ibabydoc.com - 4 Month Well Checkup

FOUR-MONTH CHECKUP

Vaccinations

Vaccinations are an important part of preventing illness in children.
Vaccinations given at the four-month old checkup include Inactivated Polio vaccine (IPV), Haemophilus Influenza B vaccine (HIB), Diphtheria, acellular Pertussis, Tetanus vaccine (DaPT), Pneumococcal vaccine, and possibly the Hepatitis B vaccine (HBV), depending on your pediatrician's schedule.
Currently there is concern about a preservative derived from mercury called thimerosal, which is used in many Hepatitis B preparations. However the Hepatitis B/HIB combination vaccine contains no thimerosal and can be given at this age.
All parents should read and understand the vaccine information sheets. Risks and benefits should be discussed and the vaccine should be given since the benefits far outweigh any minor risks.
The most common reactions are fever and irritability, although these are more rare now due to the use of the acellular pertussis vaccine (DaPT). A small knot or redness may occur at the injection site. Warm compresses and acetaminophen (Tylenol) can be used for these reactions.

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