TABLE 3:

Noncontraindications to childhood vaccination as recommended by National Advisory Committee on Immunization and the American Advisory Committee on Immunization

Symptom or condition	Action
Mild to moderate local reaction to previous injection of vaccine	Immunize
Mild acute illness with or without fever	Immunize
Currently taking antibiotics	Immunize
Recovering from an acute illness	Immunize
Premature infant	Immunize on time – do NOT delay
Recent exposure to an infectious disease	Immunize
Personal or family history of allergy to
Penicillin	Immunize
Duck meat, duck feathers	Immunize
Molds, grasses, pollens, etc	Immunize
Eggs	Immunize except for influenza vaccine; NO contraindication to measles-mumps-rubella (MMR) vaccine
Tuberculosis (TB) or positive TB skin test	Immunize even with MMR and varicella vaccine
Simultaneous TB skin test	Immunize even with MMR and varicella vaccine
Fever 40.5°C or higher after first dose of DTP or DtaP	Immunize, give acetaminophen
Family history of sudden infant death syndrome	Immunize
Seizure within 48 h of the prior dose of DTP or DtaP	Immunize; give acetaminophen if seizure accompanied by fevers
Family history of seizures	Immunize
Persistent inconsolable crying 3 h or more within 48 h after prior dose of DTA or DtaP	Immunize
Pregnancy	Immunize with tetanus, hepatitis B, influenza and inactivated polio vaccines as required
History of Haemophilus influenzae type b disease	Immunize Haemophilus influenzae type b vaccine
Hypotonic-hyporesponsive state within 48 h after prior dose of DtaP containing vaccine	Not necessary to defer because episodes may occur with both DT, DTaP; continued immunization with all antigens is recommended

aP Acellular pertussis; D Diphtheria; P Pertussis; T Tetanus