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    Double Doses
    An_247347 posted:
    I took my sister and her 5 1/2 y.o. son to the doctor's yesterday. I supplied them with a copy of his most recent immunizations and they still gave my nephew the DTaP, IPV, MMR, and Varicella shots. Previously she was told he would only need one but upon getting there it turned into four. When I looked at his records, I saw that he just had these four shots last year (2011) when he was 4. Is there any danger in what was done and should we be looking out for any signs? I can say that one of his arms now has a very big, red, raised oval bruise on it.
    Roy Benaroch, MD responded:
    I'm discouraged by how often questions like this are posted here-- I just answered something similar yesterday. Apparently a good number of doctors' offices are not giving immunizations correctly. Parents need to be diligent and ask questions. If you think a vaccine isn't needed, do not sign consent to give it until you're satisfied that the records were reviewed and that the shot is necessary.

    There is no special danger to these extra doses (except tetanus-- these is evidence that a too-soon tetanus is more likely to cause local swelling and pain. This isn't "serious", but certainly ought to be avoided.)

    Still, as I've said, vaccine shouldn't be given if they're not needed. My state has an electronic vaccine record that all providers are supposed to use, which I do believe helps avoid at least some duplications. Still, parents should bring vaccine records and make sure what's recommended to be given is really what their kids need.
    kaybay2 replied to Roy Benaroch, MD's response:
    Thank you doctor. I believe it must be the tetanus that's causing the swelling and pain in his arm. The area has gotten larger. Is there anything we can do for this or just let it be?
    Roy Benaroch, MD replied to kaybay2's response:
    A cool wrap can help-- wet a washcloth or handtowel, and leave it in the 'fridge for a while to cool down. That will feel good and help with the swelling when wrapped around the arm or leg. Using ice directly isn't such a good idea.
    kaybay2 replied to Roy Benaroch, MD's response:
    Thank you again.

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