The case for vaccination - Page 25

[Rrrrrachel]

These guys are what we always get.
http://www.cdc.gov/vaccines/pubs/vis/#varicella

[Rrrrrachel]

According to that link giving them out is federal law in the us.

"Before a healthcare provider vaccinates a child or an adult with a dose of any vaccine containing diphtheria, tetanus, pertussis, mea- sles, mumps, rubella, polio, hepatitis A, hepatitis B, Haemophilus influenzae type b (Hib), influenza, pneumococcal conjugate, me- ningococcal, rotavirus, human papillomavirus (HPV), or varicella (chickenpox) vaccine, the provider is required by the National Child- hood Vaccine Injury Act (NCVIA) to provide a copy of the VIS to either the adult recipient or to the child"

[erigeron]

Same here. As a patient or parent, I've had to sign the form and was given the information sheet. As a provider, I have to make sure that they sign the form and are given the sheet. Whoever these providers are who are not doing this are breaking all kinds of laws, I'm pretty sure.

[Adaline'sMama]

Originally Posted by stik 

I have always had to sign a form. I've also never had vaccination "sprung on me." I make appointments. I know what they are for. I have had plenty of opportunity to obtain and consider information about the vaccines being administered. I have been satisfied that the risks of vaccination are dramatically less than the risks of VPDs.

Same here. I don't know anyone IRL who doesnt have to read over an information form, and sign it before their child is vaccinated. I know there are people who don't have as much access to information as I do, but I have such a hard time believing that kids are just being vaccinated without parental consent on a regular basis.

[WildKingdom]

I always have to sign a form. As a physician, I can say that all of my patients are giveN VIS forms. They all have to sign a consent for each vaccine, and the lot number is logged on that sheet.

[crayfishgirl]

Originally Posted by Rrrrrachel 

I've always had to sign a form and I've always gotten the information sheet, including possible side effects, to take with me.

Me too.

[AbbyGrant]

*

Edited by AbbyGrant - 6/28/12 at 8:58pm

[Bokonon]

When my DS was fully vaccinated, I never had to sign anything, and was given the VIS after the shots, each time.  My kids only had shots under one pediatrician, but that was how he seemed to do things.

[Taximom5]

I always had to sign a form--AFTER they gave the shot. I wsa told that that form was my consent for treatment (i.e., vaccination); it didn't say anything about informed consent.. The "information form" was given to me at the very end of the appointment, and it was just a generic vaccination form. It never listed which vaccines my child was given, nor where it was injected. It said that my child had just received one or more vaccines, and that side effects were usually mild, and included redness and swelling at the injection site, mild fever, and perhaps fussiness.

[MichelleZB]

I was given information and had to sign a form when I was given an MMR booster as an adult (right after giving birth to my son!).

I haven't been given anything to sign for my son. I would have to sign something, though, to show I was aware of the risks of not vaccinating if I were to decline a shot.

[SweetSilver]

We simply initialed beside the vaccine that was to be given, and an info sheet with side effects, etc., and care after the visit.  We did not have to sign anything if we were declining one or more vaxes, just left that line blank.

Since we haven't had the boosters, starting at school age we sign a very brief slip for the doctor's office, stating that we were told of the vaxes that were due and that we were declining, and nothing else.

[prosciencemum]

I don't remember about signing, but in the UK we are given standard information sheets for each vaccination, and the nurse who is doing the shots will also ask if you have questions and if you understand what is happening. We don't see  Doctor for immunizations here (or well child checks unless a problem is noticed by the nurse). 

[MichelleZB]

Remember that informed consent doesn't always mean signing. Maybe it does in the US? But a doctor can usually obtain verbal consent from a patient, too, right? I remember that I refused induction drugs when my water broke, and they had to explain to me all the risks of doing that were (I was GBS+), and I had to state that I understood and was still refusing. But the hospital did that all verbally and they considered my verbal agreement my "informed consent".

I always assumed that my doctor considered my booking the appointment to be consent for my son's shots. She always explains what vaccines he's getting and talks about what I could expect in terms of side effects and tells me to call if there are any reactions, but she does that all verbally, and I kind of think that's legit.

[AbbyGrant]

*

Edited by AbbyGrant - 6/28/12 at 8:58pm

[Rrrrrachel]

The signature requirement varies by state.

[Louisw]

Originally Posted by AbbyGrant 

I don't think a signature is required.  But in the US, a Vaccine Information Statement (VIS) is supposed to be given for each vaccine before it's administered.
 

IMO demand this info sheet BEFORE "vaccination day". READ every word, for all eight "vaccines", AT HOME, if you do not understand ANY of it get HELP understanding it Your child is counting on you.

[erigeron]

Wow, I actually agree with Louis on something! I'm in favor of getting information on the vaccine before it is given, too. :)

[Louisw]

Package Inserts and Manufacturers

for some US Licensed

Vaccines and Immunoglobulins

http://www.vaccinesafety.edu/package_inserts.htm

One DTaP "Vaccine" Verrrrry interesting.

