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{\f67\fbidi \fswiss\fcharset204\fprq2 Arial Cyr;}{\f69\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\f70\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\f71\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}
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{\f77\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}{\f79\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f80\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f81\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}
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{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
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{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}
{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}
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\mlMargin0\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0\mnaryLim1}{\info{\title Vaccine Information Statement: Your Child\'92s First Vaccines: What you need to know}{\author ÐÇ¿ÕÓéÀÖ¹ÙÍø/NCIRD}
{\keywords Vaccine Information Statement, multi, pediatric, child\'92s first vaccines, VIS, DTaP, Hib, hepatitis B, polio, PCV13, Haemophilus influenzae type b, pneumococcal conjugate vaccine, childhood vaccines, vaccine fact sheet}
{\operator Alcober, Joseph (ÐÇ¿ÕÓéÀÖ¹ÙÍø/DDID/NCIRD/OD) (CTR)}{\creatim\yr2023\mo7\dy10\hr12\min45}{\revtim\yr2023\mo7\dy20\hr18\min18}{\printim\yr2020\mo2\dy19\hr15\min17}{\version3}{\edmins2}{\nofpages5}{\nofwords1452}{\nofchars8279}{\*\company ÐÇ¿ÕÓéÀÖ¹ÙÍø}
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\par }\pard\plain \ltrpar\s25\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\fs16\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Many }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\hich\af0\dbch\af31505\loch\f0 v}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 accine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \hich\af0\dbch\af31505\loch\f0 i}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 nformation }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \hich\af0\dbch\af31505\loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 
tatements are available in Spanish and other languages. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang5130\langfe1033\langnp5130\insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 See }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang5130\langfe1033\langnp5130\insrsid10974749\charrsid4797278 \hich\af0\dbch\af31505\loch\f0 HYPERLINK "http://www.immunize.org/vis"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10974749 {\*\datafield b0ba2e73}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs36\ul\lang5130\langfe1033\langnp5130\insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 www.immunize.org/vis}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang5130\langfe1033\langnp5130\insrsid5396545\charrsid8802898 
\par \hich\af0\dbch\af31505\loch\f0 \hich\f0 Hojas de informaci\'f3\loch\f0 n sobre va\hich\af0\dbch\af31505\loch\f0 \hich\f0 cunas est\'e1\loch\f0 \hich\f0 n disponibles en espa\'f1\loch\f0 ol y en muchos otros idiomas. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Visite }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10974749 \hich\af0\dbch\af31505\loch\f0 HYPERLINK "http://www.immunize.org/vis"}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid10974749 {\*\datafield b0ba2e73}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\ul\insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 www.immunize.org/vis}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4739987\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15537296\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 The vaccines }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9992805\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 included }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 on this statement are likely to be given }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid270633\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 at the same time }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 during infancy and early childhood. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9992805\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 There are separate }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 
\i\insrsid9992805\charrsid1850918 \hich\af0\dbch\af31505\loch\f0 Vaccine Information Statements}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9992805\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  for o}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 ther vaccines }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9992805\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 that are also routinely recommended for }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid270633\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 young children}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9992805\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  (measles, mumps, rubella, varicella, rotavirus, influenza, and hepatitis A).}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15537296\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid15537296\charrsid8802898 
\par \hich\af0\dbch\af31501\loch\f0 Y\hich\af0\dbch\af31501\loch\f0 our child }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid10509045\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 is getting }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 
\b0\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 these vaccines today:
\par \hich\af0\dbch\af31501\loch\f0 [  ] DTaP\tab \tab [  ]  Hib\tab \tab [  ] Hepatitis B\tab \tab }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid74863\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 [  ] PCV}{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid74863 
\tab }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid4603835 \hich\af0\dbch\af31501\loch\f0   }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 [  ] Polio       }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 
\b0\insrsid9992805\charrsid8802898 \tab \hich\af0\dbch\af31501\loch\f0     }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid15537296\charrsid8802898 
\par }{\rtlch\fcs1 \ab0\ai\af0 \ltrch\fcs0 \b0\i\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 (Provider: Check appropriate boxes)
\par }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid15537296\charrsid8802898 
