I would skip the pre-prophylactic Tylenol. That should be reserved if your child becomes very uncomfortable post-vaccinations. I have used just an ice pack for injection site reactions. Perhaps others will come along that swear by EMLA cream prior to vaccinations.
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It is hard, but it will be ok. I wish shots didn't have to hurt!!! I am with you though, my baby is not in daycare but we are out at playgroups with many other babies and children all the time. 
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