Immunizations

When to Call a Doctor

Call 911 or other emergency services if you or your child has a severe reaction to any immunization, as indicated by:

  • A major allergic reaction, such as a severe asthma episode, severe problems breathing or swallowing, or hives.
  • Significant changes in alertness within 7 days of getting the vaccine.
  • A seizure.
  • Collapsing.

Call your doctor immediately if:

  • Your child has signs of a severe reaction within 2 to 3 days after an immunization. For example, call your doctor if:
    • Your child cries for more than 3 hours and cannot be comforted.
    • Your baby younger than age 3 months has a fever of 37.5°C (99°F) or higher, measured in the armpit (axillary).
    • Your child has a fever of 39.5°C (103°F) or higher, measured in the armpit (axillary). For more information about a fever, see the topics:
  • You or your child has any unusual reaction after receiving an immunization.

Call your doctor if:

  • Redness and swelling at the site of the shot persists for more than 48 hours after receiving an injection.
  • A fever lasts for more than 48 hours after receiving an injection.

Talk with your doctor about whether you need special immunizations because of:

  • Close contact with people who have an infectious disease.
  • Planned international travel, especially to developing countries. You may be referred to a travel medicine specialist at a travel medicine clinic, especially if you need specialized immunizations.

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Author: Alison Allen
Debby Golonka, MPH
Last Updated: January 29, 2008
Medical Review: Michael J. Sexton, MD - Pediatrics
Andrew Swan, MD, CCFP, FCFP - Family Medicine

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Topic Contents
 Topic Overview
 Health Tools Click here to view Health Tools.
 Childhood Immunizations
 Adolescent Immunizations
 Adult Immunizations
 Travel Immunizations
 Bioterrorism and Immunizations
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 Home Treatment
 Other Places To Get Help
 Related Information
 References
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