\par }{\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid12518645\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645\charrsid8802898 \hich\af0\dbch\af31501\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 Why get vaccinated?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2753891 \hich\af0\dbch\af31505\loch\f0 Vaccines }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11619702\charrsid6762560 \hich\af0\dbch\af31505\loch\f0 can prevent }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid3098403\charrsid6762560 \hich\af0\dbch\af31505\loch\f0 disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11619702\charrsid6762560 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9645863\charrsid6762560 \hich\af0\dbch\af31505\loch\f0   }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid4356223\charrsid6762560 \hich\af0\dbch\af31505\loch\f0 Childhood vaccination is essential because it helps provide}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4356223\charrsid4356223 \hich\af0\dbch\af31505\loch\f0 
 immunity before children are exposed to potentially life-threatening diseases. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3098403\charrsid8802898 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid14680130\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Diphtheria, tetanus, and pertussis}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid14186622 \hich\af0\dbch\af31505\loch\f0  (DTaP)}{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\ul\insrsid14680130 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\insrsid15282514 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\b\insrsid15282514 \hich\af0\dbch\af31505\loch\f0 Diphtheria (D)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\insrsid15282514 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15282514 
\hich\af0\dbch\af31505\loch\f0 can lead to difficulty breathing, heart failure, paralys\hich\af0\dbch\af31505\loch\f0 is, or death. 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\insrsid15282514 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\b\insrsid15282514 \hich\af0\dbch\af31505\loch\f0 Tetanus (T)}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs34\insrsid15282514 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15282514 \hich\af0\dbch\af31505\loch\f0 
causes painful stiffening of the muscles. Tetanus can lead to serious health problems, including being unable to open the mouth, having trouble swallowing and breathing, or death. 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\insrsid15282514 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs34\b\insrsid15282514 \hich\af0\dbch\af31505\loch\f0 Pertussis (aP)}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \cs34\insrsid15282514 \hich\af0\dbch\af31505\loch\f0 \hich\f0 , also known as \'93\loch\f0 whooping coug\hich\af0\dbch\af31505\loch\f0 \hich\f0 h,\'94\loch\f0 
 can cause uncontrollable, violent coughing that makes it hard to breathe, eat, or drink. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15282514 \hich\af0\dbch\af31505\loch\f0 Pertussis can be extremely serious}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9385738 ,}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15282514 \hich\af0\dbch\af31505\loch\f0  especially in babies and young children, causing pneumonia, convulsions, brain damage, or death. 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14680130\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid14680130\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Hib (}{\rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i\ul\insrsid14680130\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Haemophilus influenzae}{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\ul\insrsid14680130\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  type b)}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid14231288\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  disease}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\ul\insrsid14680130\charrsid8802898 
\par }{\rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \cs53\b\i\insrsid15282514\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 Haemophilus influenzae }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs53\b\insrsid15282514\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 type b}{
\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \cs53\i\insrsid15282514\charrsid668034417 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15282514 \hich\af0\dbch\af31505\loch\f0 
can cause many different kinds of infections. Hib bacteria can cause mild illness, such as ear infections or bronchitis, or they can cause severe illness, such as infections of the blood.\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid6694818 \hich\af0\dbch\af31505\loch\f0 Hib infection can also cause pneumonia; severe swelling in the throat, making it hard to breathe; and infections of the blood, joints, bones, and covering of the heart. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15282514 \hich\af0\dbch\af31505\loch\f0 \hich\f0 Severe Hib infection, also called \'93}{\rtlch\fcs1 \af0 \ltrch\fcs0 \dbch\af0\insrsid15282514\charrsid668034417 invasive Hib disease,\'94 requires treatment in a hosp
ital and can sometimes result in death. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \dbch\af0\insrsid15282514 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14680130\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid14680130\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Hepatitis B
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid14186622\charrsid14186622 \hich\af0\dbch\af31505\loch\f0 Hepatitis B}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622\charrsid14186622 \hich\af0\dbch\af31505\loch\f0  is a }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\insrsid14186622\charrsid14186622 \hich\af0\dbch\af31505\loch\f0 liver disease that can cause mild illness lasting a few weeks, or it can lead to a serious, lifelong }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid14186622\charrsid4330952 
\hich\af0\dbch\af31505\loch\f0 illness. Acute hepatitis B infection is a short-term illness that can lead to fever, fatigue, loss of appetite, nausea, vomiting, jaundice (yellow skin or \hich\af0\dbch\af31505\loch\f0 
