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Forum: Choosing to Vaccinate

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  #1  
October 30th, 2009, 09:59 AM
mom2nate
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OK....My 3 year old son is scheduled to get his H1N1 vaccine tonight at 530. I have been on the fence with this and been racking my brain trying to find out as much as I possibly can about it...that has not been easy! We are not non vacc but I just have concerns about this one. The safety, efficacy, etc. All I seem to find is "it appears to be safe" "it seems to be safe"....I am concerned that there could be big long term effects of this vaccine b/c so much is unknown about it.

I met with his ped yesterday and he maintains that it is safe probably safer than the reg flu shot b/c of all the hype surrounding it and it has actually been tested. So if it's been tested why can't I find any info on that?

I am scared of him getting the flu and I am scared of getting him the vaccine. I felt more at ease after talkign with his ped yesterday but after looking at the CDC website I seen that they are putting into place a separate program to monitor for GBS with this vaccine. If there is not a extra concern about getting this from this particular shot why are they putting that into place? Is it just to qualm fears b/c it happened in 76 or is there an actual link to developing GBS with this vaccine?

I understand that it is made exactly the same as the seasonal flu shots it is just a different virus strain in it...so that raises another question Why is it being treated as a first time flu vaccine and they need 2 doses if they've already received a flu shot last year? I mean they change the strain every year and once they've gotten a flu shot they don't need two so why two of this one?

Sorry for all the crazy questions but I am just so freaking out about this and I know some of you really know your stuff on this so I appreciate any feedback I can get. Thanks!
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  #2  
October 30th, 2009, 11:51 AM
picklesmama's Avatar <;,><
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Hello again I can understand your fears, here is a lot of hype and about this flu and vaccine, and sooo much on the internet, it can be overwhelming!
Quote:
Originally Posted by mom2nate View Post
OK....My 3 year old son is scheduled to get his H1N1 vaccine tonight at 530. I have been on the fence with this and been racking my brain trying to find out as much as I possibly can about it...that has not been easy! We are not non vacc but I just have concerns about this one. The safety, efficacy, etc. All I seem to find is "it appears to be safe" "it seems to be safe"....I am concerned that there could be big long term effects of this vaccine b/c so much is unknown about it.
I met with his ped yesterday and he maintains that it is safe probably safer than the reg flu shot b/c of all the hype surrounding it and it has actually been tested. So if it's been tested why can't I find any info on that?
The FDA maintains that it has undergone all the same testing all flu vaccines, and has the same safety and effectiveness: FDA 2009 H1N1 (Swine) Flu Page I just saw our pedi today and he recommended it, I know he loves my kids and would not recommend something he didn't satnd behind as in their best interests.

Quote:
I am scared of him getting the flu and I am scared of getting him the vaccine. I felt more at ease after talkign with his ped yesterday but after looking at the CDC website I seen that they are putting into place a separate program to monitor for GBS with this vaccine. If there is not a extra concern about getting this from this particular shot why are they putting that into place? Is it just to qualm fears b/c it happened in 76 or is there an actual link to developing GBS with this vaccine?
Can you share the link to that info on the CDC website? I couldn't find anything about a separate program, just this:

GBS cases occur every year in the general population for many different reasons. To monitor whether people who receive the 2009 H1N1 vaccine have an increased risk for GBS, U.S. public health officials will determine if the number of GBS cases reported among people who receive the 2009 H1N1 vaccine is higher than the number of cases reported in the general population.

If there is an increase in the number of reported cases, public health officials will conduct intensive investigations. If any problems are detected with this 2009 H1N1 vaccine, they will be reported to health officials, healthcare providers, and the public, and health officials will take needed action to ensure the public's health and safety.
Source: CDC H1N1 Flu | General Questions and Answers on Guillain-Barré syndrome (GBS)


Quote:
I understand that it is made exactly the same as the seasonal flu shots it is just a different virus strain in it...so that raises another question Why is it being treated as a first time flu vaccine and they need 2 doses if they've already received a flu shot last year? I mean they change the strain every year and once they've gotten a flu shot they don't need two so why two of this one?
All I know about this is only kids are needing 2 doses, to get an adequate immunity. Adults get 1. Perhaps because the H1N1 strain only emerged last april so it's unlikely anybody has had time to develop any natural immunities? That's just my speculation though...

I'm sorry if I can't help set your fears to rest... I guess just do what feels right to you. If you are still scared, maybe wait, until someone you know has had it?
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  #3  
October 30th, 2009, 12:09 PM
mom2nate
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My niece got it yesterday and hasn't had any problems. I am just nervous and tend to spaz out extremely easy Like my husband says we know what that flu can do and what is doing so this is the best decision to protect him from it.

Here is that what I found:

Emerging Infections Program (EIP) Surveillance

CDC is collaborating through their Emerging Infections Program to enhance surveillance of Guillain-Barré Syndrome (GBS) during the 2009-2010 flu season. For more informaton on this initiative, see the frequently asked questions.

The frequently asked questions page :

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Emerging Infections Program (EIP) Surveillance

Why is CDC conducting enhanced GBS surveillance for this vaccination campaign?

