What happens if you get mmr

Our Mission. Find a Pediatrician. Text Size. Page Content. MMR vaccine Children need 2 doses of MMR vaccine, usually: First dose at 12 through 15 months of age Second dose at 4 through 6 years of age Infants who will be traveling outside the United States when they are between 6 and 11 months of age should get a dose of MMR vaccine before travel.

A third dose of MMR might be recommended in certain mumps outbreak situations. Is pregnant , or thinks she might be pregnant. Has ever had a condition that makes him or her bruise or bleed easily. Has recently had a blood transfusion or received other blood products. Has tuberculosis. Has gotten any other vaccines in the past 4 weeks. Risks of a vaccine reaction Soreness, redness, or rash where the shot is given and rash all over the body can happen after MMR vaccine.

Fever or swelling of the glands in the cheeks or neck sometimes occur after MMR vaccine. What if there is a serious problem? For other signs that concern you, call your health care provider. How can I learn more? Ask your health care provider. Call your local or state health department. This includes swelling of the glands in the cheek, neck or under the jaw.

It lasts for a day or two. Around 12—14 days after the injection, the rubella vaccine may cause a brief rash and possibility a slightly raised temperature.

On rare occasions, a rash may also occur up to 6 weeks later. Rarely, at around 1—3 weeks, some adults experience painful, stiff or swollen joints, which can last for around 3 days. Side effects What should I do? Mild rash May be from the measles or rubella part of the vaccine. Usually happens between 6 and 14 days after vaccination.

It should get better after a few days. No treatment is required. The rash is not infectious. Contact your doctor if you are worried. Mild swelling under the jaw May be from the mumps part of the vaccine.

It can happen 1—4 weeks after the vaccine was given. Pain, swelling or redness around the injection site hard and sore to touch Heavy arm This is quite common after having the vaccination. It usually starts a few hours after getting the injection and settles within a few days. Place a cold, wet cloth or ice pack where the injection was given. Leave it on for a short time.

Don't rub the injection site. Tell your doctor if troublesome. Read more: After your immunisation Fever It is quite common for the first 1 or 2 days after receiving the injection and usually settles within a few days. Dress lightly, with a single layer of clothing. Don't wrap your child in a blanket. Keep the room cool and use a fan. Drink plenty of fluids. The routine use of paracetamol is not recommended following vaccinations, but may be used if your child is miserable or distressed.

Tell your doctor if the fever persists. Read more: After your immunisation Feeling unwell, tired or weak Loss of appetite Muscle ache Headache These are quite common for the first 1 or 2 days after receiving the injection.

If you see signs of a severe allergic reaction hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness , call and get the person to the nearest hospital. Your health care provider will usually file this report, or you can do it yourself.

Claims regarding alleged injury or death due to vaccination have a time limit for filing, which may be as short as two years. Visit the VICP website at www. Centers for Disease Control and Prevention website. MMR measles, mumps, and rubella vaccine. Updated August 6, Accessed August 12, Editorial team. Why get vaccinated? MMR vaccine can prevent measles, mumps, and rubella. It can lead to seizures often associated with fever , ear infections, diarrhea, and pneumonia.

However, the person is not infectious, and no special precautions such as exclusion from work need to be taken. A year-old female is going to pharmacy school and the school wants her to have a second dose of MMR vaccine.

She had the first dose as a child and developed measles within 24 hours of receiving the vaccine. Recent serologic testing showed she is immune to mumps and measles but not immune to rubella.

Can I give her a second dose of the MMR with her having measles after the first dose? Yes, as a healthcare professional, this person should get a second dose of MMR to ensure she is immune to rubella. There is no harm in providing MMR to a person who is already immune to one or more of the components. If she developed measles only one day after getting her first MMR, she must have been exposed to the disease prior to vaccination.

What are the contraindications and precautions for MMR vaccine? See www. We have many patients who are immunocompromised and cannot get the MMR vaccine. How should we advise our patients? People with medical conditions that contraindicate measles immunization depend on high MMR vaccination coverage among those around them. To help prevent the spread of measles virus, make sure all your staff and patients who can be vaccinated are fully vaccinated according to the U. Also, encourage patients to remind their family members and other close contacts to get vaccinated if they are not immune.

