Potential Side Effects of Repeated Oral Sabin Vaccine Administration - Family Medicine

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Will repeated administration of the oral Sabin vaccine cause any additional side effects?


Hello, could you please tell me if there are any additional side effects from repeated administration of the oral Sabin vaccine? My nephew (first grader at Sanjhih Elementary School) received the vaccine in October 2006 at the school health office, which included both an injection and oral administration.
However, my sister took him again yesterday for another injection and oral dose because the school notified us that he had not been vaccinated.
My nephew mentioned that he had previously taken the bitter oral vaccine, which made my sister suspicious.
She asked the teacher if he had been vaccinated before, but the teacher was unsure.
Now that he has already received both the injection and the oral vaccine, we are concerned about any potential future effects.
Thank you.

claire, 40~49 year old female. Ask Date: 2007/03/07

Dr. Cai Jueren reply Family Medicine


Hello: The purpose of administering the Sabin vaccine is to stimulate our bodies to produce antibodies, and the dosage is, of course, kept within a safe range.
Repeated vaccinations were actually considered during the initial design of the vaccine.
The vaccine itself is a live attenuated vaccine, so please rest assured that there are no specific reports indicating any long-term side effects.
If your child does not have a fever or exhibit unusual behavior in the next few days, there is no need to worry too much.
However, if there are any concerns, please take her to a pediatric clinic for evaluation.
Thank you for your inquiry, and I hope the above information addresses your concerns.
Dr.
Tsai Jue-Ren, Hualien Hospital.

Reply Date: 2007/03/07

More Info


The oral Sabin vaccine, which is used to protect against poliovirus, is a live attenuated vaccine. This means that it contains a weakened form of the virus that can still replicate in the body but does not cause disease in healthy individuals. The primary goal of administering this vaccine is to stimulate the immune system to produce antibodies against poliovirus, thereby providing immunity.

Regarding your question about the potential side effects of repeated administration of the oral Sabin vaccine, it is important to note that the vaccine is generally considered safe, and the risk of significant adverse effects from repeated doses is low. The World Health Organization (WHO) and other health authorities have established guidelines for the administration of the Sabin vaccine, and these guidelines take into account the possibility of multiple doses.

In the case of your nephew, who has received the vaccine multiple times, it is unlikely that he will experience any severe side effects as a result of the repeated administration. Common side effects of the oral Sabin vaccine may include mild gastrointestinal symptoms, such as diarrhea or abdominal discomfort, but these are typically transient and resolve on their own. Serious adverse reactions are rare.

It is also worth mentioning that the Sabin vaccine is designed to be administered multiple times, especially in areas where poliovirus is still a concern. The vaccine's formulation allows for repeated doses to enhance immunity, particularly in children who may not have received the vaccine during the recommended schedule.

If your nephew has not exhibited any unusual symptoms, such as fever, persistent abdominal pain, or behavioral changes in the days following vaccination, there is generally no cause for concern. However, if he does experience any concerning symptoms, it would be prudent to consult a pediatrician for further evaluation.

In summary, while repeated administration of the oral Sabin vaccine is generally safe and well-tolerated, it is always best to monitor for any unusual symptoms following vaccination. If there are any doubts or concerns, seeking medical advice from a healthcare professional is recommended. Regular follow-ups and vaccinations are essential in maintaining immunity against poliovirus, especially in children.

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