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Is it safe to get vaccinated if?
Many people who are immunocompromised can safely receive routine vaccines. Health care providers follow specific schedules and vaccine recommendations for immunocompromised people. Some immunocompromised people may not be able to receive live vaccines except when approved by their primary care provider or specialist.
Individuals may be immunocompromised as a result of a condition they are born with or an illness or medication that weakens their immune system. In general, immunocompromised persons are more susceptible to vaccine-preventable infections and may have severe infections. This makes staying up-to-date with vaccinations especially important.
Tell your healthcare provider if you are immunocompromised.
Without a record of vaccination (or proof of immunity to a disease), a person is considered unvaccinated and unprotected and should generally be vaccinated (or revaccinated) to ensure protection. It is safe to repeat vaccines.
Do vaccines cause that?
- There is no evidence that vaccines cause health problems such as autism, asthma, SIDS, or autoimmune diseases such as diabetes and multiple sclerosis.
- We learn about a vaccine’s safety during clinical trials before it is approved and monitor it’s safety continually as millions of doses are administered after its approval.
- We’ve been monitoring the safety of vaccines for more than 50 years and we can say that the chance a vaccine will cause unexpected long-term health problems is extremely low.
- Many large studies have found that vaccines do NOT cause autism.
- A number of credible studies have compared the health of vaccinated and unvaccinated children over many years. They have found that unvaccinated children were just as likely to develop autism as vaccinated children.
- It is not known exactly why some children develop autism; current research suggests that both genetics and environment likely play a role.
- Because children with autism are often diagnosed after the age when they receive some vaccines, this has led some people to think that vaccines cause autism. But just because one thing happens after another, it does not mean there is a link between them.
- Much of the controversy around a possible link between the MMR vaccine and autism came from a single small study published in 1998.
- The study was found to be fraudulent and was withdrawn by the journal that published it.
- Many large, high-quality scientific studies around the world have since taken place and have found no link between the MMR vaccine and autism. A summary of several of these studies and their conclusions is available at www.immunize.org/catg.d/p4026.pdf.
- In 1999, a news program in the US aired a story claiming that the hepatitis B vaccine caused SIDS.
- At the time of the introduction of the hepatitis B vaccine for routine use in all infants, about 5,000 children died every year from SIDS.
- Within 10 years of the introduction of the hepatitis B vaccine the use of the vaccine increased to about 90 percent of all infants receiving hepatitis B vaccine and the incidence of SIDS in that age group decreased dramatically to about 1,600 cases each year.
- The cause of the decrease in SIDS cases was attributed to the introduction of the “Back to Sleep” program by the American Academy of Pediatrics (AAP).
- However, since immunizations are given to about 90 percent of children less than 1 year of age, and about 1,600 cases of SIDS occur every year, it would be expected, statistically, that every year about 50 cases of SIDS will occur within 24 hours of receipt of a vaccine.
- Every day, a healthy infant’s immune system successfully fights off millions of germs (antigens) they come across in their surroundings.
- Vaccines contain only a tiny fraction of the antigens (germs) that infants come across every day.
- Infants are born with thousands of antibodies that provide protection. They are ready to fight against many different diseases. They are also born with the immune cells that are needed to make antibodies in response to getting many vaccines at one time.
- Theoretically, infants have the capacity to produce one billion antibodies. So, it is estimated that they could handle up to 10,000 vaccines at any one time.
- Vaccines do not overwhelm or weaken a child’s immune system. Instead, they make it stronger by providing protection against diseases.
- Even combination vaccines, which protect against multiple diseases, are easy for your child’s immune system to handle.
Vaccine side effects & reactions
- Vaccine side effects are usually minor, such as a sore arm or mild fever, and go away within a few days.
- Many people have no side effects at all.
- Serious side effects are very rare.
- The risks from the diseases that vaccines prevent are much greater than the risk of vaccine side effects.
- On our vaccine side effects page.
- The vaccine HealthLinkBC Files, which are linked to in BC’s routine immunization schedules.
- Our Vaccines by Disease section.
- The Canadian Immunization Guide’s active vaccines sections.
- Contact the health care provider who gave the vaccine to report the reaction.
- Contact your local health unit if you don't know who gave the vaccine. Ask to speak with a nurse.
- If it is an emergency, call 9-1-1.
