Friday, September 15, 2023

Can Flu Shot And Tdap Be Given Together

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Administration With Other Vaccines

Neighborhood Health Watch: Flu and TDAP vaccination during pregnancy

There are no contraindications to the co-administration of diphtheria, tetanus, and pertussis vaccines. You may administer DTaP, DT, Td, and Tdap with other indicated vaccines during the same visit. However, administer each vaccine using a separate syringe and, if possible, at a different anatomic site.

There is a small increased risk of febrile seizures in children 6 through 23 months of age when giving trivalent inactivated influenza vaccine with DTaP according to a Vaccine Safety Datalink studyexternal icon. However, CDC made no changes in the recommendations you may give these vaccines at the same time.

  • CDC experts answer your clinical questions
  • Diphtheria, Tetanus, and Pertussis Vaccine Information Statements

Are Side Effects Worse When You Get The Flu And Covid Booster Together

Professor Andrew Preston, Department of Biology and Biochemistry at University of Bath, said the data on side effects is limited.

Speaking of the ComFluCov study, he told The Sun: Overall, there was a slight increase in side effects reported when receiving the two vaccines together, compared to those receiving the placebo.

But, these were all mild to moderate effects, so nothing out of the ordinary for vaccines, so short lived and not requiring medical attention.

Of those who got jabs at the same time, 85.2 per cent had at least one local side effect compared to 81.7 per cent in those who just got the Covid jab.

Pain at the injection site was the most common of all local side effects.

Importantly, having the two jabs together did not alter the immune response to either vaccine, Prof Preston said.

So, although there hasnt been a direct test of administering a flu jab with a Covid booster, all indications are that it will be safe and effective.

Prof Preston stressed the importance of people to act now and get the vaccines they are invited for.

He said: It is important for people to act now, while they are still healthy. Delaying increases the risk of contracting the illness.

A major concern is that flu will sweep back with a vengeance. Once it arrives on our shores, if our immunity to it is low then it could sweep through very quickly. And COVID isnt disappearing anytime soon.

Yes But Heres What To Know About Timing All Your Vaccines This Fall

by Michelle Crouch, AARP, September 10, 2021

En español | September and October are big months for flu shots, but this year, it’s also when COVID-19 booster shots could start rolling out. So you may be wondering: Is it OK to get your flu shot and COVID-19 booster at the same time?

Absolutely, health experts say. In fact, many doctors plan to encourage Americans to get both at once.

“It’s two for the price of one, says Ranit Mishori, M.D., a professor of family medicine at Georgetown University School of Medicine. Get one in each arm. It’s an efficient and effective way to make sure you’re protected.” Mishori notes that the same goes for those who are immunocompromised and might want to time their third dose to their flu shot.

It’s important for older adults to get both shots this year because COVID-19 cases are surging, fueled by the spread of the more contagious delta variant, just as the flu season is set to begin. Both diseases are especially dangerous for those over 65.

Although the flu season was nonexistent last year, experts expect a comeback this year with K-12 students back in school, more people traveling and fewer COVID-19 restrictions in place.

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Can Adults Have Allergic Reactions To Tdap Or Td Vaccines

Although it’s rare, someone may have a severe allergic reaction to an ingredient in the Tdap or Td vaccine. This generally happens in less than one in a million doses. Most of the time, such reactions occur within a few minutes of receiving the vaccine. The following can be signs of a severe allergic reaction, called anaphylaxis:

  • Behavior changes

What Are Some Reasons To Get Immunized

Cervical Cancer
  • Immunizations protect you or your child from dangerous diseases.
  • They help reduce the spread of disease to others.
  • They are often needed for entrance into school or day care. And they may be needed for employment or for travel to another country.
  • Getting immunized costs less than getting treated for the diseases that the shots protect you from.
  • The risk of getting a disease is much greater than the risk of having a serious reaction to the vaccine.
  • When immunization rates drop below a certain level, preventable diseases show up again. Often, these diseases are hard to treat. For example, measles still occur in the U.S.

