After Shot Care
   
The page started on 01/02/2009, Updated on 03/20/2012
     
     
  Common immunization Side-Effects  
  If these problems occur, they usually start within hours to days after the shots, last 1 to 3 days, and go away on their own.  
 
  • Fever over 100 to 101 degrees Fahrenheit
  • Redness, warmth, swelling where the shot was given
  • Fussiness and crying
  • Mild rash
  • Poor appetite
  • Tiredness and sleepiness
 
  Tips for soothing during vaccination  
 
  • Hug during the shot
  • Stay calm and say soothing words
  • Distract with story talking or toys
  • Distract with pacifier or breast feeding
 
  Tips for managing swollen, hot, or red leg/arm and fever after shots  
 
  • Apply cold compress over the sore area for comfort with a cool and wet washcloth.
  • Check room temperature, and keep it around 72 to 76 degrees Fahrenheit.
  • Clothe lightly
  • Give an aspirin-free pain and fever reliever such as acetaminophen or ibuprofen
  • Sponge in 1–2 inches of lukewarm water
 
  Call the doctor  
 
  • If temperature is over 102 F or higher or if a fever lasts for over three days
  • If fussy for more than 24 hours
  • If redness or tenderness over the injected site increases after 24 hours
  • If we seem really sick
  • If Flu-like symptoms occur 1 to 30 days after vaccination
 
  Call the doctor for the following rare problems  
 
  • High fever over 104 to 105 degrees Fahrenheit
  • Crying persistently for more than 3 hours and won't quit
  • Behavior changes or decrease in responsiveness
  • Seizure (body shaking, twitching or jerking)
  • Signs of an allergic reaction such as hives, swelling eye lids or lips, difficulty breathing, hoarseness or wheezing, a fast heartbeat, or dizziness within a few minutes to hours after a shot.
 
  Report the reaction to vaccine adverse event reporting system (VAERS).  
  VAERSdoes not provide medical advice, but collect the information to notify experts for the possible problems with vaccines.  
 
  • Ask our doctor to save any left over vaccine and record the lot number.
  • Ask our doctor to report the reaction by filing a VAERS form through the website at www.vaers.org, or you can call 1-800-822-7967.
 
  Common dosages of fever medications  
 

 

Age

 

Weight (pounds)

Acetaminophen
e.g. Tylenol

Ibuprofen
e.g. Advil or, Motrin

Liquid
160 mg/tsp
(1tsp=5.0ml)

Infant Drops
50 mg/dropper
(1.25 mL)

Liquid
100 mg/tsp
(1tsp=5.0ml)

0-3 months

6-11

Call physician

Call physician

4-6 months

12-14

½ tsp, 2.5ml

Call physician

7-11 months

15-17

3/5 tsp, 3.0ml

1¼ dropper, 1.5ml

3/5tsp, 3.0ml

 

18-20

¾ tsp, 4.0ml

1½ dropper, 1.8ml

¾ tsp, 4.0ml

12-23 months

21-23

¾ tsp, 4.0ml

2 dropper, 2.5ml

1 tsp, 5.0ml

 

24-26

1 tsp, 5.0ml

2 dropper, 2.5ml

1 tsp, 5.0ml

2-3 years

27-31

tsp, 5.0ml

2½ dropper, 3.0ml

1¼ tsp, 6.0ml

 

32-35

1¼ tsp, 6.0ml

3 dropper, 3.75ml

1½ tsp, 7.5ml

 
 
More Information
 
After Shot Care (Spanish) - IAC