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Immunization Reactions

	Call 911 NOW (your child may need an ambulance) IF: Difficulty with breathing or swallowing. Not moving or very weak. Unresponsive or difficult to awaken.
	Call Your Doctor NOW (night or day) IF your child has any ONE of the following: Your child looks or acts very sick. Age less than 12 weeks with fever above 100.4°F (38°C) rectally. (Exception: occurs within 48 hours after DTaP or Prevnar shot.) Fever above 105°F (40.6°C). High-pitched, unusual cry present for more than 1 hour. Crying continuously for more than 3 hours. Redness or red streak around the injection site bigger than 1 inch. Redness around the injection site persists for more than 48 hours (2 days). Action: If you are unable to reach your doctor - go to the nearest urgent care clinic or to a local hospital Emergency Department.
	Call Your Doctor WITHIN 24 HOURS (during regular daytime office hours) IF: You think your child needs to be seen. Fever present for more than 3 days. Measles vaccine rash (onset day 6 to 12) persists for more than 3 days.
	Call Your Doctor DURING WEEKDAY OFFICE HOURS IF: You have other questions or concerns. Pain, tenderness, or swelling at the injection site persists for more than 3 days. Fussiness from vaccine lasts for more than 3 days.
	Provide Care at Home to children for: Normal immunization reaction and you don't think your child needs to be seen.