If you are a woman who is planning to get pregnant, talk to your doctor about what immunizations you have had and what you may need to protect your baby. And if you live with a pregnant woman, make sure your vaccines are up-to-date.

Traveling to other countries may be another reason to get immunized. Talk with your doctor months before you leave, to see if you need any shots.

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Tetanus And Diphtheria Vaccine

Td is a two-in-one vaccine. It protects people against tetanus and diphtheria. The National Advisory Committee on Immunization strongly recommends that all Canadians receive a primary immunizing course of tetanus toxoid in childhood followed by routine booster doses every 10 years.

The Ministry of Health and Long-Term Care recently introduced one lifetime dose of the pertussis vaccine for adults to the Publicly Funded Immunization Schedules for Ontario. All adults 19 to 64 years of age, who have never received the Tdap vaccine in adolescence, are now eligible to receive one lifetime dose of the vaccine. This lifetime dose replaces one of the Td booster doses given every 10 years.

Parents, grandparents or other adult household contacts of newborns, infants and young children as well as health care workers are considered a priority to receive the Tdap vaccine.

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?

Measles Mumps Rubella And Varicella Vaccine

The Ministry of Health and Long-Term Care recently introduced a new measles, mumps, rubella and varicella vaccine to the Publicly Funded Immunization Schedules for Ontario.

Immunization against measles, mumps and rubella is required by law for all children attending school in Ontario, unless exempted. Immunization against varicella is also required for children born in 2010 or later.

What is measles?

Measles can be a serious infection. It causes high fever, cough, rash, runny nose and watery eyes. Measles lasts for one to two weeks. Ear infections or pneumonia can happen in one out of every 10 children with measles. Measles can also be complicated by encephalitis, an infection of the brain, in about one out of every 1,000 children with measles. This may cause brain damage and developmental delays. Measles can also make a pregnant woman have a miscarriage or give birth prematurely.

Measles spreads from person to person very easily and quickly. People can get measles from an infected person coughing or sneezing around them or simply talking to them.

What is mumps?

Mumps can cause very painful, swollen testicles in about one out of four teenage boys or adult men, and painful infection of the ovaries in one out of 20 women. Mumps infection during the first three months of pregnancy may increase the risk of miscarriage. Mumps can cause deafness in some people.

What is rubella ?

What is varicella ?

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Conjugate Vaccine Carrier Proteins

Protein conjugates used in Hib conjugate vaccines produced in the United States include tetanus toxoid which is also used as a component of DTaP and Tdap vaccines . Simultaneous or sequential vaccination with Hib and these tetanus-toxoid containing vaccines is recommended when both are indicated . MCV4 and PCV13 both contain diphtheria-toxoid conjugates. There has been concern about simultaneous administration of vaccines containing like conjugates. One brand of MCV4, MenACWY-D , demonstrates reduced immunogenicity of the antibody response to Streptococcal pneumonia strains when administered simultaneously with PCV13 compared with separate administration. It is recommended to space these vaccines by 28 days in a person with anatomic asplenia . Simultaneous or sequential vaccination of MCV4-CRM , PCV13, and Tdap , all of which contain diphtheria toxoid, is not associated with reduced immunogenicity or increase in local adverse events.

Will The Side Effects Be Worse If You Get The Flu Jab And Covid Booster Together

VERIFY: Can you get a COVID booster and a flu shot at the same time?
  • Vanessa Chalmers, Digital Health Reporter
  • 7:37 ET, Oct 27 2021

OLDER Brits are being told to get their flu and Covid booster jabs as soon as possible ahead of winter.

Experts say it is safe to get them at the same time if invited to do so.

But some may be wary of the side effects wiping them out for days on end if they get a jab in each arm.

Here we look at whether getting a Covid booster and flu jab simultaneously will make the side effects worse.

Read Also: When Do I Need A Flu Shot

Read The Latest On Covid

Get reliable information on developments in the authorization, distribution and administration of COVID-19 vaccines.

