| General guidance for all vaccines |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component
Precautions:
Acute infection with/without high temperature
|
Occurrence of mild reactions, such as: swelling, redness, pain, and/or mild rise in body temperature after a previous dose
Treatment with antibiotics
Premature babies
Previous infection with a contagious disease
|
| DTaP Vaccine |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Encephalopathy (Coma and Epilepsy)
Neurological disorders: out of control convulsions and epilepsy seizures. In such cases, vaccine dose is deferred until the doctor's report on the case is presented
Acute infection with/without high temperature
Precautions:
Rise of body temperature to more than 40 degrees over less than 48 hours after being given a previous dose of DPT or DTaP vaccine
Fainting and in state of shock, being unconscious, for less than 48 hours after being given a previous dose of DPT or DTaP vaccine
Having convulsions for less than three days after being given a previous dose of DPT or DTaP vaccine
Crying continuously for more than three hours over a range of 48 hours after being given a previous dose of DPT or DTaP vaccine
Acute or mild infection with/without high temperature
|
Rise of body temperature to 40 degrees or less, irritation or desire to sleep after being given a previous dose
Family history of convulsions
Family history of sudden child death
Family history of complications of the vaccine
Neurological seizures being treated after consulting the doctor
|
| DT, Td Vaccine |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component
Precautions:
Suffering from Guillian-Barre syndrome in period less than six weeks after a previous dose
Acute or mild infection
Doses may be deferred while having fever or during the activity of an advanced chronic
During pregnancy period
Patients of immune deficiency diseases or who take drugs that affect the immunity
|
|
Pentavalent Vaccine:
Diphtheria + Tetanus + Pertussis
+ Whole Cell + Hepatitis B
+ Haemophilus Influenzae B
(Hib)
|
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Encephalopathy (Coma and Epilepsy)
Neurological disorders: out of control convulsions and epilepsy seizures. In such cases, vaccine dose is deferred until the doctor's report on the case is presented
Acute infection with/without high temperature
Precautions:
Rise of body temperature to more than 40 degrees over less than 48 hours after being given a previous dose of DPT or DTaP vaccine
Fainting and in state of shock, being unconscious, for less than 48 hours after being given a previous dose of DPT or DTaP vaccine
Having convulsions for less than three days after being given a previous dose of DPT or DTaP vaccine
Crying continuously for more than three hours over a range of 48 hours after being given a previous dose of DPT or DTaP vaccine
Acute or mild infection with/without high temperature
Not given to adults. Scientific data on the use of this vaccine during pregnancy and birth is not available
|
Rise of body temperature to 40 degrees or less, irritation or desire to sleep after being given a previous dose
Family history of convulsions
Family history of sudden child death
Family history of complications of the vaccine
Neurological seizures being treated after consulting the doctor
|
| IPV Vaccine |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component, such as:
Neomycin, Streptomycin, Polymyxine B
Acute infection with/without high temperature
Precautions:
Pregnancy
Thrombocytopenia, bleeding disorder
Suffering from immune deficiency or taking treatment that affects the immune system may defer vaccination |
HIV-positive patients
Previous doses of OPV vaccine
Pregnancy and lactation
Chemotherapy, radiotherapy or corticosteroids |
| OPV Vaccine |
Contraindications:
Thermometer on the vaccine bottle: the internal square has the same or darker colour as that of the surrounding circle
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component, such as:
Neomycin, Streptomycin, Polymyxine B, or other vaccine components
Lymphoma, leukemia, advanced cancer cases, cortisone therapy, chemotherapy, radiotherapy, HIV-positive, and immune deficiency diseases that are being treated
Precautions:
Suffering from severe diarrhea and vomiting after being given the vaccine. Another dose must be given after these symptoms are resolved
Pregnancy: in case of epidemics
|
Acute or mild infection with high temperature
This vaccine can be given at the same time with the following vaccines:
Measles, Rubella, Mumps, DTP, DT, TT, Td, Hepatitis B, Haemophilus, Influenza type B, and Yellow fever
