Is It Safe to Preemptively Give Fever Medicine After Vaccines? - Pediatrics

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Is this okay?


I am Huang Mama, who consulted you last time.
My son always has a fever after vaccinations, including the hexavalent vaccine and pneumococcal vaccine.
I went to another clinic, and they suggested that I continue with the hexavalent vaccine.
After the vaccination, they advised me to give my baby fever-reducing medication six hours later, regardless of whether he has a fever or not.
Is this okay? Shouldn't we observe first? The doctor said that since he always has a fever, it means he will definitely have one again, so it's better to give him the medication in advance to make him more comfortable.
Is this reasoning correct, or should we wait until he has a fever to give the medication? Also, if he has a fever every month, is that good for him? Can a five-month-old baby take probiotics? Many pharmacies have been recommending them to me.

Youying de Huang Mama, 30~39 year old female. Ask Date: 2009/08/16

Dr. Xiao Kaiwen reply Pediatrics


Some physicians believe that certain babies are likely to develop a fever after receiving specific vaccines (like your baby).
In such cases, it is acceptable to administer antipyretics before the vaccine is given, as long as the fever has not yet developed.
If the fever is confirmed to be vaccine-related, it does not harm the baby’s body and is not a contraindication for continuing to administer that vaccine, so there is no need for concern.
The theory behind adding probiotics is to adjust the intestinal environment to promote easier digestion and enhance intestinal defense functions.
However, there is no consensus on whether adding probiotics will achieve the desired effect or how much should be added to be effective and safe.
For infants with diarrhea, growth issues, or gastrointestinal diseases, we may add some probiotics, but there is no medical basis for the "preventive" addition in healthy infants.

Reply Date: 2009/08/16

More Info


When it comes to administering fever-reducing medication, such as acetaminophen (commonly known as Tylenol or Paracetamol), after vaccinations, there are several considerations to keep in mind. Your question about whether it is safe to preemptively give fever medicine after vaccines is quite relevant, especially for parents concerned about their children's reactions to vaccinations.

First, it is important to understand that vaccines can indeed cause mild to moderate side effects, including fever, soreness at the injection site, fatigue, and irritability. These reactions are generally a sign that the immune system is responding to the vaccine, which is the desired effect. In many cases, these side effects are temporary and resolve on their own within a few days.

The recommendation to preemptively administer fever-reducing medication, such as acetaminophen, before any symptoms arise is somewhat controversial. Some healthcare providers suggest that if a child has a history of significant fever or discomfort following vaccinations, it may be reasonable to give a dose of acetaminophen after the vaccination as a preventive measure. However, the general consensus among many pediatricians and health organizations is to wait and see if the child develops a fever or discomfort before administering medication. This approach allows the body to mount an immune response without interference from medications that could potentially dampen that response.

The concern with preemptively giving fever medication is that it may mask the symptoms of a more serious reaction, making it harder for parents and healthcare providers to assess the child's condition. Additionally, there is some evidence suggesting that the use of antipyretics (fever reducers) immediately after vaccination may slightly reduce the immune response to the vaccine, although this effect is generally considered minimal and not significant enough to warrant avoiding vaccination altogether.

In your specific case, if your child has consistently experienced fever after vaccinations, it may be worth discussing with your pediatrician the best approach to take. They may recommend a specific protocol based on your child's medical history and the vaccines being administered. If your pediatrician suggests preemptive medication, it is likely based on their assessment of your child's needs.

Regarding the frequency of vaccinations and the potential for your child to experience fever each time, it is essential to balance the benefits of vaccination against the discomfort of side effects. Vaccinations are crucial for preventing serious illnesses, and while fever can be distressing, it is typically manageable with appropriate care.

As for the use of probiotics in a five-month-old baby, it is generally considered safe to give probiotics to infants, but it is always best to consult with your pediatrician before starting any new supplement. Probiotics can help support gut health, but the specific strains and dosages should be discussed with a healthcare provider to ensure they are appropriate for your child's age and health status.

In summary, while it may be tempting to preemptively administer fever-reducing medication after vaccinations, it is generally advisable to wait and observe your child for any symptoms before doing so. Always consult with your pediatrician for personalized advice tailored to your child's health needs.

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