These vaccines can be administered at the same visit, as recommended by the Centers for Disease Control and Prevention and its Advisory Committee on Immunizations Practices . The COVID-19 vaccinesincluding those made by Johnson & Johnson, Moderna and Pfizer-BioNTechand flu vaccines have been shown to reduce illness, hospitalizations and deaths.

Here is what physicians need to know about coadministration of influenza and COVID-19 vaccines as discussed during a recent CDC Clinician Outreach and Communication Activity webinar.

Administering Different Flu And Covid

Dr. Rajeka Lazarus, a consultant in microbiology and infectious diseases at University Hospitals Bristol and Weston NHS Foundation Trust and chief investigator for the ComFluCOV study, told Medical News Today that the team conducted the trials to support the potential need to administer COVID-19 boosters alongside seasonal influenza vaccines.

Researchers at the University of Bristol led the study, which involved 679 volunteers across 12 NHS sites in England and Wales. The volunteers were all over the age of 18 years and had received at least one dose of the Pfizer-BioNTech or Oxford-AstraZeneca COVID-19 vaccine.

The researchers examined six combinations involving the two COVID-19 vaccines and three flu vaccines: Flucelvax QIV, Flublok Quadrivalent , and Fluad. A different cohort of participants tested each combination.

The researchers randomly allocated half of each cohort to received the flu vaccine or a placebo saline injection on the same day as the second dose of the COVID-19 vaccine. They administered the vaccines in opposite arms so that they could tell which injection was responsible for any local reactions.

After 3 weeks, the participants in the placebo groups received the flu vaccine.

The researchers then set up a follow-up study to discuss any side effects. They also collected blood samples from the participants.

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Adverse Events Following A Previous Immunization

There are numerous adverse events following a previous immunization that may lead to concern regarding subsequent immunization.

Anaphylactic reaction to a vaccine or a component of a vaccine

A vaccine is contraindicated in a person with a documented history of confirmed anaphylaxis after previous administration of the same vaccine. If there is uncertainty regarding the diagnosis of anaphylaxis or which vaccine or vaccine component may have triggered it, consultation with an expert is recommended.

There are no contraindications or precautions associated with a history of a febrile seizure after a previous immunization. Children with a history of febrile seizures have no increased risk of developing a seizure disorder.

Guillain-Barré syndrome with onset within 6 weeks of immunization

Cases of GBS have been reported following immunization but the evidence only supports a causal association for two vaccines: influenza and tetanus toxoid-containing vaccines. For influenza vaccine, the evidence suggests that the absolute risk of GBS in the period following seasonal or Apdm09 influenza vaccination is about one excess case per 1 million vaccine doses. However, the risk is higher following wild type influenza infection with approximately 17 cases of GBS per million influenza coded health care encounters . Thus, the risk of GBS associated with influenza vaccination must be balanced against the risk of GBS associated with influenza infection itself.

Oculorespiratory syndrome

Syncope

Tetanus Diphtheria And Pertussis Vaccines

Be a Flu Buster  get your vaccine by Oct. 30

Tetanus, diphtheria, and pertussis are serious diseases that can lead to death.

  • Tetanus is caused by bacteria found in soil, dust, and manure. It enters the body through cuts in the skin.
  • Diphtheria, also caused by bacteria, is a serious illness that can affect the tonsils, throat, nose, or skin. It can spread from person to person.
  • Pertussis, also known as whooping cough, is caused by bacteria. It is a serious illness that causes uncontrollable, violent coughing fits that make it hard to breathe. It can spread from person to person.

Getting vaccinated is the best way to prevent tetanus, diphtheria, and pertussis. Most people get vaccinated as children, but you also need booster shots as you get older to stay best protected against these diseases. The CDC recommends that adults get a Tdap or Td booster shot every 10 years. Ask your doctor when you need your booster shot.

