Electronic version of vaccination guide

This electronic version of the vaccination guide is a practical tool compiled by me together with three front-line doctors in the vaccination department of tertiary hospitals and based on the latest "National Immunization Program Vaccine Childhood Immunization Procedures and Instructions" and "Non-immunization Program Vaccination Guidance Principles" released by the National Center for Disease Control and Prevention in 2024. You don't have to read it again. Scattered expiration science popularization, no need to guess the contraindications from the public notice board at the vaccination site, the vaccination suitable groups, adverse reaction treatment, and special situation assessment standards that everyone is most concerned about are all here. It not only complies with the requirements of evidence-based medicine, but also takes into account the practical operational flexibility of front-line vaccination. The general population will basically not step into the trap by following the reference.

When I was sorting out vaccination questions for a group of mothers in the community last month, someone used an old popular science guide from 2020 and asked, "If you are allergic to eggs, you cannot get the flu vaccine." In fact, this taboo has been deleted in the new version of the regulations in 2023 - even people with severe egg allergies can now get the flu vaccine normally, and the observation time can be slightly extended to 40 minutes. This is also my original intention of organizing this electronic version: after all, vaccine-related regulations are updated quickly, and a lot of old information can be misleading.

Many people are confused about whether they can get vaccinated for mild colds. In fact, there is currently no absolute standard answer to this question: Evidence-based medicine research has concluded that as long as the body temperature does not exceed 38.5°C and there are no severe symptoms of general fatigue, coughing and wheezing, vaccination will not affect antibody production and will not aggravate adverse reactions, and you can get vaccinated normally.； However, for the sake of risk avoidance, doctors at many community vaccination sites will recommend waiting for symptoms to disappear before getting vaccinated. There is no problem with either option. You can choose based on your own schedule and physical feelings. You don’t have to worry about this for a long time.

Not long ago, my cousin's baby developed a low fever on the 8th day after receiving the MMR vaccine. She was squatting in line at the door of the pediatric emergency department holding a pile of antipyretic patches. She read the guide I sent and realized that it was a normal reaction: mild fever within 1-2 weeks after vaccination with live attenuated virus vaccine. Scattered rashes are normal immune responses. If your body temperature does not exceed 38.5°C, just drink plenty of water and take warm baths to cool down physically. If it exceeds 38.5°C, you can take acetaminophen or ibuprofen. It will not affect the effect of the vaccine at all. There is no need to go to the hospital to get together. Oh, by the way, the "you cannot take antipyretics 48 hours after vaccination" that was posted on the Internet is purely a rumor. If you really have to endure a fever above 39 degrees Celsius, it will easily lead to febrile convulsions, which is not worth the loss.

Regarding the issue of vaccination of people with immunodeficiency, the academic community has been debating for several years. Now the latest consensus is clear: HIV-infected people who are not in the acute stage of immune disease and whose CD4 cell count is within the normal range, as well as people who are allergic to long-term use of low-dose glucocorticoids, can normally receive most live attenuated vaccines. If you are really not sure, just take a photo of your medical record and save it on your mobile phone, and ask a doctor at the vaccination site for a simple evaluation. It is much more reliable than searching for various cases online.

I specially made keyword search tags for this electronic version. If you search for keywords such as "HPV", "influenza", "shingles" and "pneumococcus", you can jump directly to the corresponding vaccination age range, dose interval requirements, and comparison of different brands. It even includes jump links to the appointment channels of the Centers for Disease Control and Prevention in most provinces and cities across the country. Last week, I helped my mother make an appointment for the shingles vaccine. Clicking on it will jump directly to our local appointment applet, which saves a lot of time in searching back and forth.

I would also like to mention a detail that many people do not take seriously: the 30-minute observation period after vaccination is really not a formality. When I was volunteering in the vaccination department last year, I encountered a young man who suddenly developed acute urticaria 20 minutes after taking the second dose of HPV bivalent. Fortunately, he was at the scene. The doctor gave him cetirizine hydrochloride on the spot, and he recovered in about ten minutes. If he had rushed to work after the injection, it would have been more troublesome if something happened on the way.

Of course, this version of the guide is not omnipotent. If you happen to encounter special circumstances such as having just undergone major surgery, undergoing radiotherapy and chemotherapy, or planning to prepare for pregnancy in the near future, the general standards in the guide may not apply. You can use the guide to find a local vaccination doctor to evaluate your specific situation. After all, everyone's physical condition is different, and there is never a standard that is 100% suitable for everyone.

Oh, by the way, I have a regular update mechanism for the electronic version. Every time the National Center for Disease Control and Prevention releases new regulations, or a new vaccine is approved for marketing, I will update the version that month. You only need to save the link to see the latest version, without having to repeatedly look for new versions.