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3l.12 When is the rotavirus vaccine contraindicated?




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This article is from the Childhood Vaccinations FAQ, by Lynn Gazis-Sax lynng@alsirat.com with numerous contributions by others.

3l.12 When is the rotavirus vaccine contraindicated?

Although the rotavirus vaccine has been withdrawn as of October, 1999,
I am retaining the answer to this question, in case it should be later
reintroduced in some form.

The rotavirus vaccine should not be given in case of: Infants with
hypersensitivity to aminoglycoside antibiotics, amphotericin B, or
monosodium glutamate that are components of the vaccine, or an
anaphylactic reaction to a previous dose of the rotavirus vaccine.

Until further data are available, this live-attenuated vaccine should
not be given to children who are immunosuppressed or
immunodeficient. Babies of women who are HIV-infected should not get
the vaccine unless these babies have tested as HIV-negative at the age
of two months or older.

The rotavirus vaccine should be postponed in case of: Acute vomiting
and diarrhea (efficacy is uncertain in this case). Moderate or severe
fever.

The rotavirus vaccine may be given in case of: Breastfeeding,
premature birth, and low grade fever. The vaccine can be given at same
time as DTaP or DTP, HiB, hepatitis B, or IPV/OPV, and there is no
need to adjust the timing for antibody-containing blood
products. Infants living with people known or suspected to be
immunocompromised may be immunized.

 

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