Anaphylactic Shock When Vaccinated

Vaccination in recent years has contributed actively to prevent a number of diseases circulating in the community. However, some cases of anaphylaxis have actually occurred, especially in children. Therefore, this issue should be considered when using preventive vaccines.
Vaccines can be made from bacteria, viruses or their toxins or recombinant from specific antigens. Before and after vaccination, it is necessary to ensure necessary procedures as prescribed

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Instant reaction to vaccines
After vaccination, it is important to monitor closely to make sure that the people who are vaccinated are still healthy and unresponsive. It is usually necessary to monitor at least 15 minutes after injection because most life-threatening complications occur within 10 minutes after injection. In children, the most dangerous reaction is anaphylaxis, which can lead to death if not detected and intervened in time
Manifestations of anaphylaxis are acute circulatory failure with symptoms of cold limbs, tachycardia, blood pressure drop or jam; have difficulty breathing, laryngospasm, abdominal wall cramps or diarrhea, blue skin.



After detecting anaphylaxis, the child should be vaccinated on the left side of the vaccine, immediately injecting a dose of 0.01 mg / kg adrenaline into the muscle.
Adults can inject from 0.5 - 1ml. If it does not improve, repeat injections after 10 minutes, give oxygen and quickly transfer the patient to the nearest hospital for emergency resuscitation and monitor and continue treatment.
After vaccination, you need to monitor your baby's health to avoid anaphylaxis
In adults, the common reaction after vaccination is fatigue. Bouts of muscle tone rarely occur after vaccination, if they occur right after 2-4 hours For cases of severe reaction after vaccination should be monitored and treated in hospitals, not to be monitored at home.




In addition to the immediate reaction, vaccine side effects should also be collected and documented to report to the responsible authorities even though the vaccines are usually tested for safety and effectiveness before designated for wide use as well as field evaluation.
Therefore, monitoring and reporting of side effects is still essential. Any side effects of the vaccine should be noted and reported to the Provincial Preventive Medicine Center for this unit to report to the relevant authorities at higher levels.
Information to be collected is the full name and age of the vaccinated subjects; cases of anaphylactic reaction occurring within 48 hours; clinical symptoms of the patient within 30 days after vaccination such as the patient with vaccine-induced encephalitis, convulsions, aseptic meningitis, thrombocytopenia, acute paralysis, death or any Any incidents related to vaccination must go to hospital for treatment.
Attention should be given to vaccinations for special-risk groups
For children who have had a strong reaction to a previous vaccination: extreme care should be taken when vaccinating at subsequent injections. It is possible that the following vaccines have to be administered in hospitals so that children can be better monitored and easily handled in the event of a severe reaction.
Women should get some important shots before getting pregnant
For those at special risk of infection: attention should be paid to cases of patients suffering from conditions such as bronchial asthma, splenectomy, Down syndrome, HIV infection, chronic heart or lung disease, children. premature babies .



.. because it's easy to get a reaction after getting the vaccine. In children, careful consideration, review and indications for vaccination should be given. The World Health Organization (WHO) recommends not using live vaccines such as BCG, polio or measles for children infected with HIV; Preterm infants should be vaccinated in the second month after birth.
For pregnant women: live vaccines should not be used because these vaccines can theoretically harm an unborn baby. However, in the context that a pregnant woman at risk of serious exposure to measles or yellow fever may still be vaccinated. There is no definite evidence that a rubella vaccine can be teratogenic, but scientists recommend that women should only become pregnant 2 months after getting the vaccine.




NURSING MOTHERS: There is no conclusive evidence of any risk to a nursing infant when the mother is vaccinated.
For premature infants: the vaccination is performed in the same way as full-term infants because the immune response in preterm infants is still adequate. However, to avoid the possibility of spreading the disease to others, the use of Sabin vaccine should only be used when children have been discharged from the hospital.
Some cases of premature infants have a lower immune response to the hepatitis B and Hib vaccines than those born to premature infants, so the vaccination against hepatitis B for premature babies is carried out. in two ways. The first way of injecting the first dose right away.

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