The parent of a 12-month-old child who has received the MMR, Varivax, and hepatitis A vaccines calls the clinic to report redness and swelling at the vaccine injection sites and a temperature of 100.3° F
The nurse will perform which action?
a. Recommend aspirin or an NSAID for pain and fever.
b. Recommend acetaminophen and cold compresses.
c. Report these adverse effects to the Vaccine Adverse Event Reporting System (VAERS).
d. Schedule an appointment in clinic so the provider can evaluate the child.
ANS: B
These are common, minor side effects of vaccines and can be treated with acetaminophen and cold compresses. Aspirin is contraindicated in children because of its association with Reye's syndrome. Since these are not serious adverse effects, they do not need to be reported to VAERS. It is not necessary to schedule a clinic visit.
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