- Contact the health care provider that gave the vaccine to report the reaction.
- If you don't know who provided the vaccine, you can contact a health unit near you and ask to speak with a nurse.
Most people who have an adverse event (unexpected or serious reaction) following vaccination can safely get vaccinated again. Your health care provider will tell you what is recommended for you or your child.
Other questions about vaccine safety
Combination vaccines take two or more vaccines that could be given by themselves and put them into a single injection so that children can get protection against several diseases with just one shot. Before a combination vaccine is approved for use, studies must show that the combination vaccine is just as safe and effective as each of the individual vaccines given separately. Research shows that the side effects of combination vaccines are similar to those of the individual vaccines given separately. Diphtheria, tetanus, pertussis, hepatitis B, polio, and haemophilus influenzae type b (DTaP-HB-IPV-Hib) vaccine is an example of a combination vaccine.
A specific brand of a vaccine is not recommended over the other. What is important is protection against vaccine-preventable diseases, not the brand of vaccine.
- Vaccines are among the most strictly regulated medical products in Canada.
- All vaccines go through an in-depth testing process and must be shown to be safe and effective before they are approved for use in Canada.
- This process goes through several phases in order to gather all the scientific information necessary to ensure the safety and efficacy of the vaccine.
- Once a vaccine has been approved for use, and for as long as the vaccine is used, its safety is continuously monitored.
- Canada has one of the best vaccine safety programs in the world.
- The approval process for vaccines is more stringent than most drugs available in Canada.
- It can take up to ten years or longer for a vaccine to be developed, tested, and approved for use by Health Canada. Occasionally, the process can be expedited (happen more quickly) if there is an urgent need for a vaccine (for example, during a pandemic). No safety steps are skipped in these cases, and the vaccine still has to meet all the same safety requirements. An example is COVID-19 vaccines.
- Health Canada only approves a vaccine if it is safe, it works, it meets manufacturing standards, and the benefits outweigh the risks.
- Because vaccines are given to healthy people, including children, they are held to the highest safety standard—even higher than most drugs used for treatment.
- Like any medicine or supplement (including vitamins), vaccines can cause side effects. Usually vaccine side effects are minor, such as a sore arm or mild fever, and go away quickly. Many people who receive vaccines have no side effects at all. Serious side effects are very rare.
- A vaccine’s safety is continuously monitored following its approval.
- Canada has several advanced systems in place (at the local, provincial, and national levels) to carefully monitor the safety of vaccines and detect any safety concerns.
- In the very rare event that a lot (batch) of vaccine results in an unexpected side effect, these systems can ensure that the rest of the lot is not used.
- Only approves vaccines in Canada after a thorough and independent review of the scientific evidence.
- Works with others to monitor vaccines on the market, and can quickly make changes if they identify safety concerns.
- Safety of Vaccines Used for Routine Immunization of US Children: A Systematic Review (Pediatrics, 2014)
- 2012 Institute of Medicine Report: Adverse Effects of Vaccines: Evidence and Causality
Yes. Getting more than one vaccine at the same time is safe and ensures you or your children are protected against serious diseases earlier rather than later. Research shows that routine childhood vaccines work just as well when they are given at the same visit as when they are given at separate visits, and that giving these vaccines at the same visit does not carry any extra safety risks.
- Combination vaccines take two or more vaccines that could be given by themselves and put them into a single injection so that children can get protection against several diseases with just one shot.
- The diphtheria, tetanus, pertussis, hepatitis B, polio, haemophilus influenzae type b (DTaP-HB-IPV-Hib) vaccine, and measles, mumps, rubella (MMR) vaccine are examples of combination vaccines.
- Before a combination vaccine is approved for use, studies must show that the combination vaccine is just as safe and effective as each of the individual vaccines given separately.
- Research shows that the side effects of combination vaccines are similar to those of the individual vaccines given separately.
- The vast majority of side effects are very mild, such as temporary pain and swelling at the injection site.
- Most of the vaccines available in combinations are not available separately. If one component of a vaccine is declined, all other components are also declined. For instance, refusing the measles vaccine means that a child cannot be vaccinated against rubella and mumps, either, because the measles vaccine in Canada is only available in combination with the mumps and rubella vaccines.
Getting an extra dose of the routine childhood vaccines is not harmful. Extra doses are often given when a person’s vaccination history is unknown.
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