Immunization Records for Selective Vax Kids? - Mothering Forums
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#1 of 11 Old 10-29-2012, 06:02 AM - Thread Starter
 
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My DC is 18 months and we're going to start vaccinating. I'm finding I like the WHO chart for "Interrupted or Delayed Immunizations". I have several questions but the first is I wonder what happens to my DC's vaccination record if we just skip some of the vaccines only recommended for young children (or recognized as having limited benefit to older children).  Does the state requirement for Hib and Rotovirus, for instance, expire after the child is 2 years old? 


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#2 of 11 Old 10-29-2012, 07:12 AM
 
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Some vaccines are only recommended for certain age groups (rotavirus I think is a good example) and if your DC is past those risky ages it's likely of no benefit to get those vaccinations. These are all questions I would bring up at the appointment to sort out with your doctor the catch up schedule which will suit you and your daughter. S/he will know better than random people posting on an internet chat board what's the right things to do. :) 


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#3 of 11 Old 10-29-2012, 07:17 AM - Thread Starter
 
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Well, I'm looking for experience with vax record issues for schools (in the States) - not quite a pediatrician's domain.  

 

I seem to recall this issue with DC #1 (who is 10) because we lived out of the county and didn't have the same vaccines available to us as the US schedule at the time. I think we missed one because of that that didn't make sense to catch up on once we got back to the states. 

 

Any selective mamas who chose not to do HIB or Rotovirus have any trouble with getting into school?

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#4 of 11 Old 10-29-2012, 07:26 AM - Thread Starter
 
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Originally Posted by prosciencemum View PostS/he will know better than random people posting on an internet chat board what's the right things to do. :) 

 

And besides...I love my random chat board mamas. love.gif


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#5 of 11 Old 10-29-2012, 10:37 AM
 
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Anonymous, random chat board person here, to give you some verifiable and not so random information...

 

Schools cannot require a vaccine that is not FDA approved for a certain age group.

 

Rotavirus is not FDA approved past 32 weeks.

 

"RotaTeq is approved for use in infants 6 weeks to 32 weeks of age."

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM142288.pdf

 

"ROTARIX is approved for use in infants 6 weeks to 24 weeks of age."

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM133539.pdf

 

There are several Hib vaccines, with various upper age limits for FDA approval, ranging from 18 months to 71 months.

http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm093833.htm

However, the CDC says, "Hib vaccine should be considered for unvaccinated persons aged 5 years or older who have sickle cell disease, leukemia, human immunodeficiency virus (HIV) infection, or anatomic/functional asplenia."

http://www.cdc.gov/vaccines/schedules/downloads/child/catchup-schedule-pr.pdf

But that is not the general population, and I have never seen Hib as a required vaccine for kindergarten and above.

 

If you are concerned about daycare requirements for Hib, that would be different from state to state.

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#6 of 11 Old 10-29-2012, 10:58 AM - Thread Starter
 
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Originally Posted by ma2two View Post

Anonymous, random chat board person here, to give you some verifiable and not so random information...

 

Schools cannot require a vaccine that is not FDA approved for a certain age group.

 

Rotavirus is not FDA approved past 32 weeks.

 

"RotaTeq is approved for use in infants 6 weeks to 32 weeks of age."

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM142288.pdf

 

"ROTARIX is approved for use in infants 6 weeks to 24 weeks of age."

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM133539.pdf

 

There are several Hib vaccines, with various upper age limits for FDA approval, ranging from 18 months to 71 months.

http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm093833.htm

However, the CDC says, "Hib vaccine should be considered for unvaccinated persons aged 5 years or older who have sickle cell disease, leukemia, human immunodeficiency virus (HIV) infection, or anatomic/functional asplenia."

http://www.cdc.gov/vaccines/schedules/downloads/child/catchup-schedule-pr.pdf

But that is not the general population, and I have never seen Hib as a required vaccine for kindergarten and above.

 

If you are concerned about daycare requirements for Hib, that would be different from state to state.

Interesting! The WHO lists RV (both forms) as still desirable under 12 months and "limited benefit" over 24 months and Hib as not recommended over 2. 


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#7 of 11 Old 11-07-2012, 09:03 AM
 
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See what your state "requires" for school. Here in Ohio for children starting kindergarten they need to have Dtap,polio,Hep B.,chickenpox,and MMR. younger kids going into preschool need different shots and different doses.

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#8 of 11 Old 11-07-2012, 04:22 PM
 
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For kindergarten admission, most states want kids up-to-date on DTaP, polio, MMR, Hep B, and varicella. Some, including my own, want Hep A. None of them require HIB, RV, or Prevnar 7/13 for kindergartners. Look up your state's laws to be sure:

http://www.nvic.org/Vaccine-Laws/state-vaccine-requirements.aspx

Also, are you planning to get caught up on all of the requirements, or just some? If you're thinking of just doing just some, keep in mind that in some states--especially those with only stringent religious exemptions--you have to do all or nothing. Laws aren't always clear about this, so you may want to ask some experienced moms in the find-your-tribe section.

Also, docs in the states use the CDC's catch-up schedule (readily Googlable) and not the WHO's. (I'm not sure, but there may not be a difference). *Study the chart carefully* including the footnotes. Nurses who are used to working on autopilot with vax-compliant families can easily overlook the details and give extra, unnecessary doses. Ask me how I know. eyesroll.gif

Good luck!

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#9 of 11 Old 11-08-2012, 04:42 AM - Thread Starter
 
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Great, thanks for the suggestions. We've already run into some issues with the WHO vs. CDC schedule so I guess I'll need to print both out and do some comparison. If we do end up being selective, I suppose we'll just do an exemption but I'd like DC to be fully vaxed for Kindy. 


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#10 of 11 Old 11-08-2012, 04:51 AM - Thread Starter
 
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That is a great link! I'm a big scattered with my resources for vax info and that link is so wonderful! It certainly simplifies the question of which vaxs needed for school and makes THAT part of the process seem so much more do-able. Thanks so much for that! 

 

I feel like I can now use that as our "will vax" list and then move off that list to the "optional" vaccines (as far as school is concerned) and really research based only on need, effectivness and side effects. 


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#11 of 11 Old 11-25-2012, 03:35 PM
 
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My son is in kindergarten now and never received the rotavirus vax, Hep A or B and only had one Hib dose. Once he turned 5 they didn't require the Hib anymore so it was a non-issue. His school only requires that he be up to date on Chicken Pox, MMR, Polio and DTAP which he is. He was never up to date on his vaxes for pre-school but they never cared. We follow a delayed/selective schedule and luckily it's all worked out so far.


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