Scientists first reported a suspected link between GBS and vaccinations in 1976, during a national campaign to vaccinate people against a swine flu virus. The investigation found that vaccine recipients had a higher risk for GBS than those who were not vaccinated (about 1 additional case occurred per 100,000 people vaccinated). Given this association, and the fact that the swine flu disease was limited, the vaccination program was stopped. Scientists have multiple theories on why this increased risk may have occurred, but the exact reason for this association remains unknown.

The global emergence of the pandemic (H1N1) 2009 virus has prompted rapid development of new influenza A (H1N1) 2009 monovalent vaccine that will be available for immunizations starting in October 2009. It is expected that the 2009 H1N1 vaccine will have a similar safety profile as seasonal flu vaccines, which have very good safety track records. The association of GBS with the 1976 influenza H1N1 vaccines has led public health authorities to monitor for any similar association of neurologic disease with vaccines against the pandemic (H1N1) 2009 virus. However, it should be noted that as there will still be cases of GBS due to other causes occurring during this time, cases of GBS who received vaccine may not have GBS due to their immunization

What is the purpose of this ’EIP’ reporting system?

The EIP initiative will provide a rapid and accurate assessment of any increased risk for GBS among people who receive the influenza A (H1N1) 2009 monovalent vaccine. Because all EIP sites will coordinate similar efforts at detecting and reporting all cases of GBS, CDC will be able to observe if there is an increase in the number of reported cases above the “expected” number of cases. This information will complement additional vaccine safety assessments from separate initiatives. If any problems are detected with this 2009 H1N1 vaccine, they will be reported to health officials, healthcare providers, and the public, and health officials will take needed action to ensure the public's health and safety.

This special initiative is being performed through the state public health departments participating in the CDC Emerging Infections Program (EIP). The EIP is a population-based network in California, Colorado, Connecticut, Georgia, Maryland, Minnesota, New Mexico, New York, Oregon, and Tennessee composed of state health departments and their collaborators in local health departments, public health and clinical laboratories, infection control professionals, healthcare providers, and academic institutions dedicated to conducting surveillance for emerging infectious diseases of public health importance.

Although the safety and efficacy of the influenza A (H1N1) 2009 monovalent vaccine will be assessed through a small number of limited clinical trials, the interval between vaccine development and widespread use of the vaccine will be compressed and timely surveillance for GBS will be critical in vaccine safety monitoring to assess public health policy and direct further 2009 H1N1 vaccine recommendations for the influenza season.

Who will be reporting to the EIP reporting system?

Neurologists and other providers of neurology services who treat patients within the counties, and in some instances, the entire state affiliated with the EIP site will be asked to participate in this initiative.

For how many months will GBS cases be reported to the EIP reporting system?

This special initiative will be initiated at the start of the 2009 H1N1 vaccination campaign in October 2009, and will last until May 2010.

Is this EIP reporting different from the mandated reporting I’m hearing about from the state?

Ensuring the safety of vaccines is a high priority for CDC. CDC and its partners have an aggressive plan to actively monitor the 2009 H1N1 vaccine to ensure its safety, including the Vaccine Adverse Event Reporting System (VAERS), as well as this special initiative through the EIP sites.

Additionally, some states are going a step further and making GBS a physician-reportable condition within the state. This means that any physician who diagnoses a GBS case is asked to report the patient to local or state public health authorities. Reporting requirements will differ by state. This adds an additional level of certainty to ensure that an increase in GBS cases would not be missed. Also, in states where the EIP reporting initiative does not cover the entire state, this enables the state to monitor areas outside of the EIP jurisdictions for cases of GBS.

Why isn’t reporting through VAERS (the Vaccine Adverse Event Reporting System) sufficient?

Reporting through VAERS is an important mechanism in assessing vaccine safety after licensure; however, due to the rapid development and implementation of the 2009 H1N1 vaccine, a more timely system is needed to report any problems with the vaccine. The EIP initiative will provide the most timely, accurate assessment of risk associated with the vaccine.

What will I be expected to do, as a participant in this system?

There are only a few, time-limited tasks that are being requested from neurologists participating in this reporting system:

1. Surveillance officers at each EIP site will be contacting a designated point of contact (POC) in your practice regularly by phone or email to ascertain if any new cases of GBS have been diagnosed in your practice. This POC can be the practice manager, a nurse manager, or yourself.
2. Surveillance officers may contact the diagnosing physician directly to answer brief questions (<5 minutes) regarding the patient’s case in situations when the patient’s medical record is not sufficient to document GBS.
3. All neurologists are urged to report cases of GBS suspected to be associated with H1N1 or any other vaccines to VAERS, the Vaccine Adverse Event Reporting System, as usual.(Vaccine Adverse Event Reporting System)

Isn’t information on these patients protected health information and restricted from sharing?