Extra vaccine doses must be given to contacts of a patient without any consideration for any previous doses
Thermometer on the vaccine bottle: the internal square has lighter colour than that of the surrounding circle. In this case, the vaccine is usable
Being allergic to IPV vaccine
|
| MMR Vaccine |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component, such as:
Gelatin and Neomycin or other vaccine components
Immune deficiency diseases, including: blood diseases, lymphoma, leukemia and other cancer, humoral and cellular immune deficiencies, such as: HIV+ve cases, if the patient has immune deficiency, according to the attached table of HIV+ve cases
Patients who are under treatment with medicines that affect immunity, e.g.: cholesterol, must review the attached table. The vaccine is not given in the following high dose cases:
High-dose steroid therapy daily or on for more than 14 days alternate days (more than 2 mg/kg/day or more than 20 mg/day of prednisone)
Active untreated Tuberculosis (TB)
Pregnancy, the pregnancy should be deferred for more than 12 weeks
Please check the table for more notes
Precautions:
Unless MMR vaccine is given at the same time with a living vaccine, the other vaccine must be differed for 4 weeks
The guidelines for Vaccine Administration must be reviewed after being given any vaccine. If the vaccine must be given, blood tests must be performed after at least 3 months to confirm immunity developed against mumps and rubella, and after 3 to 11 months to confirm immunity developed against measles
Infection of Thrombocytopenia or Thrombocytopenic Purpura after less than 8 weeks of a dose of MMR
Check for details in the attached table
Cortisone therapy (check the table)
|
Positive results for tuberculin PPD test
Lactation
The mother of the child or any of his contacts is pregnant
Vaccination of females in childbearing age
Contacts or member of the family suffering from immune deficiency
AIDS patient without symptoms of the disease
OPV vaccine is given at the same time with MMR vaccine, Ty21a typhoid vaccine, or yellow fever vaccine
Allergy to eggs does not contraindicate MMR vaccine
|
| Hib Haemophilus Type b Conjugate Vaccine |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component
Being younger than 6 weeks
Precautions:
Acute or mild infection with/without high temperature
|
|
Hepatitis B Vaccine
(can be given alone
or with pentavalent vaccine)
|
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component or to Tetanus vaccine
Precautions:
Infants who weigh less than 2000 grams
Vaccine dose is deferred for the infant who weighs less than 2000 grams, if the infant mother is found to be HBsAg negative at the time of birth and until the infant is one month old. If the mother is found to be HBsAg positive, the infant is injected 0.5 milliliter of HBIG vaccine at birth in one side and Hepatitis B vaccine in the other side
Pregnancy
Acute or mild infection with high temperature, especially infectious or advanced chronic diseases
Vaccine effectiveness decrease for patients of immune deficiency diseases
|
Autoimmune diseases, such as: Lups Erythmatosis or Rheumatic Arthritis
HIV positive patients
Simultaneous administration with HBIG vaccine
Nursing mothers
|
Pulmonary Vaccine:
Polysaccharide
Pneumococcal Vaccine
|
Contraindications:
One year old infants or younger
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component
Precautions:
Acute or mild infection with/without high temperature
Vaccine dose may be deferred if body temperature is high or suffering from acute infection or chronic disease relapse
Previous dose of the vaccine was given during the last three years and there is infection with viral pneumonia with the virus
Streptococcus Pneumonia
Pregnancy and lactation
|
Giving the vaccine at the same time with Influenzae vaccine
|
Pulmonary Vaccine:
Pneumococcal
Saccharide Conjugated vaccine adsorbed
|
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component or to Diphtheria vaccine
Precautions:
Hemorrhagic diseases
High temperature
|
|
| Influenzae Vaccine |
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component
Allergy to eggs
Precautions:
Acute or mild infection with/without high temperature
|
Non-severe contact allergy to Latex or thimorsal
Treatment with the medicines:
Coumadin or aminophylline
|
Meningococcal Meningitis Vaccine:
Neisseria Meningitides
of group A,C,W135 and Y
|
Contraindications:
Severe allergy: anaphylaxis after a previous vaccine dose
Severe allergy: anaphylaxis to a vaccine component
Precautions:
Acute or mild infection with/without high temperature
|
IM injection in deltoid muscle
|