When Should I Have The Whooping Cough Vaccine
The best time to get vaccinated to protect your baby is from 16 weeks up to 32 weeks of pregnancy. This maximises the chance that your baby will be protected from birth, through the transfer of your antibodies before he or she is born.
If for any reason you miss having the vaccine, you can still have it up until you go into labour. However, this is not ideal, as your baby is less likely to get protection from you. At this stage of pregnancy, having the vaccination may not directly protect your baby, but would help protect you from whooping cough and from passing it on to your baby.
Can Be Given With Other Vaccines
COVID-19 vaccines may be administered without regard to timing of other vaccines. This means COVID-19 vaccines can be co-administered with the influenza vaccine during the same visit. Giving all vaccines for which a person is eligible at the same visit is a best practice as it increases the probability people will be up to date on recommended vaccines.
But there are a few rare exceptions to the allowance of simultaneous vaccination. These instances generally involve children who have conditions such as asplenia, complement component deficiency or HIV infection. This is limited to PCV13 and Menactra vaccines, according to the CDC COCA webinar.
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General Principles For Vaccine Scheduling
Optimal response to a vaccine depends on multiple factors, including the type of vaccine, age of the recipient, and immune status of the recipient. Recommendations for the age at which vaccines are administered are influenced by age-specific risks for disease, age-specific risks for complications, age-specific responses to vaccination, and potential interference with the immune response by passively transferred maternal antibodies. Vaccines are generally recommended for members of the youngest age group at risk for experiencing the disease for which vaccine efficacy and safety have been demonstrated.
Tetanus and diphtheria toxoids require booster doses to maintain protective antibody concentrations . Unconjugated polysaccharide vaccines do not induce T-cell memory, and additional doses might increase the duration of protection. Conjugation with a protein carrier improves the effectiveness of polysaccharide vaccines by inducing T-lymphocytedependent immunologic function . Many vaccines that stimulate both cell-mediated immunity and neutralizing antibodies can usually induce prolonged immunity, even if antibody titers decline over time . Subsequent exposure to such viruses usually results in a rapid anamnestic antibody response without viremia.
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Dtpa Vaccines In Pregnant Women
Vaccination with dTpa during pregnancy does not increase the risk of adverse pregnancy outcomes. Studies have excluded any association with stillbirth, pre-eclampsia, fetal distress, low birth weight or neonatal renal failure.49-55
There may be a small risk of significant injection site reactions after repeat vaccine doses in some women who have dTpa vaccines during successive, closely spaced pregnancies. However, a retrospective study of more than 29,000 women who received dTpa vaccine during pregnancy looked at acute adverse events, including fever, allergy and injection site reactions. The risk of these events was similar in women who had received a tetanus-containing vaccine in the previous 5 years and women who had received a dose more than 5 years previously.55
Three Shots At Once What About Four
The CDC doesn’t place limits on the number of vaccinations you can get at the same time as a COVID-19 vaccine dose. So you can get the flu shot and COVID-19 vaccine on the same day, or you can get a COVID-19 shot, a flu shot and any other vaccine such as measles, pneumonia or shingles during the same visit.
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If you’re due for a shot that’s not time-sensitive the way the COVID-19 and influenza shots are, Mishori says she sometimes recommends that patients space them out, especially if the other vaccine is known for its side effects, like the shingles vaccine is.
“I tell my patients, You don’t want to get the shingles and COVID vaccine at the same time because you’re going to feel really, really miserable, she says. Shingles vaccine side effects may include fatigue, headache, muscle pain and nausea.
However, Mishori says convenience is a big consideration. I’ll ask, How disruptive is it going to be for your life? Can you get time off if you work to come back in? If not, go ahead and get it today.’
Michelle Crouch is a contributing writer who has covered health and personal finance for some of the nation’s top consumer publications. Her work has appeared in Reader’s Digest, Real Simple, Prevention, The Washington Post and The New York Times.
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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.
Who Should Avoid Getting The Tdap Vaccine
Although the risk of having a severe allergic reaction to a Tdap vaccine is very low, certain people should avoid getting the Tdap vaccine, including:
- people who have had a previous life threatening allergic reaction to any vaccine containing tetanus, diphtheria, or pertussis
- people who were in a coma or had seizures within 7 days of a childhood dose of DTP or DTaP, or a previous dose of Tdap
- anyone under the age of 7 years old
Talk with your doctor if you have seizures or another condition that affects the nervous system.
Also, let your doctor know if youve ever had Guillain-Barré syndrome or if youve ever experienced severe pain or swelling after any previous vaccine containing diphtheria, tetanus, or pertussis.
A healthcare professionals office such as a pediatrician, family practitioner, or community health clinic is usually the best place to receive a Tdap vaccine.