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Route Site And Needle Size

Administer pneumococcal polysaccharide vaccine intramuscularly or subcutaneously. Administer pneumococcal conjugate vaccine intramuscularly. The preferred site for infants and young children is the vastus lateralis muscle in the anterolateral thigh. The preferred injection site in older children and adults is the deltoid muscle. Use a needle length appropriate for the age and size of the person receiving the vaccine.

Measles Mumps And Rubella Vaccine

Measles, mumps and rubella vaccine – given at 12 months

The MMR vaccine is a three-in-one needle that protects against measles, mumps and rubella . It should be given to children soon after their first birthday and a second dose at 4-6 years of age with the measles, mumps, rubella and varicella vaccine.

Immunization against measles, mumps and rubella is required by law for all children attending school in Ontario, unless exempted.

This vaccine should also be given to adults who are not protected against measles, mumps or rubella. Pregnant women who have been told that they are not protected against rubella, should receive MMR vaccine as soon as they are no longer pregnant.

What is measles?

Measles can be a serious infection. It causes high fever, cough, rash, runny nose and watery eyes. Measles lasts for one to two weeks. Ear infections or pneumonia can happen in one out of every 10 children with measles. Measles can also be complicated by encephalitis, an infection of the brain, in about one out of every 1,000 children with measles. This may cause brain damage and developmental delays. Measles can also make a pregnant woman have a miscarriage or give birth prematurely.

Measles spreads from person to person very easily and quickly. People can get measles from an infected person coughing or sneezing around them or simply talking to them.

What is mumps?

What is rubella ?

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Measles Mumps & Rubella

Measles, mumps, and rubella are infections that can lead to significant illness. More than 95% of children receiving the MMR vaccine will be protected from the three diseases throughout their lives.

  • All children should get the first dose of MMR vaccine at age 12 to 15 months and second dose at age 4 to 6 years.
  • All adults with no evidence of immunity should get 1 dose the MMR vaccine and 2 doses if in the high-risk group.

Early Vaccination Is Important To Prevent Diseases

Flu and Tdap Timeframes for Pregnant Patients: Nurse-Midwife Carol Hayes

Vaccines are the best defense against infections that may have serious complications such as pneumonia, meningitis, cancer, and even death. CDC recommends vaccinations before the age of two years to protect children against 14 infectious diseases: measles, mumps, rubella , varicella , hepatitis A, hepatitis B, diphtheria, tetanus, pertussis , Haemophilus influenzae Type b , polio, influenza , rotavirus, and pneumococcal disease.

Children are given shots at a young age because this is when they are at highest risk of getting sick or dying if they get these diseases. Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers. This is why its important to vaccinate a child before she or he is exposed to a disease.

Vaccines contain weakened or killed versions of the germs that cause a disease. These elements of vaccines, and other molecules and micro-organisms that stimulate the immune system, are called antigens. Babies are exposed to thousands of germs and other antigens in the environment from the time they are born. When a baby is born, his or her immune system is ready to respond to the many antigens in the environment and the selected antigens in vaccines.

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Shingles Vaccine For Older Adults

Shingles is caused by the same virus as chickenpox. If you had chickenpox, the virus is still in your body. The virus could become active again and cause shingles.

Shingles affects the nerves. Common symptoms include burning, shooting pain, tingling, and/or itching, as well as a rash with fluid-filled blisters. Even when the rash disappears, the pain can remain. This is called post-herpetic neuralgia, or PHN.

The shingles vaccine is safe and it may keep you from getting shingles and PHN. Healthy adults age 50 and older should get vaccinated with the shingles vaccine, which is given in two doses.

You should get a shingles shot even if you have already had chickenpox, the chickenpox vaccine, or shingles, received Zostavax, or dont remember having had chickenpox. However, you should not get a vaccine if you currently have shingles, are sick or have a fever, have a weakened immune system, or have had an allergic reaction to Shingrix. Check with your doctor if you are not sure what to do.

You can get the shingles vaccine at your doctors office and at some pharmacies. Medicare Part D and private health insurance plans may cover some or all of the cost. Check with Medicare or your health plan to find out if it is covered.

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