. Risks of a Vaccine Reaction
With any medicine, including vaccines, there is a chance of side effects. These are usually mild and go away on their own. Most vaccine reactions are not serious: tenderness, redness, or swelling where the shot was given; or a mild fever. These happen soon after the shot is given and go away within a day or two. They happen with up to about one half of vaccinations, depending on the vaccine.
Serious reactions are also possible but are rare.
Polio, Hepatitis B and Hib Vaccines have been associated only with mild reactions.
DTaP and Pneumococcal Vaccines have also been associated with other problems:
- Mild Problems: Fussiness (up to 1 child in 3); tiredness or loss of appetite (up to 1 child in 10); vomiting (up to 1 child in 50); swelling of the entire arm or leg for 1 to 7 days (up to 1 child in 30) usually after the 4th or 5th dose.
- Moderate Problems: Seizure (1 child in 14,000); non-stop crying for 3 hours or longer (up to 1 child in 1,000); fever over 105°F (1 child in 16,000).
- Serious Problems: Long-term seizures, coma, lowered consciousness, and permanent brain damage have been reported following DTaP vaccination. These reports are extremely rare.
- Mild Problems: drowsiness or temporary loss of appetite (about 1 child in 2 or 3); fussiness (about 8 children in 10).
- Moderate Problems: fever over 102.2°F or 39°C (about 1 child in 20).
After any vaccine:
Any medicine can cause a severe allergic reaction. Such reactions from a vaccine are very rare, estimated at about 1 in a million doses, and would happen within a few minutes to a few hours after the vaccination.
As with any medicine, there is a very remote chance of a vaccine causing a serious injury or death.
The safety of vaccines is always being monitored. For more information, visit: www.cdc.gov/vaccinesafety.
4. What if there is a serious reaction?
What should I look for?
- Look for anything that concerns you, such as signs of a severe allergic reaction, very high fever, or unusual behavior.
Signs of a severe allergic reaction can include hives, swelling of the face and throat, and difficulty breathing. In infants, signs of an allergic reaction might also include fever, sleepiness, and disinterest in eating. In older children, signs might include a fast heartbeat, dizziness, and weakness. These would usually start a few minutes to a few hours after the vaccination.
What should I do?
- If you think it is a severe allergic reaction or other emergency that can't wait, call 9-1-1 or get the person to the nearest hospital. Otherwise, call your doctor.
Afterward, the reaction should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your doctor should file this report, or you can do it yourself through the VAERS web site at www.vaers.hhs.gov, or by calling 1-800-822-7967.
VAERS does not give medical advice.
5.The National Vaccine Injury Compensation Program
The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines.
People who believe they may have been injured by a vaccine can learn about the program and about filing a claim by calling 1-800-338-2382 or visiting the VICP website at www.benefits.gov/benefits/benefit-details/641. There is a time limit to file a claim for compensation.
6. How Can I Learn More?
- Ask your provider. They can give you the vaccine package insert or suggest other sources of information.
- Call your local or state health department.
Contact the Centers for Disease Control and Prevention (CDC):
Centers for Disease Control and Prevention website. Vaccine information statement: your child's first vaccines. www.cdc.gov/vaccines/hcp/vis/vis-statements/multi.html. Updated October 18, 2016. Accessed January 31, 2018.
Review Date 10/8/2017
Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.