These vaccines may also be available for adults at:
- pharmacies
- health departments
- other community locations, such as schools and religious centers
You can also reach out to federally funded health centers as well as your state health department to learn where to get a vaccine near you.
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The Manufacturer’s Leaflet Says There’s No Information On The Use Of Boostrix Ipv In Pregnancy Should It Be Used In Pregnancy
The licence for Boostrix IPV allows for its use in pregnancy when clearly needed, and when the possible benefits outweigh the possible risks.
It is standard practice with most medicines not to test them on pregnant women. This is why the manufacturer’s information leaflet includes this statement, and not because of any specific safety concerns or evidence of harm in pregnancy.
Whooping cough-containing vaccine has been used routinely in pregnant women in the UK since October 2012, and the Medicines and Healthcare products Regulatory Agency is carefully monitoring its safety. The MHRA’s study of around 20,000 women vaccinated with Repevax, the whooping cough vaccine previously offered to pregnant women, found no evidence of risks to pregnancy or pregnancy outcome.
Boostrix is one of the vaccines routinely recommended in the US for immunisation of pregnant women. There have been no reported safety concerns in the US with the use of the vaccine in pregnancy.
There is no evidence of risk to the pregnant woman or unborn child with inactivated vaccines like Boostrix IPV. An inactivated vaccine is one that does not contain “live” vaccine.
Read more about why vaccines are safe and important.
Why Is There A 7
A gap of 7 days is recommended between the COVID-19 vaccine and the shingles vaccine, Zostavax. This is to ensure a good immune response to each vaccine in older adults. There are no safety concerns should the gap between vaccines be less than the recommendations above. Do not delay getting your vaccination if such a gap is not possible.
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Shingrix Dosage And Schedule
Shingrix should be administered to adults age 50 years and older as a two-dose series , 2 to 6 months apart .
If more than 6 months have elapsed since the first dose of Shingrix, you should administer the second dose as soon as possible. However, you do not need to restart the vaccine series.
If the second dose is given less than 4 weeks after the first dose, the second dose should be considered invalid. A valid second dose should be administered 2 months after the invalid dose .
Vaccines And Tb Tests
A number of recent reviews emphasize that vaccines are safe, but there have been several examples of vaccines that have been contaminated by pathogens. The slow-growing nature of chronic pathogens means there may be more cases of contamination than we realize.
patients should work with their doctors to examine the costs and benefits of taking any kind of injectable preparation which contains substances synthesized from organisms.
Flu vaccines may be important to prevent acute infections, the acquisition of which can substantially set back progress on the MP or be life-threatening. Influenza vaccination is associated with a 50% reduction in the incidence of sudden cardiac death, acute myocardial infarction , and ischemic stroke. Both heart attack and stroke have their peak incidence in winter months, which correspond to the time of year when cases of influenza also peak.1)
Patients should follow their doctors’ advice regarding the immunizations they feel are essential.
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Can I Get The Flu And Covid
NEW YORK Can I get the flu and COVID-19 vaccines at the same time?
Yes, you can get the shots in the same visit.
When COVID-19 vaccines were first rolling out in the U.S., the Centers for Disease Control and Prevention recommended waiting 14 days between the shots and other immunizations as a precaution. But the agency has since revised its guidelines and says the wait is unnecessary.
The CDC and other health experts point to past experience showing that vaccines work as they should and any side effects are similar whether the shots are given separately or in the same visit.
We have a history of vaccinating our kids with multiple vaccines, says flu specialist Richard Webby of St. Jude Childrens Research Hospital.
Staying up to date on all vaccinations will be especially important this year, experts say.
Since people were masked and staying home, last years flu season barely registered. This year, its unclear how intense the flu season will be with more places reopening.
The worry is that if they both circulate at the same time, were going to have this sort of twin-demic, Webby says. The concern with that is that its going to put extra strain on an already strained health care system.
One caution: COVID-19, colds and flu all share similar symptoms so if you feel ill, the CDC says to postpone a vaccination appointment until youre better to avoid getting others sick.
Can My Child Get The Flu Vaccine At The Same Time As Another Childhood Vaccine Including The Covid
Yes. It is safe to get the seasonal flu vaccine at the same time as any childhood vaccine, including the COVID-19 vaccine. Many children are behind with their childhood vaccines or boosters because of the COVID-19 pandemic and getting the vaccines at the same time can help them catch up more quickly.
For children 5 to 11 years old, it may be best to wait at least 14 days between the COVID-19 and other vaccines. The reason for this is that if any side effects happen, doctors will know which vaccine they are related to. But only space out vaccines if you are sure that no other vaccines your child needs will be given late.
