National

Immunization
Program
Group 1
Aguisanda, Geneva Barrios, Maritoni
Amurao, Lindzy Bendijo, Honney Faith
Antiporda, Alexandra Bere, Gillianne Rhei
Avano, Marjorie
 CASE SCENARIO

Bianca, a 25-year-old single mother is living in Brgy. Santolan with her 4-year-old
Toddler Markus and 9 months-old baby girl, Zoe. Ceres, a community health nurse
at Santolan Health Center had a home visit to Bianca because she missed two
immunization schedules of Zoe.

Upon checking the immunization of both children, Ceres found out that Markus has
not completed the vaccines. Name of child Birthdate Vaccines received

Markus July 4, 2017 BCG HEPA B PENTA 1 OPV 1

Zoe December 25, 2020 BCG HEPA B PENTA 1 OPV 1

Santolan Health Center Immunization Schedule : Every Wednesday

 Table of Contents

Possible adverse effects of

01 Health Teaching Plan 04 immunization to her child

Importance of
02 immunization to her child 05 Home remedies after
immunization

Contraindication of
03 immunization according 06 Schedule of immunization
to DOH protocol
 Health
Teaching
Plan
PURPOSE: The client will be able to
understand the significance and benefits of
having a complete immunization to her children.
GOAL: After 1 hours of nursing intervention
the client was able to have adequate knowledge
about the significance and benefits of having a
complete immunization for her children.
OBJECTIVES CONTENT OUTLINE METHODS OF TIME ALLOTTED RESOURCES METHODS OF
TEACHING EVALUATION

COGNITIVE DEFINITION OF LECTURE 35 MINUTES 1. PowerPoint Question and

Recognize the IMMUNIZATIONS: Presentation answer
importance of 1. Expanded program 2. Pamphlet
vaccination for her on immunization 3. Whiteboard and
children • EPI vaccines Marker
2. Benefits of
immunization 
3.Contraindications
4. Scheduling of
immunization

AFFECTIVE IMMUNIZATION LECUTE AND 15 MINUTES 1. Video Observing

Express their MANAGEMENT: DEMONSTRATION presentation Demonstrations
feelings about the 1. Adverse 2. PowerPoint
topic effects presentation
2. Using of home
remedies

PSYCHOMOTOR SUMMARIZATION DISCUSSION 10 MINUTES 1. Visual aids Sharing of feedbacks

Know how to take OF TOPIC: 2. Whiteboard and
care of a child after 1. Feedback Marker
immunization.
 01
Importance of
immunization to
her child
 What is immunization?
Immunization is the process whereby a person is made immune or
resistant to an infectious disease, typically by the administration of a
vaccine. Vaccines stimulate the body’s own immune system to protect
the person against subsequent infections or disease.

Why is it important?
Immunization helps her child to become immune from diseases caused
by bacteria or viruses. It is a simple and effective way of protecting
children from serious diseases.
It not only helps protect individuals but also protects the wider
community by minimizing the spread of disease.
 02
Contraindication
of immunization
according to
DOH protocol
 Contraindication to immunization

While vaccines benefit most individuals, there are rare situations

where vaccination is not recommended. Contraindications and
precautions identify situations when vaccines should not be given.

Sometimes there are reasons why a specific vaccine should never be

administered (also called an absolute contraindication) and there are
times when you should delay giving the vaccine for a short period of
time (also called temporary contraindication).
• Reason for NEVER administering a specific vaccine:
- an infant or person who has a history of anaphylaxis or severe
hypersensitivity reaction during previous immunization to subsequent
doses of a vaccine.
- person with a known allergy to a vaccine component should
not be vaccinated.
• Reason for DELAYING administering a specific vaccine:
- if a mother/parent strongly objects to immunization of a sick
infant. Ask the mother to come back when the infant is well.
- if a child is suffering from some chronic condition and is
under medication. Consultation with the primary physician could
result in postponed immunization until after the medication or
treatment is completed.
 Additional information for containdication:
There are a few absolute contraindications to the EPI vaccines. Do not give:
• Pentavalent vaccine/DPT to children over years of age.
• Pentavalent vaccine/DPT to a child with recurrent convulsions or
another active neurological disease of the central nervous system.
• Pentavalent vaccine 2 or 3/DPT 2 or 3 to a child who has had
convulsions or shock within 3 days of the most recent dose.
• Rotavirus vaccine when the child has a history of hypersensitivity to a
previous dose of vaccine, intussusceptions or intestinal malformation, or
acute gastroenteritis; and
• BCG to a child who has signs and symptoms of AIDS or other immune
deficiency conditions or who are immunosuppressed.
 03
Possible adverse
effects of
immunization to her
child
 • Is redness and/or a small lump at the injection site
• An acute inflammatory reaction within 2-4 days after vaccination
BCG • Deep abscess at vaccination site
• Indolent ulceration
• Glandular enlargement
• Local soreness at the injection site
• Severe skin reaction
• Fever
HEPA B • Sore throat
• Swelling in your face or tongue
• Burning in your eyes
• Skin pain followed by a red or purple skin rash that spreads
(especially in the face or upper body)
• Raised temperature (fever)
PENTA 1 • Local soreness at the injection site
• Convulsions
OPV NONE
 Why do we have side effects from vaccines?
By allowing an external agent to enter the body, there is always the
possibility that the body will respond, as the cells are made to detect any
infectious agent and fight it.

