This chapter incorporates some material that was written by Lorraine M. Fay, MD, for this chapter in the 6th edition of Textbook of Family Practice.


Administer all recommended or required immunizations, except when true contraindications or precautions are present or the immunizations are refused by the parent or patient (AAP Red Book, 2009; Hviid, 2006) (SOR: A).

Key Resource

Centers for Disease Control and Prevention. Atkinson W, Wolfe S, Hamborsky J, McIntyre L (eds). Epidemiology and Prevention of Vaccine-Preventable Diseases. Pink Book. 11th ed. Washington, DC, Public Health Foundation, 2009, pp 123-133, 141-154, 177-188. Inexpensive reference from CDC that is updated yearly, covering nuts and bolts of vaccine-preventable diseases and immunizations.

Health Resources and Services Administration, National Vaccine Injury Compensation Program, National Childhood Vaccine Injury Act; vaccine injury table lists potentially compensable vaccine adverse events.

Immunization Action Coalition; vaccine information statements.

Massachusetts General Hospital, Pediatric Symptom Checklist; free access and instructions for use and scoring.

US Department of Agriculture MyPyramid; allows development of a personalized meal plan based on age, gender, and activity level. Department of Health and Human Services, Office for Civil Rights, Health Insurance Portability and Accountability Act (HIPAA). Vaccine Adverse Event Reporting System (VAERS); individuals, health care providers, and manufacturers may report vaccine-associated adverse events; this does not prove causation.


Web Resources

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