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Should I Be Concerned About Whooping Cough
Whooping cough is a highly infectious, serious illness that can lead to pneumonia and brain damage, particularly in young babies. Most babies with whooping cough will need hospital treatment, and when whooping cough is very severe they may die.
Research from the vaccination programme in England shows that vaccinating pregnant women against whooping cough has been highly effective in protecting young babies until they can receive their own vaccinations from 8 weeks of age.
In keeping with usual disease patterns, which see cases increasing every 3 to 4 years in England, whooping cough cases have fallen in all age groups since 2012. The greatest fall has been in young babies targeted by the pregnancy vaccination programme.
Cases of whooping cough in older age groups are still high compared to pre-2012 levels. The number of cases was particularly high in 2016, in line with the typical 3- to 4-yearly peak in disease rates.
Babies can be infected by people with whooping cough in these older age groups, so it is still important for pregnant women to be vaccinated to protect their babies.
Cost Of A Tdap Vaccine
The cost of the vaccine is covered under most private insurance plans. Be sure to check with your insurance provider for details. You can also check with your state health departments or local health centers for low-cost or free vaccinations.
Tdap vaccines are also covered under Medicare part D plans. There may be a cost associated with your specific plan, though, so check with your Medicare representative.
depending on your age and vaccination history:
- Ages 11 to 12 years: 1 dose Tdap
- Pregnancy: 1 dose Tdap during each pregnancy, preferably anytime between 27 to 36 weeks
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Will We Ever Have A 2
Pairing flu shots with the one-shot Johnson & Johnson vaccine, a second dose of an mRNA vaccine, or a booster, will make vaccination appointments one and done for many people.
In the future, the process could be even more streamlined. As soon as next year, you might be able to get the flu and COVID-19 shots as a single jaban advancement that will hopefully improve the uptake of both vaccines.
At least one company, Novavax, is working on a combination vaccine. In June, that the vaccine being tested may be a viable immunization strategy. While those results were promising, the study has yet to be peer-reviewed.
These results demonstrate the promising opportunity for vaccination, which may improve the uptake of both vaccines, said Gregory M. Glenn, MD, president of research and development at Novavax.
Vaccine Effectiveness In Adolescents And Adults
Pertussis-containing vaccines with reduced antigen content are immunogenic, including in older people.42,76-78 A randomised trial in adults reported a point estimate of 92% efficacy against culture-positive or nucleic acid testpositive disease within 2.5 years of vaccination with a 3-component monovalent pertussis vaccine.60
Duration of immunity in adolescents and adults
Data on the duration of immunity to pertussis after a single booster dose of dTpa are limited. Long-term follow-up of adults showed a rapid decline in pertussis antibody levels within 2 years after vaccination. This decline continued steadily to 10 years after vaccination, although antibody levels remained above baseline.27
Long-term follow-up of adolescents showed a more rapid decline. Pertussis antibody levels decreased to, or approached, pre-vaccination levels after 10 years.28 The rate of decline in clinical protection is unknown, but some protection against clinical disease may persist for up to 10 years.
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What Are The Pros And Cons Of Being Vaccinated
The benefits of vaccination generally far outweigh any risks, Privor-Dumm says. Although vaccines do have some side effects, most are mild and temporary.
The bigger con is getting disease, which may lead to further health complications, she adds. For instance, people who are hospitalized with influenza have a greater likelihood of heart attack or stroke following their illness, and the economic consequences of a serious illness can be catastrophic for some. Thats why its best to prevent disease in the first place.
Treatment And Postexposure Chemoprophylaxis In Pregnant Women
Pregnant women are at high risk of serious complications of influenza infection such as intensive care unit admission, preterm delivery, and maternal death. Patients with flu-like illness should be treated with antiviral medications presumptively regardless of vaccination status. Treatment with oseltamivir is preferred however, if oseltamivir is unavailable, zanamivir may be substituted. Health care providers should not rely on test results to initiate treatment and should treat patients presumptively based on clinical evaluation 38.
Because of the high potential for morbidity, the CDC and ACOG recommend that postexposure antiviral chemoprophylaxis be considered for pregnant women and women who are up to 2 weeks postpartum who have had close contact with someone likely to have been infected with influenza. If oseltamivir is unavailable, zanamivir can be substituted, two inhalations once daily for 10 days. All women who are pregnant or are in the first 2 weeks postpartum should be counseled to call for evaluation immediately if the early signs and symptoms of influenza infection develop 38. For more information about treatment and dosage see ACOG and the Society for MaternalFetal Medicines Seasonal Influenza Assessment and Treatment of Pregnant Women with Influenza-like Illness algorithm at www.acog.org/More-Info/FluVaccine.
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