Home » “If the baby gets sick after the vaccine, do you have to get the booster?” Questions to the pediatrician

“If the baby gets sick after the vaccine, do you have to get the booster?” Questions to the pediatrician

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Learning disabilities and epilepsy in a girl: is the Covid vaccine still possible? My child is over 12 years old, but he is underweight: will he need to have a dose of vaccine suitable for his condition? Even today there are many doubts and questions from readers who ask for clarification to act correctly with their young or old children. We have merged your questions by theme. Write to Dr. Elena Bozzola, pediatrician at the Bambino Gesù-Sip hospital (Italian Society of Pediatrics) at [email protected]

I have a 7 and a half year old girl with learning disabilities, epilepsy and allergies to grasses and mites. Which cause you mild bronchospasm. Can I get her Covid19 vaccine?

I have a 9 year old son who is celiac, are there any contraindications for the vaccine?

Answer

There is no scientific evidence to suggest an increase in undesirable side effects in celiac disease subjects receiving Covid-19 vaccination compared to the general population.

The scientific evidence allows us to believe that vaccination against Covid is safe for people with learning disabilities, neurological diseases, such as epilepsy. Children with respiratory allergies, such as rhinitis, conjunctivitis or bronchial asthma, can be vaccinated, remaining under observation for 15-20 minutes after the injection. In case of persistent bronchial asthma but controlled by therapy, the observation time after vaccination is 60 minutes, as indicated by the Aifa (Italian drug agency).

However, it is important to report all the information regarding the child’s medical history in the card that is recommended at the vaccination center, so that the vaccinating doctor is aware of any pathologies and / or drug therapy.

My son is 12 years old and he would be entitled to the vaccination that is reserved for adults, but he is 142 cm tall and weighs 33 kg. If I vaccinated him he would get a full dose of Moderna. A full dose for a boy who weighs 33 kg does not seem correct to me.

The vaccine must be administered based on the age of the child and not on his build, as required by the vaccine technical data sheet and as approved by the European (Ema) and Italian (Aifa) regulatory bodies. That is, for children between 5 and 11 years the pediatric formulation is administered, in those aged 12 years and above the standard dose.

My 10-year-old daughter contracted Covid at the end of October 2021. She had half a day of fever and nothing more. How many months is it advisable to wait before vaccinating it?

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My children, aged 6 and 10, had Covid in July and were negativized. When to vaccinate them?

My daughter had Covid in April and got vaccinated in December. Should she also have the second booster dose?

My 7-year-old son had the first dose of vaccine on 12/19, tested positive for antigenic swab on 12/27, totally asymptomatic and negative on 1/7. When to take the second dose?

My 10-year-old son had his first dose of the vaccine on Thursday, December 23rd. On Friday we learned that he had come into direct contact with a positive child and in fact already on Saturday he had the first symptoms: fever and sore throat. It tested positive and on January 7 it was negative. When to take the first dose?

My son had his first dose of the vaccine on 12/31. On 03/01 he had a fever and a positive swab. Should I take the second dose now?

My nearly 8 year old son is currently positive. When can the vaccination cycle start once I am cured?

I have two 10.5 year old sons and one 6 year old who contracted Covid in December. How long will it take to vaccinate them?

My 8 1/2 year old daughter had Covid in December, with no symptoms. It became negative after 18 days. Can you get the vaccine? From when?

My 9 year old daughter had Covid in April 2021; I have now booked the vaccine for February 12, 2022 and has the second dose on March 5. Do you still have to do the 2 doses or just one is enough?

My son is 11 years old, he was vaccinated with the first dose on December 29th and then tested positive on January 6th. Do you have to repeat the first dose after 4 months from the denial?

Children who have contracted Covid-19 can undergo the vaccination at least 3 months after the date of vaccination. Vaccination is recommended within 6 months of documented infection. If the vaccine is administered within 12 months of the previous SARS-Cov-2 infection, the indications of the Ministry of Health provide that it is possible to administer a single dose. In the case of an interval of more than 12 months, a complete vaccination cycle is carried out.