eyes, dark urine, clay-colored bowel movements), and pain in the muscles, joints, and stomach.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4330952\charrsid4330952 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\insrsid14186622\charrsid4330952 \hich\af0\dbch\af31505\loch\f0 Chronic hepatitis B infection is a long-term illness that occurs when the hepatitis B virus remains in a person\hich\f0 \rquote \loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\hich\af0\dbch\af31505\loch\f0  body. Most people who go on to develop chronic \hich\af0\dbch\af31505\loch\f0 hepatitis B do not have symptoms, but it is still very serious and can lead to liver damage (cirrhosis), liver cancer, and death. }{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \insrsid14186622 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4872477\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid14680130\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Pneumococcal disease}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid13966235 \hich\af0\dbch\af31505\loch\f0  (PCV)}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\ul\insrsid14680130\charrsid8802898 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid15282514\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 Pneumococcal disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15282514 \hich\af0\dbch\af31505\loch\f0  refers to any illness caused by pneumococcal bacteria. These bacteria can ca\hich\af0\dbch\af31505\loch\f0 
use many types of illnesses, including pneumonia, which is an infection of the lungs.  Besides pneumonia, pneumococcal bacteria can also cause ear infections, sinus infections, meningitis (infection of the tissue covering the brain and spinal cord), and b
\hich\af0\dbch\af31505\loch\f0 a\hich\af0\dbch\af31505\loch\f0 cteremia (infection of the blood). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \dbch\af31501\insrsid15282514\charrsid668034417 \hich\af0\dbch\af31501\loch\f0 
Most pneumococcal infections are mild. However, some can result in long-term problems, such as brain damage or hearing loss. Meningitis, bacteremia, and pneumonia caused by pneumococcal disease can be fatal. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\dbch\af31501\insrsid4872477 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \dbch\af31501\insrsid74863 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid74863\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Polio
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\chshdng0\chcfpat0\chcbpat8\insrsid74863\charrsid14186622 \hich\af0\dbch\af31505\loch\f0 Polio}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \chshdng0\chcfpat0\chcbpat8\insrsid74863 \hich\af0\dbch\af31505\loch\f0  (or poliomyelitis) is a disabling and life-threatening disease caused by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863 \hich\af0\dbch\af31505\loch\f0 
poliovirus, which can infect a person\hich\f0 \rquote \loch\f0 s spinal cord, leading to paralysis. Most people infected with poliovirus have no symptoms, and many recover without complications. Some people }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11011280 
\hich\af0\dbch\af31505\loch\f0 infected with poliovirus }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863 \hich\af0\dbch\af31505\loch\f0 will experience sore throat, fever, tiredness, nausea, headache, or stomach pain}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid11011280 \hich\af0\dbch\af31505\loch\f0 , and most people with these symptoms will also recover without complications}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863 \hich\af0\dbch\af31505\loch\f0 
. A smaller group of people will develop more serious symptoms: paresthesi\hich\af0\dbch\af31505\loch\f0 a (feeling of pins and needles in the legs), meningitis (infection of the covering of the spinal cord and/or brain), or paralysis (can\hich\f0 
\rquote \loch\f0 t move parts of the body) or weakness in the arms, legs, or both. Paralysis can lead to permanent disability and death. \hich\af0\dbch\af31505\loch\f0  
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863\charrsid4330952 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 2. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3098403\charrsid8802898 
\hich\af0\dbch\af31501\loch\f0 DTaP, Hib, hepatitis B, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5640261\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 pneumococcal conjugate}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863 \hich\af0\dbch\af31501\loch\f0 
, and polio}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5640261\charrsid8802898 \hich\af0\dbch\af31501\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3098403\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 vaccines }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid8802898 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Infants and c}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid12740585\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 hildren }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9440166\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 usually }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5778097\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 need}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\hich\af0\dbch\af31505\loch\f0 :
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 5 doses of }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid286843\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 diphtheria, tetanus, and acellular pertussis vaccine}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid286843\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  (}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 DTaP}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\insrsid286843\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 3 or 4 doses of }{
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Hib vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 3 doses of }{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 hepatitis B}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5640261\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid8080977\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 4 doses of }{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\insrsid74863\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 pneumococcal conjugate vaccine (PCV)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid74863\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 4 doses of }{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 polio}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5640261\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid8080977\charrsid8802898 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\par \hich\af0\dbch\af31505\loch\f0 Some children might need fewer or more than the usual number of doses of some vaccines to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6694818 \hich\af0\dbch\af31505\loch\f0 have the best protection }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 because of their age at vaccination or other circumstances.
