After The Shots What to do if your child has discomfort Your child may need extra love and care after getting immunized. Many of the shots that protect children from serious diseases can also cause discomfort for a while. Here are answers to questions many parents have about the fussiness, fever, and pain their children may experience after they have been immunized. If you don't find the answers to your questions, call the clinic! My child has been fussy since you immunized him/her. What should I do? After immunization, children may be fussy due to pain and/or fever. You maywant to give your child acetaminophen, a medicine that helps to reduce pain and fever. Some examples of acetaminophen are Tylenol, Panadol, and Tempra. DO NOT GIVE ASPIRIN. See chart below. If the fussiness lasts for more than 24 hours, you should call the clinic. My child's arm (or leg) is swollen, hot, and red. What should I do? A clean, cool washcloth may be applied over the sore area as needed for comfort. If there is increasing redness or tenderness after 24 hours, call the clinic. For pain, give acetaminophen. See chart below. DO NOT GIVE ASPIRIN. I think my child has a fever. What should I do? Check your child's temperature to find out if there is a fever. The most accurate way to do this is by taking a rectal temperature. (Be sure to use lubricant, such as petroleum jelly, when doing so.) If your child's fever is 105F or higher by rectum, you need to call the clinic. If you take the temperature by mouth (for an older child) or under the arm, these temperatures are generally lower and may be less acurate. Call your clinic if you are concerned about these temperatures. Here are some things you can do to reduce fever: Give your child plenty to drink. Clothe your child lightly. Do not cover or wrap your child tightly! Give your child acetaminophen. DO NOT USE ASPIRIN. Sponge your child in a few inces of lukewarm (not cold!) bath water. My child seems really sick. Should I call the doctor? If you are worried AT ALL about how your child looks or feels, please call the clinic! Call the clinic if you answer "yes" to any of the following questions: Does your child have a rectal temperature of 105F or higher? (Remember, a temperature taken under the arm or by mouth usually registers lower than a rectal temperature. You should call the clinic if you are concerned about these temperatures.) Is your child pale or limp? Has your child been crying for over 3 hours and just won't quit? Does your child have a strange cry that isn't normal (a high-pitched cry)? Is your child's body shaking, twitching, or jerking? Adapted from the State of California, Immunization Branch by the Immunization Action Coalition 1573 Selby Avenue, St. Paul MN 55104 (651) 647-9009 www.immunize.org