Chapter 116. Immunization Principles and Vaccine Use (Part 9)

Table 116-3 Valid and Invalid Contraindications to VaccinationVaccineValid ContraindicationaInvalid ContraindicationAll vaccines in generalSeriousallergicMild acute illness withreactions (e.g., anaphylaxis) or without fever to a previous vaccine dose or a vaccine componentPrecaution: ModerateMild to moderate localor severe concurrent illness reactions; with or without fever moderatelow-grade fever afteror aprevious doseLackofpreviousphysical examination in a well-appearing personCurrent antimicrobial therapy (except certain live bacterial vaccines)Convalescent phase of illnessPrematurebirth(except hepatitis B in some circumstances)Recentexposuretoinfectious diseasesHistory of penicillin allergy, allergies; allergies; other nonvaccine withrelativesreceivingdesensitization treatmentDTaPbSevereallergicTemperature fussiness....
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Chapter 116. Immunization Principles and Vaccine Use (Part 9) Chapter 116. Immunization Principles and Vaccine Use (Part 9) Table 116-3 Valid and Invalid Contraindications to Vaccination Vaccine Valid Invalid Contraindicationa Contraindication All vaccines in Serious allergic Mild acute illness withgeneral reactions (e.g., anaphylaxis) or without fever to a previous vaccine dose or a vaccine component Precaution: Moderate Mild to moderate localor severe concurrent illness reactions; low-grade orwith or without fever moderate fever after a previous dose Lack of previous physical examination in a well-appearing person Current antimicrobial therapy (except certain live bacterial vaccines) Convalescent phase of illness Premature birth (except hepatitis B in some circumstances) Recent exposure to infectious diseases History of penicillin allergy, other nonvaccine allergies; relatives with allergies; receiving desensitization treatmentDTaPb Severe allergic Temperature of reaction to a previous dose uncontrolled epilepsy, convulsions, developmentalprogressive encephalopathy: delay)defer DTaP until neurologicstatus is clarified andstabilized Precaution: Fever of≥40.5°C at ≤48 h after aprevious dose of DTP orDTaP Collapse or shock-likestate (i.e., hypotonichyporesponsive episode ≤48h after a previous dose ofDTP or DTaP) Seizure ≤3 days aftera previous dose of DTP orDTaPPersistent, inconsolablecrying lasting ≥3 h/≤48 h after a previous dose of DTP or DTaP Moderate or severe acute illness with or without feverDT, Td Severe allergic reaction after a previous dose or to a vaccine component Precaution: Guillain- Barré syndrome ≤6 weeks after a previous dose of tetanus toxoid–containing vaccine Moderate or severe acute illness with or without feverIPV Severe allergic reaction to a previous dose or a vaccine component Precautions: Pregnancy; moderate or severe acute illness with or without feverMMR Severe allergic Positive tuberculin reaction to a previous dose skin test; simultaneous TB or a vaccine component skin testing Pregnancy Breast-feeding Known severe Pregnancy of immunodeficiency (e.g., recipients mother or other hematologic and solid close or household contact; tumors, congenital recipient is childbearing-age immunodeficiency, long- female or immunodeficient term immunosuppressive family member or household therapy, or severely contact; asymptomatic or symptomatic HIV infection) mildly symptomatic HIV infection; allergy to eggs Precautions: Recent (≤11 months) receipt of antibody-containing blood products (specific interval depends on product); history of thrombocytopenia and thrombocytopenic purpura; moderate or severe acute illness with or without feverHib Severe allergic reaction to a previous dose or a vaccine component Age or severe acute illness with or without feverHepatitis B Severe allergic Pregnancy; ...