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Older children, adolescents, and adults}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 
 with certain health conditions or other risk factors }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16321914 \hich\af0\dbch\af31505\loch\f0 or who did not get vaccinated earlier }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\hich\af0\dbch\af31505\loch\f0 might also be recommended to receive }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5640261\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 1 or more doses of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\hich\af0\dbch\af31505\loch\f0 some of these vaccines.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4872477\charrsid8802898 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\tx360\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4872477\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 These vaccines }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11011280 
\hich\af0\dbch\af31505\loch\f0 are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4872477\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 given as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11011280 \hich\af0\dbch\af31505\loch\f0 either }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid4872477\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 stand-alone vaccines or as part of a combination vaccine (a type of vaccine that combines more than one vaccine together into one shot).
\par }\pard \ltrpar\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin432\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2634737\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 3. Talk with your health care provider
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2634737\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 ell your vaccin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\hich\af0\dbch\af31505\loch\f0 ation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  provider if the child getting }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 
the}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  vaccine:
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 For all }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878 \hich\af0\dbch\af31505\loch\f0 of t\hich\af0\dbch\af31505\loch\f0 hese }{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \b\ul\insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 vaccines:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4196655\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar
\s26\ql \fi-432\li432\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Has had an }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 allergic reaction after a previous dose of the vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 , or has any }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 severe, life-threatening allergies }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15679209\charrsid8802898 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 For DTaP:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547\charrsid8802898 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Has had an }{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\insrsid4086547\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 allergic reaction after a previous dose of any vaccine that protects against }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid1924474 \hich\af0\dbch\af31505\loch\f0 diphtheria, }{
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid4086547\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 tetanus, or \hich\af0\dbch\af31505\loch\f0 pertussis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \hich\af0\dbch\af31505\loch\f0 Has had a }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\insrsid14186622\charrsid14186622 \hich\af0\dbch\af31505\loch\f0 coma, decreased level of consciousness, or prolonged seizures within 7 days after a previous dose of any pertussis vaccine (DTP or DTaP)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 

\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Has }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid14186622\charrsid14186622 
\hich\af0\dbch\af31505\loch\f0 seizures or another nervous system problem}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Has ever had }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid14186622 \hich\af0\dbch\af31505\loch\f0 \hich\f0 
Guillain-Barr\'e9\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1924474 \hich\af0\dbch\af31505\loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid14186622 \hich\af0\dbch\af31505\loch\f0 yndrome}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\hich\af0\dbch\af31505\loch\f0 \hich\f0  (also called \'93\loch\f0 \hich\f0 GBS\'94\loch\f0 )
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Has had }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid14186622\charrsid14186622 
\hich\af0\dbch\af31505\loch\f0 severe pain or swelling after a previous dose of any vaccine that protects against }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid1924474 \hich\af0\dbch\af31505\loch\f0 diphtheria or }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\insrsid14186622\charrsid14186622 \hich\af0\dbch\af31505\loch\f0 tetanus }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4196655\charrsid8802898 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 For }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\ul\insrsid286843\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 PCV}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid4196655\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 :
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547 \hich\af0\dbch\af31505\loch\f0 Has had an }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid4086547\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 allergic reaction after a previous dose of }{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\insrsid929242\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 any type of pneumococcal conjugate vaccine (}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid4086547\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 PCV13,}{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\insrsid5533578 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid929242\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 PC\hich\af0\dbch\af31505\loch\f0 V15, PCV20, or }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\insrsid4086547\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 an earlier pneumococcal conjugate vaccine known as PCV7}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid922159\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 )}{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\insrsid4086547\charrsid668034417 \hich\af0\dbch\af31505\loch\f0 , or to any vaccine containing diphtheria toxoid}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547 \hich\af0\dbch\af31505\loch\f0  (for example, DTaP)}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid8080977\charrsid8802898 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 In some cases, your child\hich\f0 \rquote \loch\f0 s health care provider may decide to postpone vaccination }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622 
\hich\af0\dbch\af31505\loch\f0 until}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14186622\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 a future visit.
