A parent whose child received a fourth DTaP at a recent 15-month visit calls the primary care NP to report that the child is fussy, has a temperature of 38.3° C, and has redness and swelling at the injection site. The NP should:
a. admit the child to the hospital for observation of developing symptoms.
b. flag the child's chart to avoid administration of pertussis vaccine in the future.
c. report these adverse reactions to the Vaccine Adverse Event Reporting System (VAERS).
d. instruct the parent to give the child acetaminophen as needed for fever or localized discomfort.
D
Temperatures between 38° C and 40° C are common and self-limited, as are fussiness and localized swelling and erythema. Parents should be advised to provide symptomatic care. Unless the child experiences a severe reaction, admission to a hospital is not indicated. Mild reactions are not contraindications to future vaccines. This reaction is not severe, and reporting to VAERS is not indicated.
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