acute inflammatory reaction within 2 – 4 days after vaccination; usually indicates previous exposure to TB
Deep abscess at Refer to the
vaccination site; almost physician for invariably due to SC or incision and deeper injection drainage VACCINES SIDE EFFECTS MANAGEMENT Indolent ulceration: an Treat with INH ulcer which persists powder after 12 weeks from vaccination date Glandular If suppuration enlargement: occurs, treat as enlargement of lymph deep abscess glands draining the injection site
Hepatitis Local soreness at the None
B Vaccine injection site VACCINES SIDE EFFECTS MANAGEMENT DPT-HepB- Fever that usually only lasts Advise parents to Hib for 1 day. Fever beyond 24H give antipyretic (Pentavalent is not due to the vaccine vaccine) but to other causes
Local soreness at the Reassure parents
injection site that soreness will disappear after 3 – 4 days Abscess after a week or Incision and more usually indicates that drainage may be the injection was not deep necessary enough or the needle was not sterile VACCINES SIDE EFFECTS MANAGEMENT Convulsions: although Proper very rare, may occur in management of children older than 3 convulsions; mos; caused by pertussis vaccine pertussis vaccine should not be given anymore