Administering Multiple Vaccines to a Child During a Single Office Visit
December 2010
| Technically Speaking | |
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| TECHNICALLY SPEAKING | |
| Administering Multiple Vaccines To A Child During A Single Office Visit | |
| Published December 2010 | |
| Information presented in this article may have changed since the original publication date. For the most current immunization recommendations from the Advisory Committee on Immunization Practices, visit ACIP Vaccine Recommendations. | |
| When infants and children need to be vaccinated, they often need to receive three or more injections, particularly if they are behind schedule. To make sure a child is fully protected as early as possible, the CDC and AAP recommend that at the next office visit, the child receive all the vaccines needed, no matter what the number (as long as there are no contraindications or precautions). | ||||
| When a child needs several doses, it’s sometimes necessary to give more than one intramuscular (IM) injection in a single muscle. The CDC recommends separating these IM injections by one inch or more. When administering subcutaneous (SC) injections separate the doses in the fatty tissue by one inch or more, as well. | ||||
| When giving a child two injections in the same anatomic area, it is important to document in the medical record the anatomic site where each vaccine was given. For example, when you give two vaccines in the same muscle, you might simply record which vaccine you gave in the “upper” portion of the injection area, and which in the “lower.” In this instance, your note in the patient chart might state, “DTaP: right thigh, upper; and Hib: right thigh, lower.” | ||||
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