Zylakh Mae G.

Damaso BSN 2-YA-7

1. Supply the schedule immunization dates of Baby Alexis based on the DOH protocol in
giving EPI, for her to become an FIC by the time she reaches 1 yr of age. The schedule
of immunization at San Isidro Health Center is every Wednesday, where Baby Alexis is
brought by her mother. Take note that the baby had a fever October 19, 2019 at 38⁰C.
She was brought to the Health Center and seen by the MD and was given a
paracetamol, 0.6ml every 4 hours and continuous TSB was advised.

BAKUNA DOSES PETSA NG BAKUNA REMARKS

BCG 1 - 0.05 ml August 22, 2019 INTRADERMAL (upper

right arm)

HEPATITIS B 1 - 0.5 ml August 22, 2019 INTRADERMAL (right

thigh)
PENTAVALENT INTRAMUSCLULAR
VACCINE (DPT- 1st- 0.5 ml First Dose: October 09, 2019 Right thigh (Anterolateral
HepB-HB) thigh muscle)
2nd – 0.5 ml Second: November 06, 2019 Left thigh (Anterolateral
thigh muscle)
3rd – 0.5 ml Third: December 04, 2019 Right thigh (Anterolateral
thigh muscle)
ORAL POLIO 1st – 2 drops 1st Dose: October 09, 2012
VACCINE (OPV)
2nd – 2 drops 2nd Dose: November 06, 2019 MOUTH
3rd – 2 drops 3rd Dose: December 04, 2019

INACTIVATED 1 - 0.5 ml December 04, 2019 INTRAMUSCULAR

POLIO VACCINE (Anterolateral thigh
(IPV) muscle)
PNEUMOCOCCAL INTRAMUSCLULAR
st st
CONJUGATE 1 – 0.5 ml 1 Dose: October 09, 2012 Right thigh (Anterolateral
VACCINE (PCV) thigh muscle)
2nd – 0.5 ml 2nd Dose: November 06, 2019 Left thigh (Anterolateral
thigh muscle)
3rd – 0.5 ml 3rd Dose: December 04, 2019 Right thigh (Anterolateral
thigh muscle)
ATTENUTED INTRAMUSCLULAR
MEASLES 1st – 0.5 ml 9th Month – May 27, 2020 Right thigh (Anterolateral
VACCINE (AMV) thigh muscle)
2nd – 0.5 ml 11th Month – July 29, 2020 Left thigh (Anterolateral
thigh muscle)

MEASLES, SUBCUTANEOUS
MUMPS, 1st – 0.5 ml 12th Month – August 27, 2020 Right arm
RUBELLA (MMR)
2nd – 0.5 ml 4 years – August 22, 2020 Left Arm

1. List down the possible immunization reactions, and explain briefly.

COMMON REACTIONS WHAT CAN YOU DO?

Local Reactions - Shot sites can - Place a cold damp cloth (cold compress)
have swelling, redness and pain.   over the affected area to give relief.
- Paracetamol (not aspirin) may be used
to ease the discomfort.

Mild temperature or fever - Monitor the temperature regularly (a

fever is above 38.5 °C).
- Paracetamol (not aspirin) may be used
to help reduce the temperature.
- Extra fluids are recommended (for
example, water, milk).
- Keep cool by not overdressing.
- Sponge down with lukewarm water.
- Cold baths or showers are not
recommended

Irritability, decreased appetite, - These symptoms are common in

sleepiness children and usually disappear over 24
to 48 hours.
- Does not usually require any specific
treatment.

Vomiting and diarrhea - Continue to breastfeed, giving small

frequent feeds.
- Wash hands thoroughly after changing
soiled nappies to prevent any spread
Anaphylaxis. - Severe allergic reactions are very rare.
They start within 20 minutes.
Sometimes can occur up to 2 hours
after the shot.

VACCINE IMMUNIZATION REACTION

Polio Vaccine (IPV) - Sore injection site (rare). No treatment

is necessary. Give ibuprofen or
acetaminophen and placing a cold, wet
washcloth over the tender area may
provide some relief.
- Fever (1% to 4%). Give ibuprofen or
acetaminophen if the fever is over
102°F (38.9°C).

Hepatitis B - Sore injection site

- Dizziness, sweating, muscle pain,
insomnia and earache.

Varicella (Chickenpox) - High fever over 39 °C

- The following reactions may occur 5 to
26 days after vaccination:
- Mild chickenpox-like rash (2– 5 spots)
usually at injection site, may also
appear on other parts of the body of
those vaccinated develop a rash, they
should cover the rash and avoid contact
with people who have impaired
immunity for the duration of the rash.

Influenza - Pain, tenderness, or swelling at the

injection site within 6 to 8 hours.
- Fever

Herpes Zoster (Shingles) - Redness, swelling, soreness or itching

at the site of injection.
- Headache

Pneumococcal Conjugate  vaccine - No serious reactions.

 - Pain, tenderness, swelling or redness at
the injection site in
- Mild fever under 102° F (39° C) in 15%
for 1-2 days.
-

Measles/mumps/rubella/ - The following reactions may occur 5 to

varicella 12 days after vaccination:
o high fever over 39 °C lasting 2
to 3 days
o faint red rash (not infectious)
o runny nose, cough and/or puffy
eyes
o swelling of salivary glands.
drowsiness or tiredness
- The following reactions may occur 5 to
26 days after vaccination:
o mild chickenpox-like rash (2to 5
spots) usually at injection site
may also appear on other parts
of the body.
o if those vaccinated develop a
rash, they should cover the rash
and avoid contact with people
who have impaired immunity for
the duration of the rash.

Source:

https://www.studocu.com/ph/document/our-lady-of-fatima-university/community-public-health/
expanded-program-on-immunization/24382201.

https://www.seattlechildrens.org/conditions/a-z/immunization-reactions/