The types of pentavalent vaccines administered at six months of age include the DTaP (Diphtheria, Tetanus, and Pertussis), IPV (Inactivated Poliovirus Vaccine), and Hib (Haemophilus influenzae type b) vaccines?
Ting-Yu is now over two years old.
She received the pentavalent vaccine at two months of age and again at six months of age.
I would like to ask the doctor about the pentavalent vaccine, which includes HepB or Hib.
If it includes Hib, then in our country, infants are supposed to receive the third dose of the hepatitis B vaccine at six months.
Q1: Does this mean she has not received the third dose of the HepB vaccine?
Q2: Will this affect the efficacy of antibody production?
Thank you for your answers to these questions.
Ting Yu Mama, 30~39 year old female. Ask Date: 2007/08/15
Dr. Xiao Kaiwen reply Pediatrics
Dear Ting-Yu's Mom: I apologize for responding to your letter so late.
The pentavalent vaccine includes diphtheria, pertussis, tetanus, Haemophilus influenzae type b (Hib), and inactivated poliovirus vaccine.
The hexavalent vaccine includes all of the above plus the hepatitis B vaccine.
The benefit is that it reduces the number of separate injections for hepatitis B (HepB) to just two doses.
Q1.
If your child received the pentavalent vaccine at six months, they should receive a separate third dose of the hepatitis B vaccine.
However, if they received the hexavalent vaccine, which includes both Hib and HepB, there is no need for an additional HepB dose.
Just remember that at 18 months (the fourth dose), they should receive the hexavalent vaccine again to ensure adequate total HepB coverage.
Q2.
Therefore, please confirm whether your child received the pentavalent or hexavalent vaccine.
If it is confirmed that they received the pentavalent vaccine and the child’s immunization record does not show a third dose of HepB (at six months), you can check with the vaccination site to see if it was missed or not documented.
If it was indeed missed, you can administer the third dose of HepB now, which should not affect the efficacy of antibody production.
Reply Date: 2007/08/15
More Info
The Five-in-One vaccine, commonly referred to as the DTPaHib-IPV vaccine in Taiwan, is designed to protect infants against five serious diseases: diphtheria, tetanus, pertussis (whooping cough), hepatitis B (HepB), and invasive diseases caused by Haemophilus influenzae type b (Hib). Understanding the vaccination schedule and its implications is crucial for ensuring that children receive adequate protection against these diseases.
In Taiwan, the recommended schedule for the Five-in-One vaccine is as follows:
1. The first dose is administered at 2 months of age.
2. The second dose is given at 4 months of age.
3. The third dose is typically administered at 6 months of age.
Given your situation with your child, Ting-Yu, who received her first two doses of the Five-in-One vaccine at 2 months and 6 months, there are a couple of important points to clarify regarding your questions:
Q1: Does this mean she has not received the third dose of the HepB vaccine?
The Five-in-One vaccine does include the HepB component, but it is essential to note that the standard immunization schedule in Taiwan also includes a separate third dose of the HepB vaccine, which is typically given at 6 months of age. If Ting-Yu received the Five-in-One vaccine at 6 months, she would have received the HepB component as part of that vaccine. However, if she did not receive a separate dose of the HepB vaccine, you should confirm whether the Five-in-One vaccine she received was indeed the combination that included the third dose of HepB.
In summary, if the Five-in-One vaccine administered at 6 months included the HepB component, then she has received her third dose of HepB. If there is any uncertainty, it is advisable to check with your healthcare provider or the vaccination record to ensure that she is up to date with her vaccinations.
Q2: Will this affect the efficacy of antibody production?
The efficacy of the vaccine and the production of antibodies can be influenced by the timing and completeness of the vaccination schedule. Vaccines are designed to stimulate the immune system to produce antibodies against specific pathogens. If a child does not receive the recommended doses within the specified time frames, it may lead to a suboptimal immune response, which could result in lower levels of protective antibodies.
In the case of the Five-in-One vaccine, receiving the doses as scheduled is crucial for ensuring that the child develops adequate immunity against all five diseases. If Ting-Yu has received the appropriate doses of the Five-in-One vaccine, including the HepB component, her immune system should be adequately primed to produce the necessary antibodies. However, if there are any gaps in her vaccination history or if she missed any doses, it is essential to consult with a pediatrician. They may recommend additional doses or a catch-up schedule to ensure that she has the best possible protection.
In conclusion, it is vital to keep track of your child's vaccination history and ensure that they receive all recommended doses on time. If you have any doubts or concerns about Ting-Yu's vaccination status, I encourage you to reach out to your healthcare provider for personalized advice and to verify her immunization records. Keeping up with vaccinations is one of the most effective ways to protect children from preventable diseases.
Similar Q&A
Essential Vaccination Schedule and Tips for Your Baby's Health
Dear Dr. Chen, Hello. After birth and before entering elementary school, infants must receive a series of vaccinations, such as Hepatitis B and BCG (Bacillus Calmette-Guérin). I would appreciate it if you could provide information on the vaccination schedule and any important co...
Dr. Chen Qianyi reply Pediatrics
Congratulations on becoming a new dad! Before your child starts elementary school, especially in the first two years, it is indeed necessary to administer several vaccines. The vaccination schedule is detailed in your child's health booklet, as follows: - Hepatitis B Immuno...[Read More] Essential Vaccination Schedule and Tips for Your Baby's Health
New Infant Vaccines in Taiwan: What Parents Need to Know
Hello, Dr. Huang! I recently learned from television media whether new vaccines for infants and young children are being introduced in the country. First, what type of vaccine is it? Second, what is the age range for infants and young children that it is suitable for? Third, wher...
Dr. Huang Zheming reply Pediatrics
Our hospital's latest vaccine is the Haemophilus influenzae type b (Hib) vaccine. For infants under six months of age: administer three doses at 1 to 2 month intervals, followed by a booster dose one year after the third dose, which can be combined with the DTaP (diphtheria,...[Read More] New Infant Vaccines in Taiwan: What Parents Need to Know
Impact of Different Manufacturers on Taiwan's Pentavalent Pediatric Vaccines
In Taiwan, if a child receives the five-in-one vaccine from different manufacturers, could it have an impact? This is because when getting vaccinated at different hospitals, one may not know if the vaccine administered is from the same pharmaceutical company. Thank you.
Dr. Liao Huiling reply Pharmacology
Hello! If you are referring to the self-paid pentavalent combination vaccine, then there is only one brand available in Taiwan, which is GSK's Infanrix.[Read More] Impact of Different Manufacturers on Taiwan's Pentavalent Pediatric Vaccines
Understanding the 5-in-1 Vaccine: Schedule, Cost, and Benefits for Infants
1- What is the 5-in-1 vaccine? 2- When should newborns receive it? 3- How much does it typically cost out-of-pocket?
Dr. Liang Hongjian reply Pediatrics
Hello: The pentavalent vaccine combines the traditional trivalent vaccine (diphtheria, pertussis, tetanus) with the Haemophilus influenzae type b (Hib) vaccine and the polio vaccine. The American Academy of Pediatrics recommends that infants receive the inactivated polio vaccine ...[Read More] Understanding the 5-in-1 Vaccine: Schedule, Cost, and Benefits for Infants
Related FAQ
(Pediatrics)
Covid-19 Vaccine(Pediatrics)
Vaccine(Family Medicine)
Lymph(Pediatrics)
Infant Care(Pediatrics)
Vaccination(Internal Medicine)
Cough(Pediatrics)
Pediatric Fever(Pediatrics)
Family Medicine(Pediatrics)
Purpura(Pediatrics)