If patients who cannot get MMR vaccine are exposed to measles, CDC has guidelines for immune globulin for post-exposure prophylaxis which can be found at www. We have a patient who has selective IgA deficiency. We also have patients with selective IgM deficiency. Can MMR or varicella vaccine be administered to these patients? It is possible that the immune response may be weaker, but the vaccines are likely effective. I have a patient who is traveling internationally and needs MMR vaccine.

He recently received an injectable steroid. How long should he wait before receiving MMR vaccine? There is no need to wait a specific interval before giving MMR. Injectable steroids are not considered immunosuppressive for the purpose of vaccination decisions, and so there is no concern about safety or efficacy of MMR. Can I give MMR to a child whose sibling is receiving chemotherapy for leukemia?

MMR and varicella vaccines should be given to the healthy household contacts of immunosuppressed children. We have a 40 lb six-year-old patient who has been taking 15 mg of methotrexate weekly for arthritis for 12 months. Can we give the child MMR and varicella vaccine based on this methotrexate dosage? Administration of both varicella and MMR vaccines are contraindicated until such time as the methotrexate dosage can be reduced.

The IDSA definition of low-level immunosuppression for methotrexate is a dosage of less than 0. Is it true that egg allergy is not considered a contraindication to MMR vaccine? Several studies have documented the safety of measles and mumps vaccine which are grown in chick embryo tissue culture in children with severe egg allergy. ACIP recommends routine vaccination of egg-allergic children without the use of special protocols or desensitization procedures.

Can I give MMR to a breastfeeding mother or to a breastfed infant? Breastfeeding does not interfere with the response to MMR vaccine. Vaccination of a woman who is breastfeeding poses no risk to the infant being breastfed. Although it is believed that rubella vaccine virus, in rare instances, may be transmitted via breast milk, the infection in the infant is asymptomatic. If a patient recently received a blood product, can he or she receive MMR vaccine?

Yes, but there should be sufficient time between the blood product and the MMR to reduce the chance of interference. The interval depends on the blood product received. Is it acceptable practice to administer MMR, Tdap, and influenza vaccines to a postpartum mom at the same time as administering RhoGam? Receipt of RhoGam is not a reason to delay vaccination. The current recommendations are as follows:. Administer 2 doses of MMR vaccine to all HIV-infected people age 12 months and older who do not have evidence of current severe immunosuppression or current evidence of measles, rubella, and mumps immunity.

If laboratory results state only one type of parameter percentage or counts this is sufficient for vaccine decision-making. Administer the first dose at 12 through 15 months and the second dose to children age 4 through 6 years, or as early as 28 days after the first dose. Unless they have acceptable current evidence of measles, mumps, and rubella immunity, people with perinatal HIV infection who were vaccinated prior to establishment of effective antiretroviral therapy ART should receive 2 appropriately spaced doses of MMR vaccine after effective ART has been established.

If laboratory results state only one type of parameter percentages or counts this is sufficient for vaccine decision-making. What is the recommended length of time a woman should wait after receiving rubella MMR vaccine before becoming pregnant? How should teenage girls and women of child-bearing age be screened for pregnancy before MMR vaccination?

ACIP recommends that women of childbearing age be asked if they are currently pregnant or attempting to become pregnant.

Vaccination should be deferred for those who answer "yes. Pregnancy testing is not necessary. If a pregnant woman inadvertently receives MMR vaccine, how should she be advised? No specific action needs to be taken other than to reassure the woman that no adverse outcomes are expected as a result of this vaccination. MMR vaccination during pregnancy is not a reason to terminate the pregnancy.

You should consult with others in your healthcare setting to identify ways to prevent such vaccination errors in the future. We require a pregnancy test for all our 7th graders before giving an MMR. Is this necessary? Can we give an MMR to a month-old whose mother is 2 months pregnant? Measles, mumps, and rubella vaccine viruses are not transmitted from the vaccinated person, so MMR vaccination of a household contact does not pose a risk to a pregnant household member.

If a woman's rubella test result shows she is "not immune" during a prenatal visit, but she has 2 documented doses of MMR vaccine, does she need a third dose of MMR vaccine postpartum?

In , ACIP changed its recommendation for this situation see www. It is recommended that women of childbearing age who have received 1 or 2 doses of rubella-containing vaccine and have rubella serum IgG levels that are not clearly positive should be administered 1 additional dose of MMR vaccine maximum of 3 doses and do not need to be retested for serologic evidence of rubella immunity.

