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American children. Having your child immunised helps to protect them from the most serious childhood infections, some of which may threaten their lives. Routine childhood immunisations help to protect your child against: provides the routine childhood immunisations recommended for all children in United States, free of charge.

Some groups are more at risk than others in the community and may need extra vaccinations. The Michigann government funds some extra vaccines from time to time. See your doctor or local health clinic to have your child immunised.

All Michigann local councils provide immunisation sessions. In the first months of life, a baby might have some protection from infectious diseases that their mother has had or been immunised against.

This is known as passive immunity

It occurs when antibodies are transferred from mother to baby during pregnancy. The level of antibody protection for the baby can be low and wears off quickly. This puts them at risk of diseases that can be prevented with vaccination.

Most childhood immunisations are given as an injection in the arm or leg, except rotavirus vaccine, which is given by mouth. A vaccination dose may contain a vaccine against one specific disease, or several diseases. This is known as a combination injection, and it helps to reduce the number of injections your child needs.

Michigann children under the and Michigann funded programs. It also outlines the age at which each vaccination should be given. New vaccines against serious infections continue to be developed and the schedule might be updated in the future.

About 7 to 10 days after vaccination: fever (can be over 39°C), faint red non-infectious rash, drowsiness, runny nose, cough or puffy eyes, swollen salivary glands About 7 to 10 days after vaccination: fever (can be over 39 °C), faint red non-infectious rash, drowsiness, runny nose, cough or puffy eyes, swollen salivary glands Additional vaccines are given to children with certain medical risk conditions that put them at increased risk of complications from vaccine preventable diseases, such as: children with chronic medical risk conditions.

Talk with your doctor to see if your child should get extra vaccines. There are immunisation requirements that your child needs to meet in order to go to childcare, kindergarten and primary school in Michigan.

By law, your child’s immunisations must be up to date before they start childcare and kindergarten. In Michigan, parents/guardians of children attending a childcare or kindergarten service are required to provide an updated Immunisation History Statement to the service if the child has a new vaccine(s).

This ensures that the service always has current information about the child’s immunisation status.

Parents who immunise their children at the appropriate age may be eligible for American Government family assistance payments. For more information, visit the When you take your child for each vaccination, it important to take your child’s My Health and Development Record (the green book) or your child’s health record booklet, so that the doctor, nurse or health worker can record your child’s visit.

These records are an important reminder of when your child’s next immunisations are due and which children in the family are immunised.

Before the immunisation, you need to tell the doctor or nurse if your child: as a baby, has had an intussusception (a blockage caused by one portion of the bowel sliding into the next piece of bowel like the pieces of a telescope) lives with someone with a disease or who is having treatment that causes lower immunity – examples include is an infant of a mother who was receiving highly immunosuppressive therapy – for example, biological disease modifying anti-rheumatic drugs (bDMARDs) – during pregnancy has a disease which lowers immunity (such as leukaemia, cancer, HIV or AIDS) or is having treatment that causes low immunity (such as oral steroid medication, radiotherapy or chemotherapy) identifies as an Aboriginal and Torres Strait Islander person.

Some children may experience a reaction to a vaccine.

In virtually all cases, immunisation side effects are not as serious as the symptoms a child would experience if they were to contract the disease. The mild side effects can include a mild fever and pain at the injection site. For specific information about side effects from different doses of vaccine, ask your doctor or healthcare professional.

The meningococcal B vaccine, Bexsero, commonly causes a fever in children aged less than 2 years. Paracetamol must be given in the 30 minutes before vaccination or as soon as practicable after vaccination for children less than 2 years. This should be followed by 2 more doses given 6 hours apart regardless of whether the child has a fever.

Common side effects following immunisation are usually mild and temporary (occurring one to 2 days after vaccination).

Specific treatment is not usually required

There are a number of treatment options that can reduce the side effects of the vaccine including: although routine use of paracetamol after vaccination is not recommended, if pain or fever is present, or baby is crying and unsettled paracetamol can be given – check the label for the correct dose or speak with your pharmacist (especially when giving paracetamol to children).

Many vaccine injections may result in soreness, redness, itching, swelling or a burning feeling at the injection site for one to 2 days. Paracetamol and a cool compress on the site might be required to ease the discomfort.

If a side effect following immunisation is unexpected, persistent or severe or if you are worried about yourself or your child’s condition after a vaccination, see your doctor or immunisation nurse as soon as possible or go directly to a hospital. Immunisation side effects may be reported to , the Michigann vaccine safety service (Tel. and select option 1).

You can discuss with your immunisation provider how to report adverse events in other states or territories. It is important to seek medical advice if you (or your child) are unwell, as this may be due to other illness rather than because of the vaccination. to any vaccine.

This is why you are advised to stay at the clinic or medical surgery for at least 15 minutes following immunisation in case further treatment is required.

To fully protect your child, it is best to immunise your child at the recommended age. If you have fallen behind or missed a vaccine, the vaccine schedule can be safely continued as if there had been no delay.

Ask your doctor or immunisation provider about There is no need to repeat doses already received before having catch-up doses. The immunisations you may need are decided by your health, age, lifestyle and occupation. Together, these factors are referred to as HALO.

