I want to stagger 12 month vaccinations not sure what order

[vaccinationquery]

From what I can see online it’s
Men b
Hib/men c
Pcv
Mmr

I want to split them possibly to do 2 at a time but not sure which 2 to put together first.
Has anyone else done this ? What order did you do it in

I’m a practice nurse. We can’t and wouldn’t charge to split them.

Any or all of those immunisations can cause fever, but especially the Men B. The MMR can cause fever within 24-48 hours and again 10-14 days later. So if you separate them you could have a feverish child for 24-48 hours after, again at 10-14 days and again after the next set another 14 days or so after that.

I’d suggest giving them all together and “getting the fever over and done with” rather than stringing it out.

If you insist on spacing them I’d suggest the MMR first as maternal antibodies for measles wane quickly after 12 months, so they are more at risk from delaying. I’d give that with Menitorix (Hib/Men C) as then they have the protection against Men C which is new to them as well.

At least 4 weeks later give the Men B and Pneumococcal boosters, they’ve had those before so delaying a month is less risky.

I don’t have any anyway as never had measles or the mmr so def think mmr needs to be done first

get your own MMR done at the same time then!

What makes you think that 2x 2 injections in better than 1x4 or 4x1? MMR is already 3 in 1 and a common one to get a fever from so maybe just MMR at one sitting and the rest at another?

Can I even do that ? Can adults have it on-the nhs

Yes anyone that hasn’t had x2 MMR can have them done at any age. If you’re sure you weren’t immunised, speak to your practice nurse. Also check that you’ve had other immunisations.

Yes I def haven’t i didn’t have mmr or whooping cough

Had whooping cough jab in pregnancy

One of the ways to get over the (unfounded) worry about giving them all together is to research the millions of bugs that assault your baby's body every second of every day. Makes the combined vaccine look like peanuts! - with the added advantage that they are not left at risk any longer than is absolutely necessary.

I'd go for mmr first. It's a live vaccine, I am not sure if any of the others are, and triggered illness in my child so is 'strong'. Also, lots of measles around these days, and mumps (altho it often doesnt give immunity for mumps anywaty on the first shot). They are definitely not 'designed' to be had all together or other nonsense from this thread. Sidge seems to have good advice.

DS was so poorly and miserable after the men b, especially the second, high temp and whiney and breathing quite fast. He's not due the 1 year jabs for another 6 months but he will be having them all together.

Ultimately your choice but I would definitely suggest getting them all our the way, there's no guarantee splitting will make any difference, however I think you're sensible to get the MMR first as he'll have no cover for that compared to the boosters (might be worth checking how long before a whole new lot would be required rather than boosters though).

As a side note; I found out my MMR never worked when I was 19 and was given the course again no problem so you should be able to get it done.

meow1989 you don’t have to start courses again.

The advice is “complete don’t repeat” - we can work out what’s due and catch up.

Unimmunised or incompletely immunised adults and children can be vaccinated at any age, but of course they’ll only be given age appropriate vaccines. For example we don’t give Men B over the age of two, or PCV.

The schedule is based on immune response, risk and disease prevalence in the UK, it’s not arbitrary. There is some degree of flexibility but it’s not fully flexible as some vaccines are unlicensed, unnecessary or unsuitable for certain age groups.

I think it’s better for my baby to have them separately

There is absolutely zero evidence that this is true. And the idea that the immune system can somehow be overwhelmed by getting multiple vaccines at the same time is obvious nonsense. A child's immune system is challenged by hundreds of potential pathogens every day.

What does it matter to anyone else? The important thing is getting all the vaccines.

One problem with spreading them out is that many, many parents never bother to make all of the appointments so the child only winds up partially vaccinated. And of course has to endure the additional jabs.

And there's the risk that the child will develop the disease while waiting for the delayed immunization.

Infant Immunizations FAQs

One problem with spreading them out is that many, many parents never bother to make all of the appointments so the child only winds up partially vaccinated. And of course has to endure the additional jabs

I suspect this is the real reason for the schedule as well as cost.

There is something to splitting (obviously you can't split the 6in1) but you don't have to have all at once if you think that's right.

Pre 2010, there were 3 vaccines given split between appointments at 12 and 13 months. Research was done into parents opinion on combining administration and also checking they all would still be effective if administered together. All the evidence said it was safe and suggested most parents would prefer less appointments. Since then, a fourth vaccine has been added. Please understand, I’m not for one minute saying it’s unsafe to do all at once, just that if your preference is to space them then it’s not an unreasonable decision as long as you accept the small delay in full cover. When I asked to split them with my first (pre Men B) I was told to leave a month between appointments, with my second they were done either a week or two weeks apart.

Isittimeforbed

Pre 2010, there were 3 vaccines given split between appointments at 12 and 13 months.

DS and Dd born 95 and 97 and certainly didnt have the 13 months jabs split, they were done at one appointment, as were their preschool ones

I also recommend Dr Paul.

"anything other than all four together is sub optimal"

That's over-egging it somewhat. It is important to receive all the vaccines, but the precise timetable of the schedule varies (between countries) and there is no single 'optimal'. The only important thing is getting them, in a reasonably timely fashion.

"Yes anyone that hasn’t had x2 MMR can have them done at any age"

Not quite true - anyone born after 1970 can have it on request. Older than that and it's assumed you will have had wild measles, and be past childbearing age so no need for rubella.

Idt Dr Paul Thomas a quack who is still claiming vaccine s cause adhd. Not sure why anyone would recommend him.

Just do them at the time your GP recommends.

There will be a lot of times when you feel a bit funny about something, but the best thing to do is to just get on with it.

I did the MMR separately for both my DC, I think they had it about 4-6 weeks later than the other 1yr old jabs. No particular logic to this approach but it simply seemed a little more gentle than all at once.

A lot of NHS vaccine timing is based around wanting to get lots of vaccines done while you’re there, in case you don’t get round to the other appointments. If you know you are an organised person who will not forget the remaining ones then this doesn’t apply. There is no medical benefit in having them all together as far as I am aware (apart from having the shortest possible time when they are unvaccinated).

bruffin maybe it was different in the nineties? Or you lived somewhere that differed from national recommendations? It was definitely a thing though www.gov.uk/government/publications/vaccinations-at-12-and-13-months-of-age

From your link it looks like it might have changed in 2006 .