Thursday, July 28, 2011

immunization

In our follow-up visit to Joram's pediatrician last week, we were given an immunization schedule. We were also given the choice on which vaccines to get as well as a list on the cost of each vaccine. And they are not inexpensive.

A portion of the vaccines, those in the EPI are given fir free in health centers. But of course, it is more convenient to have it done in the pediatrician's clinic since one won't be waiting long.
But since, I am a mom on a budget & since I am not a working mom at this moment, so, we are seriously considering waiting in queue in the health center. It is a savings of a few thousand pesos compared to the rest of the immunization cost (those that are not included in the EPI) but it's still worth the savings that we could get.
The down side is that there would be more shots for our baby. Since those vaccines in healthcenters are hardly given in combination doses.

However, we are still to visit the health center in our barangay to check out their schedule (which is usually on Wednesdays).

To others parents, check out with your own pediatrician on your baby's immunization schedule as well.
Meanwhile, although most baby books already include immunization schedules, I've copy-pasted a standard immunization sked in this blog as well.


Your baby's ageImmunization offeredHow it is given
At birth or within the first month after birth
(or within the first 12 months after birth for catch up)
Hepatitis B vaccine
(HepB)
First dose
At birth
(or within the first 2 months)
Bacille Calmette-Guérin vaccine
(BCG)
One injection
Around 1 to 2 months old
(or at least four weeks after the first dose)
Hepatitis B vaccine
(HepB)
Second dose
Around 6 weeks to 2 months oldPneumococcal Conjugate Vaccine
(PCV-7)
First dose
2 months oldDiphtheria, tetanus, and whole-cell/acellular pertussis (whooping cough) vaccine
(DTwP / DTaP)
First dose
Oral/Inactivated polio vaccine
(OPV / IPV)
First dose
Haemophilus influenzae type B vaccine
(HiB)
First dose
Rotavirus vaccineFirst dose
(Depending on the brand, it is administered either in two or three doses, at least four months apart)
4 months oldPneumococcal Conjugate Vaccine
(PCV-7)
Second dose
Diphtheria, tetanus, and whole-cell/acellular pertussis (whooping cough) vaccine
(DTwP / DTaP)
Second dose
Oral/Inactivated polio vaccine
(OPV / IPV)
Second dose
Haemophilus influenzae type B vaccine
(HiB)
Second dose
6 months oldPneumococcal Conjugate Vaccine
(PCV-7)
Third dose
Diphtheria, tetanus, and whole-cell/acellular pertussis (whooping cough) vaccine
(DTwP / DTaP)
Third dose
Haemophilus influenzae type B vaccine
(HiB)
Third dose
Influenza vaccineFor those receiving it for the first time, two doses at four weeks apart are required. Since the flu virus changes from year to year, an annual vaccination is recommended.
Around 6 to 8 months oldOral/Inactivated polio vaccine
(OPV / IPV)
Third dose
Around 6 to 18 months oldHepatitis B vaccine
(HepB)
Third dose
Around 9 to 12 months oldMeasles, mumps andrubella (German measles) vaccine
(MMR)
First dose +
12 months oldHepatitis A vaccine
(HepA)
First dose
Around 12 to 15 months oldPneumococcal Conjugate Vaccine
(PCV-7)
Fourth dose
Around 12 to 18 months oldVaricella (chickenpox) vaccineFirst dose
Around 15 to 18 months oldPneumococcal Conjugate Vaccine booster shot
(PCV-7 booster)
First dose
Diphtheria, tetanus, and whole-cell/acellular pertussis (whooping cough) vaccine booster shot
(DTwP / DTaP booster)
First dose
Oral/Inactivated polio vaccine booster shot
(OPV / IPV booster)
First dose
Haemophilus influenzae type B vaccine booster shot
(HiB booster)
First dose
Around 18 to 24 months oldHepatitis A vaccine
(HepA)
Second dose ++
2 years oldTyphoid vaccineOne injection
MeningococcalvaccineOne injection
Around 4 to 6 years oldDiphtheria, tetanus, and whole-cell/acellular pertussis (whooping cough) vaccine booster shot
(DTwP / DTaP booster)
Second dose +++
Oral/Inactivated polio vaccine booster shot
(OPV / IPV booster)
Second dose
Measles, mumps and rubella (German measles) vaccine
(MMR)
Second dose
Varicella (chickenpox) vaccineSecond dose

+ In case of outbreaks, MMR can be given as early as 6 months old. 
++ The second dose of the HepA vaccine is given six to 12 months after the first dose. 
+++ A third dose of DTwP / DTaP booster is given beyond the age 6 years old, and then every 10 years thereafter. 

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