The HIPAA Privacy Rule expressly permits disclosures of protected health information without individual authorization to public health authorities authorized by law to collect or receive the information for the purpose of preventing or controlling disease, injury, or disability, including but not limited to public health surveillance, investigation, and intervention. This EIP initiative is specifically aimed at preventing and controlling injury or disability related to the influenza A (H1N1) 2009 monovalent vaccine, therefore the HIPAA Privacy Rule permits reporting of patient-specific information to the EIP sites. More information can be found at Removed: Privacy Rule Homepage | CDC.

What will be done with the information I provide?

All protected health information will be kept confidential. Patients will not be contacted for any other reason than for the purposes of this surveillance system. Information you provide will be used to identify a patient’s medical record for data review, and also to contact the patient to perform a brief telephone interview to identify GBS-related factors and vaccination history.

Is this activity considered research? Has there been IRB (Institutional Review Board) review of this initiative?

This activity is not considered research, and IRB review is not required. The Associate Director for Epidemiologic Science of the National Center for Preparedness, Detection, and Control of Infectious Diseases at CDC has determined that this activity does not meet the definition of research. The purpose of this activity is to monitor the occurrence of GBS during the national influenza A (H1N1) vaccination campaign in the U.S. so that appropriate public health actions may be taken in a timely manner, should an unusual increase in GBS be detected. The Department of Health and Human Services defines research as “a systematic investigation…designed to develop or contribute to generalizable knowledge,” [45 CFR 46.102(d)]. This activity does not meet the definition of research, as it is not designed to develop or contribute to generalizable knowledge.
Page last modified: September 24, 2009
Content source: Immunization Safety Office


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  #4  
October 30th, 2009, 08:22 PM
Kelly's Avatar Platinum Supermommy
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I am a fully vaxing mama and am not getting this one for my kids. I was just browsing the CDC website earlier and it actually has NOT been tested, but it's made in the same way the seasonal flu is, so they "expect" it will be as safe as the seasonal flu.

Also be aware that most of the H1N1 vaccines do contain thimerisol. I'm way too leery of giving my kids shots with thimerisol.

It's SUCh a hard decision, but as far as this one goes, we're skipping it and tomorrow I'm going on a hunt for kids vitamin D which has been said lately to ward of the flu and other sicknesses.

DH has actually been taking vitamin D for his diabetes for this past 7 months or so and hasn't gotten sick at all this cold/flu season, while myself and my BIL have.
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  #5  
October 30th, 2009, 09:38 PM
picklesmama's Avatar <;,><
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Thanks mom2nate - I found the link CDC - How Vaccines Are Tested and Monitored - Vaccine Safety
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Angus Pickle 2.24.04 ~ Sydney Bean 10.26.06 & Kater Tot 2.15.09

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  #6  
October 31st, 2009, 07:35 AM
mom2nate
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He got his first dose yesterday. I feel better about it but we're still not sure if we'll be doing the second dose. I guess I feel the drs wouldn't be recommending it if they felt it was not safe for them. He got the nasal mist and seems fine. Let's hope it stays that way.
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  #7  
October 31st, 2009, 11:54 AM
Jean Grey's Avatar Veteran
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Posts: 430
The vaccine has and is still being tested for various groups:
NIH Launches 2009 H1N1 Influenza Vaccine Trials in HIV-Infected Children, Youth and Pregnant Women
Flu Vaccine Trials FAQ
H1N1 pediatric trials bring good news, national institute says - CNN.com

And you can request that your children be given one of the vaccines without thermosil, if it makes you nervous:
AskDrSears - The Vaccine Book: Four Swine Flu Vaccines Approved by FDA
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  #8  
November 1st, 2009, 05:16 PM
Kelly's Avatar Platinum Supermommy
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^ From what I've heard from friends who work at Dr. offices and hospitals, the thimerisol free ones are EXTREMELY hard to find, even in the seasonal flu shots.
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  #9  
November 1st, 2009, 06:12 PM
mom2nate
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Yes, my son's ped said they had no control over what they get. The CDC apparently is just sending what they have. But the nasal mist doesn't contain mercury or any other preservatives. However I'm not a big believer in the autism/mercury link (Don't shoot me!). They were out of the shot and only had the mist so that's what we went with....

His ped. also said that the MO law that says children and pregnant women can not get vaccines with thimersol in them has been temporarily lifted due to this flu and the urgency to get people vaccinated....but that's just in Missouri I guess....

Has anyone heard when the definite answer will be out if they for sure need 2 doses?

Also, thanks for putting up with me and my crazy anxiety over this! I know I have never posted here before and this had me really spazzed out so I thank you all for your replies and help!
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  #10  
November 1st, 2009, 08:11 PM
Jean Grey's Avatar Veteran
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Quote:
Originally Posted by Kelly View Post
^ From what I've heard from friends who work at Dr. offices and hospitals, the thimerisol free ones are EXTREMELY hard to find, even in the seasonal flu shots.
Here the mist (with no thermosil) is easier to find. I wonder if it varies by region, since I know different areas are getting different amounts of the vaccine. I'm keeping my fingers crossed that they'll have the flumist for the seasonal flu at my sons' next appointments. I just talked to the doctor the other day and they're all out of H1N1
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