\par 
\par \hich\af0\dbch\af31505\loch\f0 Children\hich\af0\dbch\af31505\loch\f0  with minor illnesses, such as a cold, may be vaccinated. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2766677\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Children }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid8917257\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 who are moderately or severely ill should usually wait until they recover before being vaccinated.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8080977\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Your }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7498532\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 child\hich\f0 \rquote \loch\f0 s }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid9440166\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 health care provider can give you more information.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9440166\charrsid8802898 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 4. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 
\hich\af0\dbch\af31501\loch\f0 Risks of a vaccine reaction
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 For all }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878 
\hich\af0\dbch\af31505\loch\f0 of these vaccines}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 :
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar
\s26\ql \fi-432\li432\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \hich\af0\dbch\af31505\loch\f0 
Soreness, redness, swelling, warmth, pain, or tenderness where the shot is given can happen after vaccination.
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878\charrsid15347878 \hich\af0\dbch\af31505\loch\f0 For DTaP}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\ul\insrsid15347878\charrsid15347878 \hich\af0\dbch\af31505\loch\f0 , Hib}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878\charrsid15347878 
\hich\af0\dbch\af31505\loch\f0 , hepatitis B}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15347878\charrsid15347878 \hich\af0\dbch\af31505\loch\f0 , and PCV:

\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \hich\af0\dbch\af31505\loch\f0 Fever can happen after vaccination.
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 For DTaP vaccine}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid286843\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 :}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\ul\insrsid15537296\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \hich\af0\dbch\af31505\loch\f0 F}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 ussiness, feeling tired\hich\af0\dbch\af31505\loch\f0 
, loss of appetite, and vomiting sometimes happen after DTaP vaccination.
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 More serious reactions, such as seizures, non-stop crying for 3 hours or more, or high fever (over }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312\charrsid5112312 \hich\af0\dbch\af31505\loch\f0 105}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \loch\af0\dbch\af31505\hich\f0 \'b0\loch\f0 
F) after DTaP vaccination happen much less often. Rarely, vaccination is foll\hich\af0\dbch\af31505\loch\f0 owed by swelling of the entire arm or leg, especially in older children when they receive their fourth or fifth dose.
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15537296\charrsid8802898 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid15537296\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 For }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\ul\insrsid286843\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 PCV:}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\ul\insrsid15537296\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin432\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15347878 \hich\af0\dbch\af31505\loch\f0 L}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 
oss of appetite, fussiness (irritability), feeling tired, headache, and chills can happen after PCV vaccination.
