ACTIVE IMMUNIZATION OF INFANTS AND CHILDRENS

Bacillus Calmette-Guérin (BCG)

AGE DOSE ROUTE CONTRAINDICATIONS ADVERSE REACTION

Newborn 0.05 ml ID Immune deficiency, Abscess or ulcers at

progressive dermatoses site of injection;
lymphadenopathy
which may caseate;
disseminated BCG
>1 month 0.1 ml 0.1/100,000 vaccines;
BCG 0.1-0.3/100,000
vaccines

DIPTHERIA-TETANUS AND PERTUSSIS VACCINE (DTP)

6, 10, 14 0.5 ml IM Acute febrile illness Paralysis (0.06 million

weeks associated with doses among
convulsions or other recipients; 0.14 million
Booster: severe reactions doses among contracts
15-16 (anaphylaxis or of recipients)
months collapse) to previous
dose of DTP
4-6 years

TRIVALENT ORAL POLIO-VIRUS VACCINE (TOVP)

6, 10, 14 0.5 ml PO Altered immune states Paralysis (0.06 million

weeks (leukemia, lymphoma, doses among
malignancy, therapy recipients; 0.14 million
Booster: with alkylating drugs, doses among contracts
15-16 radiation of recipients)
months antimetabolites,
steroids
4-6 years

DTP + INACTIVATED POLIOVIRUS (IPV) VACCINE

6, 10, 14 0.5 ml IM Acute febrile illnesses Fever, local reaction,

weeks erythema, pain, edema

15-16
months

4-6 years

ATTENUATED MEASLES VACCINE (Ddmonston Zagreb strain) GIVEN 6 MONTHS OR

LIVE FURTHER ATTENUATED (Schwartz strain) MEASLES VIRUS VACCINE GIVEN AT 9
MONTHS; MEASLES, MUMPS, RUBELLA VIRUS VACCINE GIVEN AT 15 MONTHS

6 months 0.5 ml SC Altered immune state Local reaction

as listed above simulating an Arthus
phenomenon, 1-8 days
Acute febrile illness after vaccination;
Untreated active Fever with or without
9 months 0.5 ml SC tuberculosis measles-like
manifestations about
 Immunoglobulin the 6th -12th day after
administration within 3 vaccination
months
Fever; malaise;
Marked hypersensitivity encephalitis; skin
to vaccine components; eruptions
allergy to eggs,
Pregnancy

15 0.5 ml SC Fever, hypersensitivity

months reactions, rash,
unilateral nerve
deafness; transient
arthralgia and
peripheral neuritis

HEPATITIS B VACCINE

Soon after At birth:one IM Hypersensitivity to any Local reactions include

birth if month and six component of the erythema, swelling and
mother is months old vaccine warmth
HBsAg+; (dose depends
if not 6 on Systemic complaints
weeks old manufacturer’s include fever, malaise,
recommendati fatigue, headache,
on) dizziness, myalgia and
nausea

VARICELLA VACCINE

9 mos- 1 vial SC Acute febrile illness, Fever, papulovesicular

12yrs pregnancy, eruptions, local
hypersensitivity to reactions at injection
neomycin site

>13 yrs
1 vial repeat SC
after 6-10
weeks

HEMOPHILIS INFLUENZAE B VACCINE

2, 4, 6 Follow IM None None

months manufacturer’s
instruction
Booster at
15
months