It is important to follow the vaccination calendar and know in advance how and when the child should be vaccinated. If you missed a vaccination for medical or other sound reasons, be sure to resume vaccination activities after the due date.

In preparation for a vaccination, you must identify contraindications in which the vaccination may cause serious adverse reactions. When children have certain illnesses, vaccination is strictly prohibited, but permission to vaccinate can be obtained later. This decision must be made by a competent physician.

To determine the presence of contraindications, a doctor at Immuno-C Vaccination Center will examine each child. This is mandatory before inoculation. Ask your doctor about all possible side reactions that can occur after vaccination, and find out what to do in case they appear. Parents should observe a few simple rules to help protect the child and reduce the risk of complications to a minimum.

Before the first DPT vaccination, consult a doctor in order to make a general analysis of blood and urine samples and also with a neurologist so that permission to carry out the vaccination can be given.

If a child is ill on the eve of vaccination or had contact with infectious patients, inform the pediatrician. Perhaps the vaccination will be postponed for a while.
A few days prior to vaccination, do not introduce any new foods to the child’s diet. This also applies to breastfed babies where it is better to keep to the usual mother’s diet. This will save the baby from unexpected allergic reactions caused by the change of diet, rather than by the effect of vaccination. Without specific instructions from the doctor, you must not give your child any new medication a week before the vaccination.

Intake of antihistamines or antipyretics is allowed only on medical prescription, which will select the necessary medication correctly and calculate the dose based on the child’s weight and susceptibility to allergic reactions. Typically, antihistamines are prescribed for children who are susceptible to allergic reactions, or those who have had previous allergic reactions caused by vaccination.

Children younger than 6 years who are prone to febrile seizures (sudden jerky convulsions with high temperature over 38^oC) receive antipyretic drugs, prescribed by the doctor, immediately before or after vaccination. Be sure to tell the doctor conducting the preparations for the vaccination that your child is prone to febrile seizures.

 Ask your doctor about all possible adverse reactions that may occur after vaccination, and find out what to do if they occur.

Do not leave the vaccination center immediately after a vaccination. Remain for half an hour to make sure of the condition of the baby, and when you are satisfied that he is all right you can go home. In rare cases, a vaccination may cause collapse or anaphylactic shock, and the doctors at the Center will deal with this if it occurs.

The child may experience a decrease in appetite after vaccination and this is a natural reaction. If there is diarrhea, vomiting, fever, or the child stops drinking, it must receive the required amount of liquid and you should consult our Centre. Occasional vomiting or diarrhea should not be a cause for concern in the short-term.

An increase in temperature is a normal reaction in a child that has been vaccinated. If the child is healthy, it is not necessary to bring down the temperature if it is less than 38.5^o C. At higher temperatures, consult a doctor to observe your child and he will prescribe an antipyretic agent.

If a child has a predisposition to febrile convulsions, as a precaution, have the neurologist prescribe an antipyretic before the vaccination. If, after the vaccination the temperature of the child reaches 37.5^oC, bring the temperature down with the prescribed medicine. Redness or swelling that often occurs at the injection site, do not require special treatment or independent testing. If the child is scratching the injection site, cover it with a gauze bandage. Painful lumps may appear at the injection site after DPT vaccination but they go away on their own after a certain time. Do not worry if the child limps on the leg in which the injection was administered. In a few weeks the lump will disappear.

A healthy child who does not have allergic reactions or high temperature after vaccination, can lead a normal life as he did before the vaccination. It is possible to walk or swim but the child should not rub the injection site.

When do you need to take the child to a doctor or call an ambulance?

Immediately:

• If the child has a high temperature that cannot be brought down by a fever reducer
• If there are convulsions and/or loss of consciousness
• When there is restless behavior and refusal to eat and drink
• When there is a festering sore on the site of inoculation
• When a baby cries continuously for over 2 hours

In carrying out the vaccination procedure, Tibbiyot Dunyosi Vaccination Center takes many measures aimed at the elimination of complications after vaccination.

Before being vaccinated, patients should receive medical advice. A careful examination is made, the patient is asked questions and information is gathered about temperature and other important parameters. Tell your doctor the purpose of vaccination. Say if it is for the vaccination calendar, emergency vaccination or a seasonal vaccination. State the details of your child’s health condition for the preceeding two weeks. During this period there should not have been any acute manifestations or exacerbation of chronic disease. Be sure to tell the doctor about the date of the last vaccination. It should be borne in mind in advance that the gap between the administration of the two vaccinations should be at least 30 days.

During repeated immunizations and in the presence of a reaction to previous administration of vaccine, more medical consultation is needed.

Patients of all ages, who have a medical history at a clinic should get permission from their specialists to be vaccinated. After vaccination the doctor at the Center observes the patient for thirty minutes. This is necessary so that expert assistance can be provided in the event of an anaphylactic reaction in the patient.

For three days after vaccination, the Nurses Center provides phone patronage. Depending on the nature of the vaccine and the nursing of the patient, this may be prolonged.