Can My Baby Get the Five-in-One Vaccine at Four Months? - Pediatrics

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Vaccination


Hello, doctor: My baby received the first dose of the DTaP (diphtheria, tetanus, and pertussis) vaccine when he/she was two months old.
Now that he/she is four months old, I would like to know if it is possible to administer the pentavalent vaccine (DTaP-Hib-IPV-HepB).

Miss Wang, 20~29 year old female. Ask Date: 2003/07/23

Dr. Zhang Jinglong reply Pediatrics


You can go to a nearby pediatric medical facility for the injection.

Reply Date: 2003/07/23

More Info


Yes, your baby can receive the Five-in-One vaccine at four months of age. The Five-in-One vaccine, also known as the pentavalent vaccine, typically protects against five serious diseases: diphtheria, tetanus, pertussis (whooping cough), polio, and Haemophilus influenzae type b (Hib).
According to the immunization schedule recommended by health authorities, the first dose of the Five-in-One vaccine is usually administered at two months of age, followed by subsequent doses at specified intervals. Since your baby has already received the first dose of the Three-in-One vaccine at two months, it is perfectly acceptable to proceed with the second dose of the Five-in-One vaccine at four months, provided that your baby is at least four months old at the time of vaccination.
It is important to note that the interval between doses of the same vaccine is crucial for ensuring adequate immunity. In this case, the interval between the first and second doses of the Five-in-One vaccine should be at least one month. Since you mentioned that your baby is now four months old, and if the second dose is scheduled for this time, it is within the acceptable range, even if it is slightly earlier than the standard schedule.
Additionally, if your baby has experienced any adverse reactions to previous vaccinations, such as fever or irritability, it is advisable to discuss these concerns with your pediatrician before proceeding with the vaccination. While mild fever can occur after vaccination, it is generally not harmful and resolves within a day or two. However, if your baby has a history of severe reactions, your healthcare provider may recommend alternative vaccination strategies.

Regarding the administration of other vaccines, such as the oral polio vaccine (Sabin vaccine) or the rotavirus vaccine, these can also be given in conjunction with the Five-in-One vaccine, depending on the specific immunization schedule and your baby's health status. The rotavirus vaccine is particularly important as it protects against severe gastroenteritis caused by rotavirus, which can be serious in infants and young children. The rotavirus vaccine can be administered starting at two months of age, and it is typically given in two or three doses, depending on the specific vaccine used.

In summary, your baby can receive the Five-in-One vaccine at four months of age, and it is essential to follow up with your pediatrician for any additional vaccinations that may be due. Keeping up with the vaccination schedule is crucial for your baby's health and protection against preventable diseases. Always consult with your healthcare provider if you have any concerns or questions regarding your child's vaccinations.

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