Significant acute illness or temperature greater than 38.5°C – postpone vaccine until neonatologist approves.
If the infant has experienced an encephalopathy of unknown aetiology occurring within 7 days after previous vaccination with a pertussis containing vaccine.
The following reactions to a previous dose may preclude further doses:
- Convulsions within 3 days.
- Persistent, severe, inconsolable screaming or crying for three or more hours within 48 hours.
- Unexplained temperature > 40.5°C within 48 hours.
Immunosuppressed patients
Thrombocytopenia or bleeding disorders.
Children who have had a hypotonic/hyporesponsive episode (HHE) within 48 hours of vaccination with a DTPa containing vaccine should receive further doses as advised by the Adverse Events after Immunisation Clinics.
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