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Question for Dr. Bob about MMR for the first time in a 4 1/2 yr old

post #1 of 4
Thread Starter 

Dr. Bob,

 

I own a copy of the Vaccine Book, but I bought it in either 2007 or early 2008 and wasn't sure of how you updated your alternative vacc. schedule to include the MMR (since it is no longer an option to split the measles, mumps, rubella into different shots).

 

What age do you now suggest getting the MMR as part of your alternate vacc. schedule? And is it given alone or paired with another shot?

 

My son is 4 1/2 and I'm considering giving him the vaccine soon. I plan to start trying to conceive another child in August. I've heard that the MMR shot "sheds." Would this pose any risk to me/my unborn child if my older son received the MMR while I'm pregnant?

 

Also, if I wait and give my son the MMR in a year or two, could it be risky for the baby to be around my older son if the vaccine does indeed "shed?"

 

Thank you for any insight into this. I've waited to give my son the MMR for a long time, so I'm quite nervous about this decision.

 

post #2 of 4

This is the usual age that I give it in my office for those who want it.  I'd say it's about half of my patients.  You should give it alone, maybe at least 6 months apart from any other vaccine.  The rubella component is the only part that is known to shed. here's a little info on that. The rubella virus can shed from the nose and throat for about 4 weeks. This poses very little danger to others, as the virus is barely infectious.  BUT it could certainly pose a risk to a pregnant mom who does NOT have rubella immunity.  If you DO have immunity, probably no worry. 

post #3 of 4
Thread Starter 

Thank you for answering my questions. I had rubella immunity when I was pregnant with my son, but that was in 2006. I called my obgyn office after I read your reply and the nurse told me that if I was immune to the rubella with my first child that I would still be immune during this pregnancy. Do you generally agree with that statement? Thank you again for your help.

post #4 of 4

yes, I'd agree with that

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