Most common side effects of immunization to her child are:

• Fever (that is, a temperature over 38.5°C)
• Redness, swelling, and tenderness around the area where the needle
went in
• Babies may be unsettled or sleepy
• Sometimes, a small, hard lump (nodule) at the injection site may
persist for some weeks or months. This should not be concern and
requires no treatment.
 04
Home remedies
after
immunization
 After vacccination, children may be fussy because of pain or
fever. To reduce discomfort, you may want to give your child a medicine
such as acetamin- ophen or ibuprofen. If the child is fussy for more than
24 hours, call your healthcare provider.
• Feed your baby to relieve vaccination pain.
• A little sugar water may help shots under 6 months.
• Apply a cool wet cloth if the child experience discomfort at the
injection site after vaccination, it can help reduce tenderness and
swelling.
• If fever persist give child a cold sponge bath.
• Use the 5 S’s approach.
 5 S’s Approach
• Swaddle him immediately after vaccination.
• Place him on the side or the stomach.
• Make shushing sounds.
• Swing him in your arms or an infant swing
• Give him something to suck, for example, your breast, a milk bottle
or a pacifier
 05

Schedule of
immunization
Zoe

DOB: December 25, 2020

Current Immunizations:
BCG, HEPA B, OPV 1, PEN 1
 VACCINE NUMBER DOSE 1ST DOSE 2ND DOSE 3RD DOSE NOTE
OF GIVEN
DOSES
BCG 1 1 DECEMBER 25, COMPLETE
2020
HEPA B 1 1 DECEMBER 25, COMPLETE
2020
PENTAVALENT 3 2 FEBRUARY SEPTEMBER 29, OCTOBER 27, The 2nd dose is given as
VACCINE 10,2021 2021 2021 soon as possible. The 3rd
dose is scheduled 4
weeks after the 2nd dose.
ORAL POLIO 3 2 FEBRUARY SEPTEMBER OCTOBER 27, The 2nd dose is given as
VACCINE 10,2021 29,2021 2021 soon as possible. The 3rd
dose is scheduled 4
weeks after the 2nd dose.
INACTIVATED 1 NONE NOVEMBER 24, IPV can be given between
ORAL POLIO 2021 3 1/2 month and 1 year.
PNEUMOCOCCA 3 1 SEPTEMBER OCTOBER 27,2021 NOVEMBER the PCV was not given on
L CONJUGATE 29,2021 24,2021 the 6th week of life of zoe.
VACCINE Administer 1st dose as
soon as possible.
MMR 2 1 SEPTEMBER DECEMBER 29, After the 1st dose in the
29,2021 2021 9th month of zoe, the 2nd
dose is scheduled 3
months after.
MARKUS

DOB:
July 04, 2017

Current Immunizations:
BCG, HEPA B, OPV 1, PEN 1
 VACCINE NUMBER DOSE 1ST DOSE 2ND DOSE 3RD DOSE NOTE
OF GIVEN
DOSES
BCG 1 1 JULY 4, 2017 COMPLETE
HEPA B 1 1 JULY 4, 2017 COMPLETE
PENTAVALENT 3 2 AUGUST 16, SEPTEMBER 29, OCTOBER 27, The 2nd dose is given as
VACCINE 2017 2021 2021 soon as possible. The 3rd
dose is scheduled 4
weeks after the 2nd dose.
ORAL POLIO 3 2 AUGUST 16, SEPTEMBER OCTOBER 27, The 2nd dose is given as
VACCINE 2017 29,2021 2021 soon as possible. The 3rd
dose is scheduled 4
weeks after the 2nd dose.
INACTIVATED 1 NONE NOVEMBER 24,
ORAL POLIO 2021
PNEUMOCOCCA 3 1 SEPTEMBER OCTOBER 27,2021 NOVEMBER The PVC vaccine was not
L CONJUGATE 29,2021 24,2021 given before the 1st
VACCINE birthday of Markus.
Administer 1st dose as
soon as possible
MMR 2 1 SEPTEMBER DECEMBER 29, The MMR vaccine was not
29,2021 2021 given before the 1st
birthday of Markus.
Administer 1st dose as
soon as possible
Thanks!
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