Timing for German Measles Vaccine: What Parents Need to Know - Pediatrics

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The vaccination schedule for the German measles (rubella) vaccine typically includes the following: 1. The first dose is usually administered between 12 to 15 months of age. 2. A second dose is recommended between 4 to


Hello Doctor, the maternal handbook indicates that the first dose of the German measles vaccine should be administered at 12 months of age, and the second dose in the first grade of elementary school.
My child turned 5 years old this August and just started kindergarten, but recently the health department called to remind and urge us to administer the second dose.
May I ask, is it appropriate for my child to receive the second dose at this age? Additionally, will there be another vaccination at school after entering elementary school? (I remember that vaccines were administered collectively at school when I was young, but I'm not sure if that is still the case now.) I would greatly appreciate your response.

Lin Xianxian, 40~49 year old female. Ask Date: 2017/09/13

Dr. Xiao Kaiwen reply Pediatrics


Over two years ago, research found that the levels of measles and rubella antibodies in children before entering elementary school were relatively low.
To enhance immunity, the Centers for Disease Control (CDC) held a vaccination advisory meeting at that time and decided to advance the administration of the second dose of the measles and rubella vaccine to when children turn 5 years old, rather than administering it after they enter elementary school.

Reply Date: 2017/09/13

More Info


The timing for the German measles vaccine, also known as the rubella vaccine, is crucial for ensuring that children develop adequate immunity against this virus. According to the vaccination schedule in many countries, the first dose of the measles, mumps, and rubella (MMR) vaccine is typically administered when a child is at least 12 months old, with a second dose given before the child enters school, often around the age of 5 or 6.
In your case, since your child is turning 5 years old soon and has just started kindergarten, it is indeed appropriate for them to receive the second dose of the German measles vaccine. The health department's reminder to get this vaccine is aligned with the updated recommendations that aim to boost immunity levels in children before they enter school. Research has shown that antibody levels for measles and rubella can decline before school entry, which is why the second dose is recommended around this age.
Regarding your concern about whether the school will administer the vaccine again, it is important to note that many schools do have vaccination programs, but these typically focus on ensuring that all children are up to date with their immunizations. If your child has already received the second dose at the recommended age, there should be no need for a repeat vaccination at school. However, it is always a good idea to check with your local health department or the school nurse for specific policies regarding vaccinations.

In summary, your child can safely receive the second dose of the German measles vaccine at this age, and it is a proactive step to ensure their health and the health of those around them. If you have any further questions or concerns, it is advisable to discuss them with your pediatrician, who can provide personalized guidance based on your child's health history and the local vaccination schedule.

Additionally, it is essential to keep a record of all vaccinations your child receives. This documentation will be helpful for school enrollment and any future medical needs. If your child has any adverse reactions to the vaccine or if you have any concerns about their health following vaccination, do not hesitate to reach out to your healthcare provider for advice and support.
Vaccination is a critical public health measure that protects not only individual children but also the broader community by helping to prevent outbreaks of vaccine-preventable diseases. By ensuring that your child is vaccinated on schedule, you are contributing to the overall health and safety of your community.

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