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547 \hich\af0\dbch\af31505\loch\f0 Young chil\hich\af0\dbch\af31505\loch\f0 
dren may be at increased risk for seizures caused by fever after }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid929242 \hich\af0\dbch\af31505\loch\f0 a pneumococcal conjugate vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547 \hich\af0\dbch\af31505\loch\f0 
 if it is administered at the same time as inactivated influenza vaccine. Ask your health care provider for more information.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547\charrsid8802898 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4086547\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 As with any medicine, there is a\hich\af0\dbch\af31505\loch\f0 
 very remote chance of a vaccine causing a severe allergic reaction, other serious injury, or death.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 5. What if there is a serious problem?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 An allergic reaction could occur after the vaccinated person leaves the clinic. If you see signs of a severe aller\hich\af0\dbch\af31505\loch\f0 
gic reaction (hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness), call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5112312 \hich\af0\dbch\af31505\loch\f0 9-1-1}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5112312 \hich\af0\dbch\af31505\loch\f0  and get the person to the nearest hospital.
\par 
\par \hich\af0\dbch\af31505\loch\f0 For other signs that concern you, call your health care provider.
\par 
\par \hich\af0\dbch\af31505\loch\f0 Adverse reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your health care provider will usually file this report, or you can do it yourself. Visit the VAE\hich\af0\dbch\af31505\loch\f0 
RS website at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10974749 \hich\af0\dbch\af31505\loch\f0 HYPERLINK "http://www.vaers.hhs.gov/"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10974749 {\*\datafield b0ba4573}}}{\fldrslt {\rtlch\fcs1 
\af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid5112312 \hich\af0\dbch\af31505\loch\f0 www.vaers.hhs.gov}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 
 or call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5112312 \hich\af0\dbch\af31505\loch\f0 1-800-822-7967}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid5112312 
\hich\af0\dbch\af31505\loch\f0 VAERS is only for reporting reactions, and VAERS staff members do not give medical advice.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 6. The National Vaccine Injury Compensation Program
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate peo\hich\af0\dbch\af31505\loch\f0 
ple who may have been injured by certain vaccines. Claims regarding alleged injury or death due to vaccination have a time limit for filing, which may be as short as two years. Visit the VICP website at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid10974749 \hich\af0\dbch\af31505\loch\f0 HYPERLINK "http://www.hrsa.gov/vaccinecompensation"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10974749 {\*\datafield b0baf573}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid5112312 
\hich\af0\dbch\af31505\loch\f0 www.hrsa.gov/vaccinecompensation}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0  or call }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid5112312 \hich\af0\dbch\af31505\loch\f0 1-800-338-2382}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0  to learn about the program and about filing a claim. 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid8802898 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid8802898 \hich\af0\dbch\af31501\loch\f0 7. How can I learn more?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid8802898 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 Ask your health care provider. 
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Visit the website of the Food and Drug Administration (FDA) for vaccine package inserts and additional information at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10974749 \hich\af0\dbch\af31505\loch\f0 
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www.fda.gov/vaccines-blood-biologic\hich\af0\dbch\af31505\loch\f0 s/vaccines}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\ul\cf19\insrsid5112312 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 
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\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0 Call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5112312 \hich\af0\dbch\af31505\loch\f0 
1-800-232-4636}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 \hich\af0\dbch\af31505\loch\f0  (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5112312 \hich\af0\dbch\af31505\loch\f0 1-800-ÐÇ¿ÕÓéÀÖ¹ÙÍø-INFO}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 
\hich\af0\dbch\af31505\loch\f0 ) or
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\hich\af0\dbch\af31505\loch\f0 www.cdc.gov/vaccines}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\ul\cf19\insrsid5112312 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5112312 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
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\par \hich\af0\dbch\af31505\loch\f0 Vaccine\hich\af0\dbch\af31505\loch\f0  Information Statement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6904022\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11017089 
\hich\af0\dbch\af31505\loch\f0 (Interim)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3098403\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Multi Pediatric }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 Vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid3098403\charrsid8802898 \hich\af0\dbch\af31505\loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid8802898 \hich\af0\dbch\af31505\loch\f0  
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\tx360\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4205770 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1850918 \hich\af0\dbch\af31505\loch\f0 7/24/2023}{\rtlch\fcs1 \af0 \ltrch\fcs0 
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15473515\charrsid4795329 
\par \hich\af0\dbch\af31505\loch\f0 Department of Health and Human Services
\par \hich\af0\dbch\af31505\loch\f0 Centers for Disease Control and Prevention
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