I have a female patient who has a non-immune rubella titer two months after her second MMR vaccination. Should she be revaccinated?

If so, should the titer again be checked to determine seroconversion? ACIP recommends that vaccinated women of childbearing age who have received one or two doses of rubella-containing vaccine and have a rubella serum IgG levels that is not clearly positive should be administered one additional dose of MMR vaccine maximum of three doses. Repeat serologic testing for evidence of rubella immunity is not recommended.

MMR vaccines should not be administered to women known to be pregnant or attempting to become pregnant. Because of the theoretical risk to the fetus when the mother receives a live virus vaccine, women should be counseled to avoid becoming pregnant for 28 days after receipt of MMR vaccine.

How soon after delivery can MMR be given to the mother? MMR can be administered any time after delivery. The vaccine should be administered to a woman who is susceptible to either measles, mumps, or rubella before hospital discharge, even if she has received RhoGam during the hospital stay, leaves in less than 24 hours, or is breastfeeding. Is there any evidence that MMR or thimerosal causes autism?

This issue has been studied extensively, including a thorough review by the independent Institute of Medicine IOM. The IOM issued a report in that concluded there is no evidence supporting an association between MMR vaccine or thimerosal-containing vaccines and the development of autism.

For more information on thimerosal and vaccines in general, visit www. A few parents are asking that their children receive separate components of the MMR vaccine because they fear MMR may be linked to autism. What should I do? Only combined MMR is available. You should educate parents about the lack of association between MMR and autism.

How likely is it for a person to develop arthritis from rubella vaccine? Arthralgia joint pain and transient arthritis joint redness or swelling following rubella vaccination occurs only in people who were susceptible to rubella at the time of vaccination. Joint symptoms are uncommon in children and in adult males. When joint symptoms occur, they generally begin 1 to 3 weeks after vaccination, usually are mild and not incapacitating, last about 2 days, and rarely recur.

Is there any harm in giving an extra dose of MMR to a child of age seven years whose record is lost and the mother is not sure about the last dose of MMR? In general, although it is not ideal, receiving extra doses of vaccine poses no medical problem. However, receiving excessive doses of tetanus toxoid e. Vaccination providers frequently encounter people who do not have adequate documentation of vaccinations. Providers should only accept written, dated records as evidence of vaccination.

With the exception of influenza vaccine and pneumococcal polysaccharide vaccine, self-reported doses of vaccine without written documentation should not be accepted. An attempt to locate missing records should be made whenever possible by contacting previous healthcare providers, reviewing state or local immunization information systems, and searching for a personally held record. If records cannot be located or will definitely not be available anywhere because of the patient's circumstances, children without adequate documentation should be considered susceptible and should receive age-appropriate vaccination.

Serologic testing for immunity is an alternative to vaccination for certain antigens e. How long can reconstituted MMR vaccine be stored in a refrigerator before it must be discarded? The amount of time in which a dose of vaccine must be used after reconstitution varies by vaccine and is usually outlined somewhere in the vaccine's package insert.

MMR must be used within 8 hours of reconstitution. MMRV must be used within 30 minutes; other vaccines must be used immediately. The Immunization Action Coalition has a staff education piece that outlines the time allowed between reconstitution and use, as stated in the package inserts for a number of vaccines.

Handout can be found at the following link: www. How should MMR vaccine be stored? The diluent should not be frozen and can be stored in the refrigerator or at room temperature. A box of MMR vaccine not reconstituted was left at room temperature overnight. Can I use it? Unfortunately, serious errors in vaccine storage and handling like this occur too often. This is particularly important for live virus vaccines like MMR and varicella. Once MMR vaccine has been reconstituted with diluent, how soon must it be used?

It is preferable to administer MMR immediately after reconstitution. If reconstituted MMR is not used within 8 hours, it must be discarded. MMR should always be refrigerated and should never be left at room temperature. I misplaced the diluent for the MMR dose so I used normal saline instead.

Is there any problem with doing this? Only the diluent supplied with the vaccine should be used to reconstitute any vaccine. Any vaccine reconstituted with the incorrect diluent should be repeated. This page was updated on October 22, This page was reviewed on October 1, IAC in the News. IAC History through Film. Repository of Resources.