DOD - Avoid multiple vaccines after any reacton that does not involve the injection site

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If a patient has “ANY reaction that

does not involve the injection site,” military doctors should,

“avoid multiple vaccines in one session for this patient,” when

giving future doses.

Why aren’t pediatricians

being told this?

Adverse Event Definitions

& Evaluation

Treatment & Management

Future Doses

Comments

Systemic Events (SE): Symptoms

and signs of illness after vaccination. Any

reaction that does not involve the injection site.

& #61623 Temporal relationship does NOT prove a cause-effect

relationship, particularly if multiple vaccines were given and/or other

specific diagnoses of illness have occurred.

& #61623 Healthcare provider should provide appropriate diagnostic

evaluation.

& #61623 In some cases, give pretreatment to avert symptoms with next

vaccination, to avoid morbidity, but allowing for continued vaccination.2

& #61623 If mild and self-limited, may proceed with next dose.

& #61623 Avoid multiple vaccines in one session for this

patient, if possible.

& #61623 Privileged healthcare providers may make clinical decisions to

alleviate future discomfort for individual patients who develop substantial

or persistent reactions.7-8

& #61623 VAERS reporting discussed in text.