RT Journal Article
SR Electronic
T1 Re-vaccination of 421 children with a past history of an adverse vaccine reaction in a special immunisation service
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 128
OP 131
DO 10.1136/adc.83.2.128
VO 83
IS 2
A1 Michael Gold
A1 Helen Goodwin
A1 Sue Botham
A1 Margaret Burgess
A1 Margot Nash
A1 Ann Kempe
YR 2000
UL http://adc.bmj.com/content/83/2/128.abstract
AB BACKGROUND In Australia an adverse event following immunisation (AEFI), with the exception of anaphylaxis and encephalopathy, is no longer considered an absolute contraindication to continuing vaccination with the suspect vaccine. Despite these recommendations there is a paucity of information on the re-vaccination of such children.AIMS To describe the re-vaccination of a large number of children with a past history of an AEFI.METHODS A review of children attending special immunisation services in three Australian tertiary care paediatric centres.RESULTS During the review 970 children attended of whom 469 had experienced a past AEFI. Of these, 293 had experienced minor while 176 children had experienced significant neurological or allergic reactions. The majority (421/469) were re-vaccinated, with only one child having a significant neurological event; this was transient and resolved spontaneously.CONCLUSIONS Re-vaccination of children who have a past history of an AEFI appears safe. A special immunisation service should be part of a comprehensive immunisation programme.