Common Side Effects of

Immunization and their

Nursing Interventions
Bench Conference

Group 2

Chiu, Patricia Marie

Guia, Lecel

Hervin, Krislee Anna

Sucalit, Athena
OBJECTIVES

General Objectives
After the bench conference, the client will be able to identify common side effects of the different
vaccines, exhibit positive attitude in the care of child during vaccination, gain beginning skills in the care of
child after vaccination

Specific Objectives
After 30-45 minutes of student nurse-client interaction, the client will be able to:

1. cite common side effects upon vaccination and their interventions

2. cite adverse effects upon vaccination that may require immediate medical attention
3. participate in the class as an active listener by raising his/her own questions and suggesting ways on
how to care for child on the onset of side effects
4. show beginning skills in the care of child after vaccination
DOH Expanded Program of Immunization

For Infants
VACCINE TARGET DISEASE WHEN INTERVAL

1. BCG Anytime at Birth

Tuberculosis
Once
School Entrance

2. Hepa B 6 wks. interval from 1st dose to 2nd

Hepatitis B Anytime dose,
at Birth then 8 weeks interval from 2nd to 3rd
dose
Diptheria, Pertussis, Tetanus
3. DPT
6 wks. Up to 11
(Luas sa Kabaw, Hutoy-hutoy, 4 weeks x 3 doses
mos.
Tetanus)

4. OPV Polio 6 wks. Up to 11

4 weeks x 3 doses
mos.
Measles
5. MMR / 9 months
Once
AMV (MMR: Mumps, Measles, Rubella)
FULL IMMUNIZATION: 1 BCG, 3 Hepa B, 3 DPT, 3 OPV, and 1 Measles before 1st Birthday

TETANUS TOXOID for Mothers

VACCINE SCHEDULE % OF PROTECTION DURATION OF PROTECTION

Not yet protected

TT1 As early as possible during pregnancy
none

TT2 At least 4 weeks later 80%

3 years

TT3 At least 6 months later 95%

5 years

TT4 At least 1 year later 99%

10 years

TT5 At least 1 year later 99%

Lifetime
BCG (Bacillus Calmette-Guerin)

Common Side Effects:

• Immediately after the injection a white lump (wheal) is seen for around 30 minutes.
• Koch’s phenomenon
o A red spot / small swelling will appear in 3 – 6 weeks time. Looks like a mosquito bite.
o This will develop into a sore, often with pus, which breaks open and forms an ulcer
o A scab forms over the sore for around 2-5 weeks, which may take several weeks to heal.
o A scar usually remains at the site of the injection.
• Swelling of lymph nodes at the armpit and/or neck

What to do?
• Leave the sore alone and ensure it remains exposed to the air. This helps it to heal quickly.
• Do not scratch, press, or rub
• No ointment or antiseptics
• Clean with warm water.

Adverse Effects:

• Fever
• Ulceration w/in 7 weeks
• Prolonged glandular enlargement

Mat be due to:

• Wrong administration technique
• Unsterile syringe
• Overdosage
• Infection

What to do?
• Consult Physician
• Fever: Tepid Sponge Bath

a. Live weakened vaccine like BCG must not be given to individual who are immunocompromised
due to malignant disease.
b. Delay if child has fever

1. Indolent ulceration – may be due to:

a. wrong technique
b. exposure of infant to people with active TB

2. Glandular Enlargement – may be due to:

a. unsterile syringe or needle was used
b. overdosage
C. wrong administration