Influenza vaccine
Hello Dr.
Pei, my daughter is currently in the first grade of elementary school.
In October, she received the flu vaccine (not H1N1) at school.
However, the day after the vaccination, she experienced mild fever and nausea.
The fever gradually subsided after a few hours, but the nausea has persisted until now.
Sometimes, she struggles to concentrate in class due to this feeling, and she frequently expresses a desire to vomit both at school and at home, which has left her teachers, the school nurse, and me feeling quite helpless.
How should we handle this situation? (P.S.
She has regular bowel movements, which are currently normal, and her appetite is generally okay.
Occasionally, she says she doesn't want to eat, but when I feed her, she finishes the entire bowl.)
Pingguo Ma, 30~39 year old female. Ask Date: 2009/12/08
Dr. Pei Rensheng reply Pediatrics
Hello! The overall reporting rate of adverse reactions following the administration of the domestically produced Guoguang H1N1 vaccine or seasonal influenza vaccine is comparable to data from other countries and is very low.
According to the statistics from the Centers for Disease Control, the most common symptoms reported include dizziness (49%), fever (26%), headache (19%), nausea (16%), and skin rash (10%).
The occurrence of these adverse reactions is quite rare, and even when they do occur, recovery typically happens within 48 hours.
Your daughter's nausea and vomiting have persisted for over a month, which is unrelated to the vaccination, and it is advisable to consult a pediatric gastroenterologist for her condition.
Wishing you good health and happiness! Sincerely, Dr.
Pei Ren-Sheng, Chief of Pediatrics, Taoyuan Hospital, Department of Health.
Reply Date: 2009/12/08
More Info
Managing post-vaccine nausea and fever in children can be a challenging experience for parents, especially when the child is also dealing with the demands of school. It’s important to understand that mild side effects, such as fever and nausea, can occur after vaccinations, including the flu vaccine. These reactions are generally short-lived and are a sign that the body is building protection against the virus. However, persistent symptoms can be concerning and warrant careful management.
First and foremost, it’s essential to monitor your child’s symptoms closely. If the fever is mild (generally below 101°F or 38.3°C), it can often be managed at home with supportive care. This includes ensuring your child stays well-hydrated and comfortable. Offer plenty of fluids, such as water, clear broths, or electrolyte solutions, to prevent dehydration, especially if they are experiencing nausea.
For nausea, it may help to provide small, bland meals that are easy to digest. Foods like toast, crackers, bananas, and rice can be gentle on the stomach. If your child is feeling nauseous, encourage them to eat small portions rather than large meals. Sometimes, ginger tea or ginger ale can also help alleviate nausea, but be sure to check with your pediatrician before introducing new foods or drinks.
If your child’s nausea is persistent and significantly affecting their ability to concentrate in school, it may be beneficial to consult with your pediatrician. They can assess whether the nausea is a side effect of the vaccine or if there might be another underlying issue. In some cases, your doctor may recommend anti-nausea medication or other interventions to help manage the symptoms.
In the meantime, it’s important to communicate with your child’s school. Inform the teacher and school nurse about your child’s condition so they can provide appropriate support. If your child feels unwell during class, they should have a designated area where they can rest until they feel better.
Additionally, keep an eye on any other symptoms that may arise. If your child develops a high fever (over 102°F or 39°C), experiences severe headaches, persistent vomiting, or any unusual behavior, it is crucial to seek medical attention promptly. These could be signs of a more serious reaction or another illness that needs to be addressed.
Lastly, reassure your child that it’s normal to feel a bit off after receiving a vaccine and that these feelings will likely pass. Providing emotional support and understanding can help ease their anxiety about feeling unwell. Encourage them to express how they feel and validate their discomfort.
In summary, managing post-vaccine nausea and fever involves monitoring symptoms, ensuring hydration and nutrition, consulting with healthcare providers when necessary, and maintaining open communication with your child’s school. With proper care and attention, most children recover quickly and can return to their normal activities.
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