Patient's question:
The neighbor came over for a chat, holding her little child, and complained to me: "I took my child for a vaccination, and after finally queuing up to be served, the doctor heard a few coughs and some nasal discharge from the child and refused the vaccination. It's just a slight cold, right? Why can't they get vaccinated even for that?"Doctor's answer:
Contraindications for routine immunization include: (1) Immunological abnormalities: Immunodeficiency, malignant diseases (such as tumors, leukemia, lymphoma, etc.), and immunosuppressed patients using corticosteroids, alkylating agents; antimetabolite drugs or radiotherapy should not use live attenuated vaccines. (2) Acute infectious diseases: Recipients with fever, acute infectious diseases, or in the recovery phase of acute infectious diseases for less than 2 weeks should postpone vaccination. This is because vaccination during a fever can exacerbate fever symptoms and may be misinterpreted as an adverse reaction, preventing subsequent vaccination. Children with neurological diseases: Children with uncontrolled epilepsy, infantile spasms, sequelae of encephalitis, and progressive encephalopathy should not be vaccinated with pertussis antigen, Japanese encephalitis vaccine, and meningococcal vaccine.