A 2 month old baby was brought for routine immunization .What is a common side effect that this baby might have after her immunizations.
A) Fever to 104◦ F.
B) Autism.
C) Diabetes.
D) Erythema at the site of immunization.
E) Symptomatic shedding of virus in her stool.
Answer And Discussion
Correct answer is D Erythema at the site of immunization.
Vaccine side effects, such as low-grade fevers (not to 104◦F as in answer “A”), induration and redness at the site, and fussiness are common. However, they are self-limited.
“B” and “C” are incorrect. Autism and diabetes have not been linked to vaccines in large, well-designed studies.
The hepatitis B vaccine is constructed with genetic engineering in a yeast cell. Thus, one would not shed virus in the stool.
The MMR, oral polio, oral rotavirus, and varicella vaccines are live attenuated vaccines. With these
immunizations, the virus has been weakened but can still replicate and be shed in stool. In an immunocompetent host, this usually is not of clinical significance. Thus, “E” is incorrect.
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