Report every vaccine reactions to clinic, Paediatrician urges parents

A Consultant Paediatrician, Dr Folusho Balogun, has stressed the need for parents to always report any vaccine reactions experienced by their children, to the immunisation clinic.

Balogun, Consultant Paediatrician, Institute of Child Health, University College Hospital, UCH, Ibadan, made the remark on Friday in an interview with our correspondent, Ibadan.

Balogun, also the Oyo State Team Lead of the International Paediatrics Association and Paediatric Association of Nigeria Immunisation champions, said the reports should be used to improve vaccination programmes.

Balogun was speaking on how to manage vaccines reactions in children.

She urged clinics to encourage clients’ report of Adverse Events Following Immunisation (AEFI), do proper documentation and forward the records to the right quarters.

The paediatrician emphasised that the data should be stored and processed appropriately to inform policy and practice.

She added that the AEFI investigation committee should be visible to the public and active at local government, state and national levels.

According to her, it’s the Pentavalent vaccine(the pertussis component) taken at 6,10 and 14 weeks that infants react to most.

“It causes fever and irritability which usually subside within 12 to 24 hours; parents are advised to give the infants paracetamol to control the reactions”.

Balogun cautioned that babies of HIV positive mothers needed to be assessed by health workers to determine their fitness to take some vaccines such as BCG.

She said the HIV exposed infant should be evaluated before the commencement of Immunisation.

“Common vaccine reactions are pain at the
injection site, swelling which sometimes forms pus, redness especially in light skinned children and sometimes convulsion.

“Parents are usually informed about the likely side effect before vaccine administration and they are told what to do.

“For fever and pain, paracetamol is given, for swellings, cold compress like ice pack is used.

“For convulsion, the child should be laid on the left side till it subsides because most cases last for few minutes; then the child should be brought back to the clinic for evaluation,” she said.

Balogun stresses that younger children especially infants, were more likely to react to vaccines than older ones.

She added that the older the child, the less likely the chance of a reaction.