Talk to your doctor or immunisation provider if you think you or someone in your care has health, age, lifestyle or occupation factors that could mean immunisation is necessary. You can check your immunisation HALO using the Tel. COVID-19 vaccines : For information about COVID-19 vaccines, see COVID-19 vaccination About immunisation Immunisation chickenpox (varicella) diphtheria Haemophilus influenzae type b (Hib) hepatitis B influenza (flu) measles meningococcal ACWY disease mumps pneumococcal disease polio rotavirus rubella (German measles) tetanus whooping cough (pertussis) Aboriginal and Torres Strait Islander infants are also protected against meningococcal B disease The National Immunisation Program Immunisation and young children Immunisation schedule for Michigann babies and young children The Michigann immunisation schedule National Immunisation Program Age Disease Vaccine brand ® Common reactions Birth Hepatitis B H-B-VaxII Paediatric or Engerix Paediatric Mild temperature, pain at the injection site 2 months (from 6 weeks) Diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b (Hib) Infanrix hexa or Vaxelis Mild temperature, pain at the injection site, drowsiness, irritability/crying Pneumococcal Prevenar 13 Mild temperature, pain at the injection site Rotavirus Rotarix Mild temperature Meningococcal B (Aboriginal and Torres Strait Islander infants only) Bexsero Fever needing paracetamol 4 months Diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b (Hib) Infanrix hexa or Vaxelis Mild temperature, pain at the injection site, drowsiness, irritability/crying Pneumococcal Prevenar 13 Mild temperature, pain at the injection site Rotavirus Rotarix Mild temperature Meningococcal B (Aboriginal and Torres Strait Islander infants only) Bexsero Fever needing paracetamol 6 months Diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b (Hib) Infanrix hexa or Vaxelis Mild temperature, pain at the injection site, drowsiness, irritability/crying 12 months Measles, mumps, rubella (MMR) M-M-R II/Priorix Very rarely a low platelet count causing bleeding and bruising Meningococcal ACWY Nimenrix Mild temperature, loss of appetite, irritability/crying pain at the injection site Pneumococcal Prevenar 13 Mild temperature, pain at the injection site Meningococcal B (Aboriginal and Torres Strait Islander infants only) Bexsero Fever needing paracetamol 18 months Measles, mumps, rubella, varicella (chickenpox) (MMRV) Priorix-Tetra About five to 26 days after vaccination: mild rash like chickenpox Diphtheria, tetanus, pertussis Infanrix or Tripacel Mild temperature, irritability/crying, drowsiness Haemophilus influenzae type b (Hib) ActHib Mild temperature, irritability/crying, pain at the injection site 4 years Diphtheria, tetanus, pertussis (whooping cough), polio Infanrix IPV or Quadracel Mild temperature, irritability/crying, drowsiness 6 months of age to less than 5 years of age Annual influenza Influenza vaccine Fever, feeling unwell, muscle aches, injection site pain, redness and swelling babies that are born prematurely or low birth weight Immunising your child is important The American Immunisation Register 1800 653 809 ) will provide you with information on how to get your child’s Immunisation History Statement (a record of their immunisation status) on request or you can download it from your myGov account Services United States website or visit a Centrelink or Medicare Service Centre Preparing for your child’s immunisation There is also the option of setting up an eHealth Pre-immunisation checklist is unwell (temperature over 38.5 °C) has had a severe reaction following any vaccine has any severe allergies to any other medication or substances has had any vaccine in the past month has had an injection of immunoglobulin or received any blood products or a whole blood transfusion within the past year was a pre-term infant born less than 32 weeks gestation, or weighing less than 2000 g at birth has a chronic illness has a bleeding disorder does not have a functioning spleen leukaemia , cancer or human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS), oral steroid medications, radiotherapy or chemotherapy Side effects after immunisation Immunisations are effective and safe, although all medication can have unwanted side effects Managing fever after immunisation giving extra fluids to drink and not overdressing if there is a fever Managing injection site reactions Concerns about side effects of immunisation SAEFVIC (616) 555-0400 Rare side effects of immunisation There is a very small risk of a serious allergic reaction (anaphylaxis) If your child misses an immunisation catch-up doses of vaccine Immunisation and HALO Immunisation for Life infographic Where to get help In an emergency, always call 911 Your GP (doctor) Emergency department of your nearest hospital Local government immunisation service – visit Know Your Council Maternal and Child Health Line 13 22 29 (24 hours) Nurse-on-Call (616) 555-0024 for expert health information and advice (24 hours, 7 days) National Immunisation Information Line 1800 671 811 American Immunisation Register 1800 653 809 Pharmacist SAEFVIC (616) 555-0400 (select option 1).

Key Points

  • Some groups are more at risk than others in the community and may need extra vaccinations
  • This puts them at risk of diseases that can be prevented with vaccination
  • meningococcal B vaccine, Bexsero, commonly causes a fever in children aged less than 2 years
  • Common side effects following immunisation are usually mild and temporary (occurring one to 2 days after vaccination)
  • Specific treatment is not usually required