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_Whooping Cough: The Disease & The Vaccines_

(http://www.nvic.org/Diseases/whooping.htm)

The last precaution caught my eye.

The Public Health Service makes recommendations on the use of vaccines for

physicians administering vaccines in the public health clinics. Guidelines

formulated by the Advisory Committee on Immunization Practices (ACIP)

periodically appear in the Morbidity and Mortality Report published by the CDC.

The ACIP considers the following circumstances to put a child at high risk

of reacting to the pertussis vaccine and are considered absolute reasons to

NOT VACCINATE WITH pertussis vaccine contained in DPT or DTaP:

* An immediate anaphylactic (shock) reaction.

* Encephalopathy (an acute, severe central nervous system disorder

occurring within 7 days after vaccination)

The ACIP considers the following events as PRECAUTIONS and states that

parents and vaccine providers should evaluate the risks and benefits of

administering subsequent doses of a pertussis containing vaccine:

* Temperature of more than 105 F within 48 hours;

* Collapse or shock-like state within 48 hours;

* Persistent crying lasting more than 3 hours occurring within 48

hours;

* Convulsions with our without fever occurring within 3 days.

The vaccine manufacturers in their products manufacturer inserts list the

following circumstances as reasons NOT to vaccinate with the “P†or

pertussis

vaccine in DTaP:

* Children older than 7 years of age;

* Children who have recovered from culture-confirmed pertussis

(whooping cough);

* Hypersensitivity to any component of the vaccine;

* Anaphylaxis (shock) reaction;

* Moderate or severe febrile (fever) illness or acute infection;

* Vaccination with pertussis-containing vaccines during an outbreak of

polio;

* Encephalopathy (acute, severe central nervous system disorder within 7

days following vaccination manifested by such signs as coma, decreased level of

consciousness, prolonged seizures);

* Progressive neurologic disorder, including infantile spasms,

uncontrolled epilepsy or progressive encephalopathy. Pertussis vaccine should

not be administered to individuals with such conditions until a treatment

regimen has been established and the condition has stabilized.

The vaccine manufacturers also list as Warnings the same circumstances that are

listed as PRECAUTIONS by the ACIP above.

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5

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