The point estimate of protective efficacy for two doses of vaccine was 69% (95% CI; 47% to 82%) for all cases of culture-confirmed pertussis with any cough 1 day or longer and 79% (95% CI; 57% to 90%) using a secondary case definition of culture-confirmed cases with cough of over 30 days duration.18 In a reanalysis of the Swedish data, efficacy estimates increased with duration of coughing spasms and when the case definition included whoops and whoops plus at least nine coughing spasms a day.20 Using a case definition of 21 days or more of coughing spasms, confirmed by positive culture, resulted in an efficacy estimate of 81% (95% CI; 61% to 90%).20

Using a passive reporting system, three-year unblinded follow-up of vaccine and placebo recipients from the above Swedish study has shown a post-trial efficacy of 77% (95% CI; 65% to 85%) for all culture-proven cases of pertussis, and an efficacy of 92% (95% CI; 84% to 96%) for culture-proven cases with a cough of over 30 days duration.21

,,,

CONTRAINDICATIONS Hypersensitivity to any component of the vaccine is a contraindication to receipt of Tripedia vaccine (see DESCRIPTION section).15

It is a contraindication to use Tripedia vaccine after a serious allergic reaction (eg, anaphylaxis) temporally associated with a previous dose of this vaccine or with any components of this vaccine, including thimerosal and gelatin. Because of the uncertainty as to which component of the vaccine might be responsible, no further vaccination with any of these components should be given. Alternatively, such individuals may be referred to an allergist for evaluation if further immunizations are to be considered.
Page 5 of 13

In addition, the following events are contraindications to administration of any pertussis-containing vaccine, including Tripedia vaccine.11
•
Encephalopathy (eg, coma, decreased level of consciousness, prolonged seizures) within 7 days of administration of a previous dose of a pertussis-containing vaccine that is not attributable to another identifiable cause;
•
Progressive neurologic disorder, including infantile spasms, uncontrolled epilepsy, or progressive encephalopathy. Pertussis vaccine should not be administered to individuals with such conditions until a treatment regimen has been established and the condition has stabilized.

In instances where the pertussis vaccine component is contraindicated, DT vaccine should be administered for the remaining doses in the vaccination schedule.

WARNINGS

The stopper of the vial contains dry natural latex rubber that may cause allergic reactions in latex sensitive individuals.
If any of the following events occurs in temporal relation with the receipt of either whole-cell pertussis DTP vaccine or a vaccine containing an acellular pertussis component, the decision to administer subsequent doses of Tripedia vaccine or any vaccine containing a pertussis component should be based on careful consideration of potential benefits and possible risks.15,23
1.
Temperature of ≥40.5°C (105°F) within 48 hours, not attributable to another identifiable cause.
2.
Collapse or shock-like state (hypotonic-hyporesponsive episode) within 48 hours.
3.
Persistent crying lasting ≥3 hours within 48 hours.
4.
Convulsions with or without fever, occurring within 3 days.

When a decision is made to withhold the pertussis component, immunization with DT vaccine should be continued.3
If Guillain-Barré syndrome occurs within 6 weeks of receipt of prior vaccine containing tetanus toxoid, the decision to give subsequent doses of Tripedia vaccine or any vaccine containing tetanus toxoid should be based on careful consideration of the potential benefits and possible risks.11

Because of the risk of hemorrhage, Tripedia vaccine should not be given to infants or children with any coagulation disorder, including thrombocytopenia, that would contraindicate intramuscular injection, or to those on anticoagulant therapy, unless the potential benefit clearly outweighs the risk of administration. If the decision is made to administer Tripedia vaccine in such infants or children, it should be given with caution, with steps taken to avoid the risk of bleeding and hematoma formation following injection.

A family history of seizures or other central nervous system disorders is not a contraindication to pertussis vaccine.3,11,15,23 For infants or children at higher risk for seizures than the general population, an appropriate antipyretic may be administered at the time of vaccination with a vaccine containing an acellular pertussis component (including Tripedia vaccine) and for the ensuing 24 hours according to the respective prescribing information recommended dosage to reduce the possibility of post-vaccination fever.11,15

A committee of the Institute of Medicine (IOM) has concluded that evidence is consistent with a causal relationship between whole-cell pertussis DTP vaccine and acute neurologic illness, and under special circumstances, between whole-cell pertussis DTP vaccine and chronic neurologic disease in the context of the National Childhood Encephalopathy Study (NCES) report.24,25 However, the IOM committee concluded that the evidence was insufficient to indicate whether or not whole-cell pertussis DTP vaccine increased the overall risk of chronic neurologic disease.25

The decision to administer a pertussis-containing vaccine to children with stable central nervous system disorders must be made by the physician on an individual basis, with consideration of all relevant factors, and assessment of potential risks and benefits for that individual. The Advisory Committee on Immunization Practices (ACIP) and the Committee on Infectious Diseases of the American Academy of Pediatrics (AAP) have issued guidelines for such children.15,22,23 The parent or guardian should be advised of the potential increased risk involved (see PRECAUTIONS, Information for Vaccine Recipients and Parents or Guardians section).
The ACIP has published guidelines for vaccination of persons with recent or acute illness.11

Except for reconstitution of Tripedia vaccine with ActHIB vaccine for administration of the fourth dose to children 15-18 months of age, Tripedia vaccine should not be combined through reconstitution with any vaccine (see PRECAUTIONS section, Drug Interactions subsection).

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm101580.pdf

READ Mothers Please READ

[Louisw]

Originally Posted by erigeron 

Wow, I actually agree with Louis on something! I'm in favor of getting information on the vaccine before it is given, too. :)

Your wish WAS my COMMAND!

[Louisw]

Originally Posted by MichelleZB 

I haven't been given anything to sign for my son. I would have to sign something, though, to show I was aware of the risks of not vaccinating if I were to decline a shot.

Signing a piece of paper does not make you aware of risks and supposed "benefits"

Only YOUR RESEARCH can do this. 

If I were running this site, yeah I KNOW, I would SOFTLY assign a "vaccine" to a group of mothers, let them digest and come to an UNDERSTANDING of the fact sheet and present the results to the group.

My candidate the extremely toxic "Pertussis Vaccine".