In people with confirmed SARS-CoV-2 infection at least 15 days after the first dose of the vaccine, a second dose of the vaccine is not indicated.

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My son is 5 years old, he should get the vaccine soon. Today the kindergarten teacher was positive but she always had the ffp2 mask. The children are now home from kindergarten. Can I still take him for the vaccine? Should I have him do a tampon first?

In the decree approved by the Council of Ministers and subsequent ministeral circulars of 8 January 2022, with regard to nurseries and preschools, the management of infections remains rigorous, as already provided for by the protocol of November 221: in the presence of a positive case, the activity is interrupted for 10 days. These are children who do not wear masks at school, useful barriers to the spread of the virus. Vaccination is not possible during the quarantine period.

I vaccinated my 7 and 10 year olds on 04/1/22 after how many days it is possible to detect the presence of antibodies. Is it advisable to be cautious and in any case to try to minimize the risk of contagion before the second dose?

It is not currently indicated to perform serological tests to measure the level of antibodies after successful vaccination. Already after the first dose of vaccine, an initial protection gradually begins to develop, which is consolidated and strengthened by the second dose, to be administered 21 days after the previous one.

I have a child who needs the first dose. A little before Christmas she had a fever day with a vomiting episode, but the quick swab was negative. How do I know if he has had Covid?

I am the mother of a 5 and a half year old child and I tested positive on Christmas day. I have not been able to verify if my son had contracted Covid. I would like to check if he has the antibodies to see if he too has contracted the disease.

I have a nearly 10-year-old daughter who got her first dose of vaccine on December 18th. On December 31st I tested positive. My daughter went into isolation and the quick swab has always tested negative. Can I vaccinate her?

In many children, the infection can occur asymptomatically (i.e. without symptoms) or symptomatically (i.e. with few symptoms). It is not recommended to perform a serological test to determine if the child has contracted SARS-CoV2 infection in the past. Therefore, if it is not known whether the child has contracted the infection or not, it is advisable to proceed with the vaccination. No additional risk has been documented in vaccinating a child with a previous infection that has passed asymptomatically.

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On June 18, 2021, I tested positive. My daughter and my wife have always been negative. On Saturday 8th we had my daughter undergo a blood test to check for the presence of neutralizing antibodies to protein S (Spike) SARS-CoV-2 IgG which resulted in 22.20 BAU / ml. We have strong doubts about the need to vaccinate the girl.

It is important to vaccinate children as soon as possible, also in light of recent epidemiological data which show an increase in infections among the youngest. Unfortunately, pediatric wards are also filling up in recent weeks with children infected with COVID 19. For this reason it is important not to adopt a wait-and-see attitude. Although in many children the symptoms may be mild or moderate, there is a risk of long-term consequences. Among these, the systemic multi-inflammatory syndrome, which can develop even in previously healthy children, not affected by comorbidities, in the weeks following the infection and require hospitalization in about 70% of cases. Just as there is the risk of Long Covid, or the persistence of symptoms even after months. For children aged 5-11 years, a reduced dose of Pfizer vaccine is given to children, equal to 10 micrograms, which is 1/3 of the dose expected for those over 12 years of age. Although small, the dose has been shown to be effective in the age group 5-11 at protecting children receiving it, with a reduced risk of side effects.

My 20-year-old daughter decided not to get vaccinated for fear of a possible adverse reaction. His fear stems from having contracted an autoimmune disease, idiopathic thrombocytopenic purpura at the age of two. Now he fears that the vaccine could ‘awaken’ the disease.

Immune (idiopathic) thrombocytopenic purpura in pediatric age is a disease characterized by the onset of bruising, petechiae and / or bleeding; it is caused by the production of autoantibodies, that is, antibodies that destroy platelets with an autoimmune mechanism. A specific cause of immune thrombocytopenic purpura is unknown; it can occur after viral or bacterial infections, after vaccinations, after taking drugs, etc. In the literature, the cases reported in the adult population of immune thrombocytopenia associated with vaccination against COVID-19 are mainly related to viral vector vaccines rather than mRNA vaccines.

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